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Is Coffee good for a diabetic?

Some studies suggest that drinking coffee — whether caffeinated and decaffeinated — may actually reduce your risk of developing type 2 diabetes. If you already have diabetes, however, the impact of caffeine on insulin action may be associated with higher or lower blood sugar levels.

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Does caffeine affect blood sugar? Answer From M. Regina Castro, M.D.

The average U.S. adult drinks about two 8-ounce (240-milliliter) cups of coffee a day, which can contain around 280 milligrams of caffeine. For most young, healthy adults, caffeine doesn't appear to noticeably affect blood sugar (glucose) levels, and having up to 400 milligrams a day appears to be safe. Some studies suggest that drinking coffee — whether caffeinated and decaffeinated — may actually reduce your risk of developing type 2 diabetes. If you already have diabetes, however, the impact of caffeine on insulin action may be associated with higher or lower blood sugar levels. For some people with diabetes, about 200 milligrams of caffeine — or the equivalent of one to two 8-ounce (240-milliliter) cups of plain, brewed coffee — may cause this effect. Caffeine affects every person differently. If you have diabetes or you're struggling to control your blood sugar levels, limiting the amount of caffeine in your diet may provide a benefit.

With M. Regina Castro, M.D.

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What happens when you quit sugar?

It's during this early "sugar withdrawal" stage that both mental and physical symptoms have been reported – including depression, anxiety, brain fog and cravings, alongside headaches, fatigue and dizziness.

It might surprise you to learn that sugar consumption (in the UK and other developed countries at least) has actually been steadily decreasing over the past decade. This could be happening for any number of reasons, such as a shift in tastes and lifestyles, with the popularity of low-carbohydrate diets, like keto, increasing in the past decade. A greater understanding of the dangers of eating excess sugar on our health may also be driving this drop. Reducing sugar intake has clear health benefits, including reduced calorie intake, which can help with weight loss, and improved dental health. But people sometimes report experiencing negative side effects when they try to eat less sugar. Headaches, fatigue or mood changes, which are usually temporary, are among the symptoms. The reason for these side effects is currently poorly understood. But it's likely these symptoms relate to how the brain reacts when exposed to sugary foods – and the biology of "reward". Carbohydrates come in several forms – including as sugars, which can naturally occur in many foods, such as fructose in fruits and lactose in milk. Table sugar – known as sucrose – is found in sugar cane, sugar beet and maple syrup while glucose and fructose are the main constituents of honey. As mass production of food has become the norm, sucrose and other sugars are now added to foods to make them more palatable. Beyond the improved taste and "mouthfeel" of foods with high sugar content, sugar has profound biological effects in the brain. These effects are so significant it's even led to a debate as to whether you can be "addicted" to sugar – though this is still being studied.

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