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How Long Does Sugar Stay in Your System? Simple Fast Facts for a Healthier Lifestyle

  • Post last modified:12 January 2024
  • Post category:Nutrition

How long does sugar stay in your system?” is a question many health-conscious individuals ask, especially in today’s age where sugar lurks in so many of our daily foods and beverages. The impact of sugar on our body is multifaceted, influencing everything from immediate energy levels to long-term health conditions. In this blog post, we’ll delve deep into the journey of sugar in our system, shedding light on its effects, duration, and ways to manage its intake for a healthier lifestyle. Whether you’re simply curious or actively seeking ways to better your dietary habits, understanding sugar’s role is the first step.

What Happens When You Consume Sugar?

When you delve into the question, “How long does sugar stay in your system?”, it’s essential to first understand the journey sugar takes from the moment it enters your mouth.

Digestion and Absorption

Upon consuming foods or drinks containing sugar, the digestion process begins in the mouth. Enzymes start breaking down complex carbohydrates into simpler forms. Once the sugar reaches your stomach and then the small intestine, it gets broken down further into two primary simple sugars: glucose and fructose.

Into the Bloodstream

Glucose, the primary energy source for most cells in our body, directly enters the bloodstream, causing a rise in blood sugar levels. In response, the pancreas releases insulin, a hormone that helps cells absorb this glucose for energy or store it for later use.

Fructose, on the other hand, takes a different route. It goes to the liver where it’s converted into glucose or stored as fat. Only after this conversion does it affect blood sugar levels.

Immediate Effects on the Body

The rapid influx of sugar, especially from sources with a high glycemic index, can lead to an immediate boost in energy or a “sugar rush.” This sudden surge of glucose is why you might feel a burst of vitality after consuming a sugary treat. However, this effect is short-lived, often followed by the infamous “sugar crash” as insulin does its job and blood sugar levels dip back down.

Impact on Brain and Mood

Sugar doesn’t just influence our physical state; it also affects our brain. Upon sugar intake, the brain releases chemicals like serotonin, often termed the “feel-good” neurotransmitter. This release can explain the mood elevation and feelings of pleasure after having something sweet.

In summary, when you consume sugar, it quickly gets processed, affecting both your bodily functions and mental state. Grasping this immediate impact lays the foundation for understanding the longer-term effects and responses of our system to sugar.

The Sugar Rush: Blood Sugar Levels Post Ingestion

The term “sugar rush” isn’t just a popular saying—it’s a physiological response. When you consume sugar, particularly in its refined forms like sucrose or high fructose corn syrup, your blood sugar levels can spike rapidly. But what exactly transpires in the body during this process?

How long does sugar stay in your system: sugar rush

Rapid Absorption

Refined sugars are simple carbohydrates. Unlike complex carbohydrates, they’re easily and quickly absorbed into the bloodstream. As a result, there’s a rapid increase in blood glucose levels shortly after sugar ingestion.

Insulin to the Rescue

To manage this sudden surge, the pancreas promptly releases the hormone insulin. Insulin’s primary role is to help the body’s cells take in glucose for energy. If there’s excess glucose, insulin aids in storing it in the liver and muscles as glycogen. When these storage areas are full, the remaining glucose is stored as fat.

The Peak and Decline

For most individuals, blood sugar levels peak about 30 minutes to an hour post sugar consumption. After this peak, as insulin continues its work, blood sugar levels begin to decline, often leading to what many term the “sugar crash” or “sugar slump.” During this phase, individuals might feel fatigue, moodiness, or even a bit shaky.

Factors Affecting the Sugar Rush

Several factors can influence the intensity and duration of a sugar rush:

  • Type of Sugar: Different sugars can affect blood glucose levels differently. For example, fructose, commonly found in fruits, has a slower absorption rate than glucose.
  • Presence of Other Nutrients: Consuming sugar with fiber, fat, or protein can slow its absorption, resulting in a less pronounced sugar rush.
  • Individual Factors: Age, metabolic rate, and overall health can also influence how one experiences a sugar rush.

Understanding the “sugar rush” and its subsequent crash is pivotal. As we’ll discover, while the immediate rush is short-lived, sugar’s effects on the body can be more prolonged.

How Long Does Sugar Stay in Your System?

