How Big Sugar Kept Scientists From Asking "Does Sugar Kill?"
Investigative science journalist Gary Taubes writes with Cristin Kearns Couzens at Mother Jones about how the sugar industry used Big Tobacco-style tactics to ensure that government agencies would dismiss troubling health claims against their products:
...This decades-long effort to stack the scientific deck is why, today, the USDA's dietary guidelines [21] only speak of sugar in vague generalities. ("Reduce the intake of calories from solid fats and added sugars.") It's why the FDA insists that sugar is "generally recognized as safe [22]" despite considerable evidence suggesting otherwise. It's why some scientists' urgent calls for regulation of sugary products have been dead on arrival, and it's why--absent any federal leadership--New York City Mayor Michael Bloomberg felt compelled to propose a ban on oversized sugary drinks [23] that passed in September.In fact, a growing body of research suggests that sugar and its nearly chemically identical cousin, HFCS, may very well cause diseases that kill hundreds of thousands of Americans every year, and that these chronic conditions would be far less prevalent if we significantly dialed back our consumption of added sugars. Robert Lustig, a leading authority on pediatric obesity at the University of California-San Francisco (whose arguments Gary explored in a 2011 New York Times Magazine cover story [24]), made this case last February in the prestigious journal Nature. In an article titled "The Toxic Truth About Sugar, [25]" Lustig and two colleagues observed that sucrose and HFCS are addictive in much the same way as cigarettes and alcohol, and that overconsumption of them is driving worldwide epidemics of obesity and type 2 diabetes (the type associated with obesity). Sugar-related diseases are costing America around $150 billion a year, the authors estimated.
Taubes' next book is on sugar. Read his last book, Why We Get Fat. What Taubes found the evidence shows: It is carbs -- sugar, flour, starchy vegetables like potatoes, apple juice -- that cause the insulin secretion that puts on fat.
via @erbbrian







The only people who need carbs are people who evoke a per/minute calorie demand that fat can't supply alone (fat can't really supply more than 15 cals/minute). This was the evolutionary purpose of glycogen stores (and why we store so little, relatively) - to kick in when we have to haul ass for several minutes and fat alone can't prpovide the rate (not quantity) of calories. The only people fit enough to achieve these calorie demand rates for long enough periods of time to burn through glycogen that needs to be replaced with more than just vegetables are elite/sub-elite enduranc athletes - sports that already pre-select for insulin-sensitive ectomorphs. Sure, regular fit folks burn a little bit of glycogen, but it can be replaced with surprisingly little carb intake. Even elite endurance athletes aren't burning more than maybe 600 cals a day in glycogen with training sessions that burn 1200+ calories.
Brian at October 31, 2012 10:20 AM
The reason why carb calories turn to fat so easily (once glycogen is topped off) is because non-agriculoural carb sources that are useable without cooking are largely seasonal in a paleolithic environment - you get a huge haul of carbs during fruiting seasons, and then none. So it is evolutionarily advantageous in a hunter-gatherer environment to be able to turn carbs to fat quickly. Hunter-gatherers had a steady, but small, supply of carbs the remainder of the year. Evolution would have selected for people that can turn those seasonal hauls of calories into fat easily. Doesn't work so well in the modern environment.
The interesting question is how much has the genome changed owing to agriculture that makes some groups and some people within groups remarkeable adapted to agriculture and more insulin sensitive and others not and how can that change across the life-span.
Brian at October 31, 2012 10:30 AM
When I began eating low carb, one of my coworkers implored me to reconsider, insisting that the diet was unhealthy, that the brain needs the sugar. This "expert" advice came from a woman that was morbidly obese and had just been denied medical clearance for a gastric bypass.
Fact is, after nearly 3 years, I can no longer tolerate sugar, gives me a headache and the shakes within minutes.
Gary G at October 31, 2012 10:32 AM
I love how high-carb folks will say something like "the brain needs sugar" to justify carb intakes of 50%+ of macronutrient calories.
I am a 80 mpw distance runner and stopped with the high carb stuff about a year ago and my performances don't suffer at all. I eat just enough carbs to replace glycogen stores (maybe 600 cals on a 3000+ cal a day diet)- no point in any more. I was always lean on higher carb too, but I have more energy now, feel a lot warmer in cold weather, and I never really liked pasta that much anyway. My carbs are now yams, fruit, and sometimes calibrated servings of white rice (ala Mark Sisson and Cordain's reommendation for athletes). I eat wheat on a rare cheat day to not be a pain to guests.
