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Sugar and type 2 diabetes

journal contribution
posted on 20.08.2020 by MEJ Lean, Lisa Te Morenga
© The Author 2016. Background: Consumption of sugar, specifically sugar-sweetened beverages, has been widely held responsible by the media for the global rise in Type 2 diabetes (T2DM). Sources of data: Systematic reviews and dietary guidelines relating dietary sugars to T2DM. Areas of agreement: Weight gain and T2DM incidence are associated with diet and lifestyle patterns characterized by high consumptions of any sweetened beverages. High sugar intakes impair risk factors for macrovascular complications of T2DM. Areas of controversy: Much of the association between sugars and T2DM is eliminated by adjusting data for body mass index (BMI). However, BMI adjustment does not fully account for adiposity (r2=0.65-0.75). Excess sugar can promote weight gain, thus T2DM, through extra calories, but has no unique diabetogenic effect at physiological levels. Growing points: Ethical concerns about caffeine added to sweetened beverages, undetectable by consumers, to increase consumption. Areas timely for developing research: Evidence needed for limiting dietary sugar below 10% energy intake.

History

Preferred citation

Lean, M. E. J. & Te Morenga, L. (2016). Sugar and type 2 diabetes. British Medical Bulletin, 120(1), 43-53. https://doi.org/10.1093/bmb/ldw037

Journal title

British Medical Bulletin

Volume

120

Issue

1

Publication date

01/01/2016

Pagination

43-53

Publisher

Oxford University Press (OUP)

Publication status

Published

Online publication date

05/10/2016

ISSN

0007-1420

eISSN

1471-8391

Language

en

Exports