When diving into the topic of “How long does sugar stay in your system?”, one of the most crucial aspects to understand is the duration sugar impacts blood glucose levels. The human body is efficient in managing spikes in blood sugar, but the effects can vary based on several factors.

How long does sugar stay in your system: clock

The Typical Timeline

After consuming a sugary treat or drink:

  1. Immediate Response (0-30 minutes): Blood glucose levels begin to rise as the sugar is absorbed into the bloodstream.
  2. Peak Levels (30 minutes to 1 hour): Blood sugar levels typically peak around this window, contingent upon the amount and type of sugar consumed.
  3. Gradual Decline (1-2 hours): Insulin works to distribute the glucose to cells for energy, store excess in the liver and muscles, or convert it to fat. As this happens, blood glucose levels start to decrease.
  4. Return to Baseline (2-4 hours): For most people, blood sugar levels return to their baseline or close-to-fasting levels within a few hours of sugar consumption.

Factors Influencing Duration

  • Individual Metabolism: Some people metabolize sugar faster than others. Factors like age, genetics, and overall health can influence this.
  • Type of Sugar: As mentioned earlier, different sugars can have varied effects on blood glucose. For instance, glucose will elevate blood sugar faster than fructose.
  • Meal Composition: If sugar is consumed as part of a balanced meal with proteins, fats, and fiber, its absorption into the bloodstream may be slower, leading to a less pronounced and more prolonged elevation in blood glucose.

Potential Long-Term Effects

It’s essential to note that consistently consuming high amounts of sugar can lead to prolonged elevated blood sugar levels, especially in individuals with insulin resistance or diabetes. Over time, this can damage blood vessels and vital organs and increase the risk of chronic diseases.

In summation, while the immediate effects of sugar on blood glucose levels can last just a few hours, the broader implications for health can be much more enduring, especially when consumption is frequent and excessive.

Glycemic Index and Its Relevance

The Glycemic Index (GI) plays a pivotal role. GI is a system that ranks carbohydrate-containing foods based on how they affect blood glucose levels. It provides us with an idea of the speed at which sugar from different foods enters the bloodstream.

How long does sugar stay in your system: apple and apple pie

Understanding the Glycemic Index

The Glycemic Index rates foods on a scale from 0 to 100, comparing them to a standard reference, usually pure glucose which is set at 100:

  1. Low GI (0-55): Foods that are absorbed slowly and produce a gradual rise in blood sugar. Examples include whole grains, legumes, and certain fruits like apples and pears.
  2. Medium GI (56-69): Foods that are absorbed at a moderate rate. This category includes honey, sweet potatoes, and some types of rice.
  3. High GI (70-100): Foods that cause a rapid spike in blood sugar levels. Examples are white bread, most breakfast cereals, and of course, candies.

Glycemic Index Calculator: Track the GI value in the most common fruits, vegetables and other foods.

Why is GI Relevant?

  • Blood Sugar Management: Understanding the GI of foods can help individuals, especially those with diabetes or insulin resistance, manage their blood sugar levels more effectively.
  • Energy Levels: Consuming low GI foods can provide longer-lasting energy, reducing the chances of experiencing the typical “sugar crash” associated with high GI foods.
  • Weight Management: Low GI foods tend to be more filling and can assist in appetite control, supporting weight management efforts.
  • Chronic Disease Risk: Regularly consuming high GI foods can increase the risk of type 2 diabetes, heart disease, and obesity.

Factors Affecting the Glycemic Index of Foods

  • Processing: Generally, more processed foods have a higher GI as they’re often stripped of their natural fiber which slows digestion.
  • Cooking Method: The manner in which a food is cooked can alter its GI. For instance, boiling pasta al dente (firm) will have a lower GI than if it’s boiled until it’s very soft.
  • Combining Foods: Eating a high GI food with a source of protein or healthy fat can slow its absorption, thereby lowering its GI impact.

In conclusion, the Glycemic Index is an invaluable tool. By understanding and applying the principles of GI, one can make informed dietary choices that promote stable energy levels and overall health.

Storage of Sugar: Glycogen Reserves

It requires diving into the body’s primary method of sugar storage: glycogen reserves. When we consume more sugar or glucose than our body immediately requires, it doesn’t simply discard the excess. Instead, it converts and stores this glucose in the form of glycogen for future use.