Amy, if you read the comments, in addition to bacon, another "bad"(allegedly) food I discovered I really like that I wouldn't have touched pre-Cordain is brats! Who knew! The Guinness brand is great.
Brian at October 31, 2012 10:42 AM
Amy Alkon
https://www.advicegoddess.com/archives/2012/10/how-big-sugar-k.html#comment-3415567">comment from BrianLove bratwurst! They are cheap and fatty food -- adequate fat consumption being extremely important.
Dietary researcher Jeff Volek talks on my radio show about making sure you get enough fat (not too much protein, and sufficient fat):
http://www.blogtalkradio.com/amyalkon/2012/07/02/advice-goddess-radio-amy-alkon
Amy Alkon
at October 31, 2012 11:42 AM
How timely,. I gave up sugar, just that, and did not change my diet in anyother way and since Sept. 22 I have gone from 279 to 253 lbs. as of this morning. 26 lbs down with not much exercise, and eating lots of meat and veggies. today, I will have 2-3 small candy bars and cake after our holiday meal. I Feel Great
Piper at October 31, 2012 11:56 AM
Amy Alkon
https://www.advicegoddess.com/archives/2012/10/how-big-sugar-k.html#comment-3415590">comment from PiperWow - that's great, Piper.
I eat a very small French candy bar once every week and a half, pretty much. And one chocolate chip cookie once a month at a dinner I go to. But, otherwise, I don't eat carbs (save for those few in kale, etc.). I try to avoid flour when I do eat carbs, save for that cookie. I will eat a small scoop of homemade chocolate gelato instead of the little chocolate bar from time to time. (And no, not homemade by me. The only stuff that is has words in it.)
Amy Alkon
at October 31, 2012 12:13 PM
I love it (not) when online health advisors say so patronizingly that type 2 diabetes is *not* caused by eating too many sweets. It's just...a mystery!
It seems pretty clear now that it can be, and is causing type 2, a lot. It just doesn't happen overnight but after years and years of carb abuse.
carol at October 31, 2012 12:20 PM
Thanks, must mention the oatmeal and bacon that helped my do it
Piper at October 31, 2012 12:41 PM
It isn't low carbs that is bad, that is actually very good. What is freakishly unhealthy and causes bad reactions is when people go on ZERO carb diets and ZERO sugar. The zero is replaced with eating more bad stuff and sugar replacements to keep things sweet.
I have (comparatively) very low sugar intake and I am healthier for it though my food intake is massive just to stay above under-weight which makes me tired and prone to illness.
NakkiNyan at October 31, 2012 1:41 PM
Amy Alkon
https://www.advicegoddess.com/archives/2012/10/how-big-sugar-k.html#comment-3415787">comment from NakkiNyanNakk...something sounds amiss with the way you're eating, and what you're describing, but your comment is a little cryptic.
I don't count carbs or worry about what I eat. I just eat green vegetables -- like, three of them: kale, French green beans, and asparagus. And then I eat steak, salmon, eggs, bacon, liverwurst, bratwurst, cheese, dry Italian sausage, and the occasional piece of chicken dredged in coconut oil (to up the fat content).
I drink water, coffee, and very dry white wine.
Amy Alkon
at October 31, 2012 3:27 PM
The brain does need glucose. Some lowcarbers say you can get used to fueling yourself on ketones, but I prefer to have a productive day.
If you eat enough protein, your body will make all the glucose that you need via gluconeogenesis.
Engineer at November 1, 2012 2:40 AM
Quit carbs three and a half months ago because my cholesterol was high, and my fasting blood sugar was 103 (I know, not really that high but they put a fucking asterisk next to it for being three points over).Most days it was a bacon and mushroom omelet for brekkie and a venison patty for dinner topped with sour cream, guacamole and pico de gallo. My cholesterol went from 251 to 189 in that short time, took no pills.
Had a patient at the hospital whose fasting blood sugar was 535. His triglycerides were 2883 (not a typo, 2883) The doctor was stunned, told the patient he shouldn't even be ALIVE. Patient walked out AMA because we wouldn't let him eat what he wanted.
Juliana at November 3, 2012 5:13 AM
Amy Alkon
https://www.advicegoddess.com/archives/2012/10/how-big-sugar-k.html#comment-3420161">comment from JulianaCholesterol level actually isn't important, it seems. Triglycerides and whether LDL particles are large and fluffy (good) or small and dense (bad) seems to matter.
Congrats on quitting carbs -- I'm sure you're much healthier!
Amy Alkon
at November 3, 2012 7:55 AM
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