How long does sugar stay in your system: biceps

The Process of Glycogen Storage

  1. Immediate Use: Upon sugar ingestion, our body first utilizes the necessary glucose to meet immediate energy demands.
  2. Conversion to Glycogen: The liver and muscles play a crucial role in the subsequent phase. Any remaining glucose is converted into glycogen, a branched polysaccharide, in these organs.
  3. Storage in Liver and Muscles: The liver can store approximately 100 grams of glycogen, while our muscles can accommodate around 500 grams, depending on muscle mass and other factors.

Tapping into Glycogen Reserves

  • Between Meals: When the body requires energy between meals and there’s no readily available glucose in the bloodstream, it starts converting liver glycogen back to glucose to fulfill the demand.
  • During Exercise: During prolonged physical activity, the muscles use their glycogen reserves for energy. This is especially true for high-intensity workouts.
  • Fasting and Starvation: In prolonged absence of dietary sugar intake, the body relies heavily on glycogen stores, though they only last for about 12 to 24 hours under these conditions. After that, the body begins to seek alternative energy sources, like fats.

Depletion and Replenishment

Glycogen stores can be quickly depleted with intense physical activity or fasting. However, they also replenish rapidly with carbohydrate consumption. This is the reason athletes often engage in “carb-loading” before a significant event – to maximize their glycogen storage.

Implications of Full Glycogen Stores

When the body’s glycogen storage capacity is maxed out due to excessive sugar or carbohydrate intake, the liver starts converting excess glucose into fat. This process can eventually lead to weight gain and other related health complications if consistent overconsumption persists.

In essence, our body’s glycogen reserves serve as a backup energy storage system, ensuring that we have a consistent energy supply even when immediate glucose isn’t available. It’s an ingenious system that showcases the body’s adaptability and foresight.

The Sugar Crash: Hypoglycemia

Just as the phrase “sugar rush” is commonly known, many are also familiar with the subsequent “sugar crash”. But what causes this sudden slump after consuming a sugar-laden treat? The medical term for this phenomenon is hypoglycemia. Let’s delve into understanding the sugar crash and how it is connected to the question of how long does sugar stay in the body.

How long does sugar stay in your system: sugar crash

Understanding Hypoglycemia

Hypoglycemia refers to abnormally low levels of glucose in the blood. While glucose is essential for our brain and body functions, having too little can lead to symptoms that range from mild discomfort to severe, debilitating effects.

Causes of Hypoglycemia

  1. Reactive Hypoglycemia: This occurs a few hours after eating a meal, especially a high-sugar one. When excessive sugar enters the bloodstream, the pancreas produces a surge of insulin. This insulin sometimes remains in the bloodstream longer than the sugar, causing glucose levels to drop too low.
  2. Fasting Hypoglycemia: Happens after not eating for an extended period. In the absence of dietary sugar, the body might deplete its glucose stores, leading to low blood sugar.

Symptoms of the Sugar Crash

  • Mild: Dizziness, hunger, irritability, shakiness, sweating, and fatigue.
  • Moderate: Behavioral changes, poor concentration, blurred vision, and difficulty speaking.
  • Severe: Seizures, unconsciousness, or even coma in extreme cases.

Prevention and Management

  • Balanced Diet: Instead of consuming foods high in simple sugars, opt for complex carbohydrates that release glucose slowly into the bloodstream.
  • Small, Frequent Meals: Eating smaller amounts more frequently can help maintain stable blood sugar levels.
  • Monitor Sugar Intake: Being aware of one’s sugar intake can aid in preventing extreme fluctuations in blood glucose levels.
  • Medical Intervention: If one frequently experiences hypoglycemic episodes, it’s crucial to consult a medical professional, as it may be indicative of an underlying condition like diabetes.

In conclusion, while a temporary sugar rush might feel exhilarating, the subsequent crash, or hypoglycemia, can have adverse effects on our well-being. Being mindful of our sugar consumption and understanding its impact on our system is essential for maintaining consistent energy and overall health.

Long-term Effects and Storage: Fat

While the immediate reaction of our body to sugar intake, like the sugar rush and crash, is well-documented, the long-term storage and effects of excessive sugar consumption are equally critical. A prevalent misunderstanding is that sugar directly translates to fat. However, the process is more intricate. In addressing the focus question, it’s essential to understand how the body handles sugar in the long run.

How long does sugar stay in your system: overweight

From Sugar to Fat: The Conversion Process

  1. Excess Glucose Storage: When you consume more sugar than your body requires for immediate energy, the excess glucose is first stored in the liver as glycogen. The liver has a limited capacity to store glycogen.
  2. Conversion to Fat: Once the liver’s glycogen storage is full, any additional glucose gets converted into fatty acids. These fatty acids circulate in the bloodstream and, if not used up, are stored in fat cells, leading to weight gain over time.

Implications of Stored Fat

  • Weight Gain: One of the most apparent effects of converting excess sugar to fat is weight gain, especially if one consistently consumes more calories (from sugar or otherwise) than they burn.
  • Insulin Resistance: Chronic high sugar intake can lead to cells becoming resistant to insulin, a hormone that helps cells absorb glucose. This can be a precursor to type 2 diabetes.
  • Heart Disease: Excess sugar, especially from sugary drinks, has been linked to a higher risk of heart disease due to increased fatty acid production.
  • Liver Health: Overloading the liver with sugar can lead to non-alcoholic fatty liver disease, where fat accumulates in liver cells.

Managing Long-term Sugar Effects

  • Limiting Sugar Intake: It’s essential to be aware of hidden sugars in processed foods and beverages.
  • Regular Exercise: Physical activity ensures that stored glycogen is utilized, reducing the chances of glucose conversion to fat.
  • Balanced Diet: A diet rich in whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables can help counteract the effects of occasional high sugar intake.

In conclusion, while our body has mechanisms to store excess sugar efficiently, consistent overconsumption can lead to several health implications, most notably fat storage. Being mindful of sugar intake and understanding its long-term impact is crucial for overall well-being and health.

How to Monitor Blood Sugar Levels

Monitoring blood sugar levels is essential, especially for individuals with diabetes or those at risk. But even for the general population, having an understanding of one’s blood sugar levels can offer insights into overall health and how different foods affect the body. So, one of the practical ways to find out is by monitoring these levels. Let’s delve into the ways you can keep track.

How long does sugar stay in your system: doctor and patient

Why Monitor Blood Sugar Levels?

Understanding and tracking your blood sugar can:

  • Alert you to potentially dangerous high or low blood sugar levels.
  • Help diagnose diabetes and prediabetes.
  • Aid in managing diabetes effectively.
  • Guide decisions about nutrition, physical activity, and medication.

Methods for Monitoring Blood Sugar:

  1. Blood Glucose Meters: These are handheld devices that require a small blood sample, usually obtained by pricking the finger. Within seconds, these meters provide a digital reading of your blood sugar level. They are the most commonly used devices for day-to-day tracking.
  2. Continuous Glucose Monitors (CGMs): These devices measure sugar levels in the fluid around your body cells, providing real-time results and trends over the day. They involve a tiny sensor inserted under the skin, usually on the arm or abdomen, and can often transmit data to smartphones or dedicated readers.
  3. A1C Test: This blood test provides average blood sugar levels over the past two to three months. It’s used primarily for diagnosing and monitoring diabetes.

Tips for Accurate Monitoring:

  • Consistency: If using a blood glucose meter, try to test at the same time each day for more consistent data.
  • Log or Digital Track: Make note of the readings, especially if you notice significant spikes or drops. Many digital meters and CGMs come with companion apps to help with this.
  • Understand Your Numbers: Know what is considered a healthy range for blood sugar levels. Consult with a healthcare professional to interpret results.
  • Factor in Activities: Physical activity, meals, stress, medications, and other factors can influence blood sugar. Note what might be affecting your readings.

By routinely monitoring blood sugar levels, individuals can make informed decisions about their health and lifestyle. It’s a practical step towards understanding and managing the impact of sugar on our system, ensuring a balanced and healthy life.

Effects of Chronic High Sugar Consumption

Consistent high sugar consumption can have profound implications for our health. The question goes beyond just the immediate hours after ingestion. Chronic intake can set off a cascade of events in the body with lasting consequences. Here, we’ll shed light on the potential outcomes of a diet high in sugar.

How long does sugar stay in your system: overweighted

1. Weight Gain: Sugar is calorie-dense, and foods high in added sugars often contain excess calories with little nutritional value. This can lead to increased weight and, subsequently, obesity, a risk factor for many chronic diseases.

2. Increased Risk of Heart Disease: High sugar diets can lead to obesity, inflammation, high triglyceride levels, and high blood pressure, all of which are risk factors for heart disease.

3. Type 2 Diabetes: Persistently high sugar consumption can lead to insulin resistance, where the body’s cells no longer respond to insulin efficiently. This can pave the way for type 2 diabetes.

4. Fatty Liver Disease: Too much sugar, particularly fructose, can lead to an accumulation of fat in the liver, resulting in non-alcoholic fatty liver disease (NAFLD).

5. Tooth Decay: Sugars provide food for harmful bacteria in the mouth, leading to cavities and dental decay.

6. Weakened Immune Function: Excessive sugar can impair white blood cell function, making it harder for the body to ward off infections.

7. Reduced Energy Levels: While sugar may give a quick energy boost, the inevitable crash can leave one feeling lethargic. Over time, a high sugar diet can lead to consistent feelings of fatigue.

8. Poor Skin Health: Sugar can accelerate the skin’s aging process and contribute to acne by triggering hormonal and inflammatory responses.

9. Increased Risk of Certain Cancers: Obesity, resultant from high sugar diets, increases the risk of several cancers. Additionally, diets high in sugary drinks have been linked to an increased risk of developing certain types of cancer.

10. Impaired Gut Health: A diet high in sugar can alter the gut microbiota composition, leading to digestive issues and increased vulnerability to gut-related diseases.

It’s crucial to understand the long-term repercussions of a high sugar diet. While occasional indulgences are part of life, consistent overconsumption can lead to serious health issues. Awareness and moderation are key.

Detoxifying from Sugar: Is it Necessary?

The idea of “detoxifying” from sugar has gained traction in recent years, with many wellness enthusiasts advocating for sugar “detox” or “cleanse” programs. But how long does sugar stay in your system, and is there a real need to detox from it? Let’s dive into the science and the myth surrounding sugar detox.

How long does sugar stay in your system: headache

1. Understanding Sugar’s Presence: Once consumed, sugar gets broken down into simpler sugars like glucose and fructose, which enter the bloodstream. Typically, sugar’s immediate effects, like the spike in blood glucose levels, diminish within a few hours after consumption. But the long-term effects of chronic sugar consumption, as mentioned in previous sections, can be more lasting.

2. The Idea Behind Sugar Detox: A sugar detox generally involves cutting out all sources of added sugars and most high-glycemic carbohydrates for a set period. The goal is to help the body adjust to a reduced sugar intake, reduce cravings, and reset the palate.

3. Is it Necessary? While the term “detox” might be misleading (as our body has natural mechanisms to remove waste products), reducing sugar intake can have tangible health benefits. A high sugar intake has been associated with various health issues, from weight gain to more serious diseases. Thus, while you might not be removing sugar “toxins,” reducing intake can support overall health.

4. Withdrawal Symptoms: Some people report experiencing withdrawal-like symptoms when drastically cutting sugar from their diets, including headaches, mood swings, cravings, and fatigue. These symptoms can be a testament to sugar’s profound effect on our system.

5. Healthier Alternatives: While the idea of a strict sugar detox might seem daunting, focusing on gradual changes and healthier alternatives can be more sustainable. Opt for natural sweeteners, consume whole fruits instead of sugary snacks, and become a vigilant label reader to avoid hidden sugars in processed foods.

In conclusion, while the body doesn’t necessarily “detox” from sugar in the way many cleanses suggest, reducing sugar intake can bring about significant health benefits. Whether you choose a strict sugar detox or a more moderate approach, the key is awareness and making informed choices for long-term health.

Frequently Asked Questions

Navigating the complexities of sugar’s effects on the body can bring about numerous questions. We’ve compiled some of the most frequently asked questions regarding how long sugar stays in your system and other related topics.

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1. How quickly does sugar enter the bloodstream? After consumption, sugar begins to break down almost immediately and can enter the bloodstream within 15 to 30 minutes, causing an initial spike in blood glucose levels.

2. Is there a difference between natural sugars and added sugars? Yes, natural sugars are found inherently in foods like fruits, vegetables, and dairy products. They come with additional beneficial nutrients. Added sugars are those incorporated into foods and drinks during processing or preparation and lack additional nutrients.

3. How does the body handle excess sugar? When there’s an abundance of glucose, the body stores it in the liver as glycogen. However, there’s a limit to how much glycogen can be stored. Excess glycogen is converted into fat.

4. Can you truly become “addicted” to sugar? While the term “addiction” is debated, many studies show that sugar can stimulate the brain’s reward system in ways similar to certain drugs. Over time, more sugar may be needed to achieve the same “reward,” leading to increased consumption.

5. How long does it take to reset sugar cravings? This can vary by individual, but many people report reduced sugar cravings after cutting it out for 10 to 14 days.

6. Are artificial sweeteners a safe alternative to sugar? Artificial sweeteners, like aspartame or saccharin, are calorie-free and can provide sweetness without raising blood sugar. However, they come with their own set of potential concerns, and research on their long-term effects is still ongoing.

In this FAQ section, we’ve tackled the key queries related to how sugar affects our body. It’s essential to arm ourselves with knowledge, making it easier to make informed decisions about our sugar intake and overall health.

Tips for Managing Sugar Intake

Understanding how long sugar stays in your system is just one facet of the bigger picture. Managing and moderating sugar intake is crucial for overall health. Here are some actionable tips to help you maintain a balanced relationship with sugar:

How long does sugar stay in your system: honey
  1. Read Nutrition Labels: Before purchasing any packaged food or beverage, check the nutrition label. Look for terms like glucose, fructose, corn syrup, and maltose, which indicate added sugars.
  2. Opt for Natural Sweeteners: Instead of artificial sweeteners or refined sugars, choose natural alternatives like honey, maple syrup, or agave. While these still contain sugars, they are often more nutrient-dense and less processed.
  3. Limit Sugary Drinks: Sodas, fruit drinks, and certain teas or coffees can have high sugar content. Opt for water, unsweetened teas, or drinks labeled “no added sugars.”
  4. Eat Whole Fruits: While fruit juices can be high in sugar, whole fruits provide essential fibers that slow sugar absorption, leading to a more gradual increase in blood sugar.
  5. Beware of Low-fat Products: Some low-fat or fat-free products compensate for the loss of flavor by adding extra sugar. Always check the label.
  6. Cook at Home: Preparing your meals allows you to control the ingredients and the amount of sugar added.
  7. Limit Desserts & Sweets: Save cakes, cookies, ice creams, and other desserts for occasional treats.
  8. Stay Active: Physical activity can help regulate blood sugar levels. Regular exercise ensures that the sugar consumed is used as energy rather than stored as fat.
  9. Stay Informed: New research and guidelines about sugar consumption emerge frequently. Stay updated to make informed choices.

By following these tips, you’ll not only become more conscious of how long sugar stays in your system but also better equipped to manage its intake. The journey towards a healthier lifestyle begins with small, informed steps.

Conclusion

Navigating the complexities of sugar consumption and its effects on our system can be overwhelming. However, understanding the nuances of how sugar operates in our body and how long it stays in our system is pivotal to making informed dietary choices.

While sugar is an essential source of energy, moderation is key. By being mindful of our intake, recognizing the signs of excessive consumption, and employing strategies to manage it, we can strike a harmonious balance that benefits our overall health. Whether you’re looking to optimize your energy levels, manage weight, or simply enhance your general well-being, a well-informed approach to sugar is a step in the right direction. Embrace the journey, and remember that every conscious choice you make contributes to a healthier, more balanced life.

Call to Action

Ready to take control of your sugar intake and lead a healthier life? Start today by being more informed and making conscious choices. If you found this article enlightening, please share it with your friends and loved ones—knowledge is power! Also, don’t forget to subscribe to our newsletter for more insights, tips, and guides on leading a balanced, healthful lifestyle. Remember, every small change you make can lead to a big difference in your well-being. Take the initiative, cut down on excessive sugar, and pave the way to a healthier you!

Further Reading

  1. World Health Organization (WHO) Guidelines on Sugar Intake: WHO has published recommendations concerning the intake of free sugars and its association with body weight and dental caries.
  2. American Heart Association (AHA) on Sugars and Carbohydrates: AHA provides information about added sugars and their effects on heart health.
  3. Harvard Health Publishing (HHP) on Sugary Drinks: HHP has an article about how sugary drinks appear to increase health risks for people with diabetes.

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