Left Side

What Is Diabetes

The Story of Diabetes

Diabetes Diagnosis

Types of Diabetes

Type 1 Diabetes

Type 2 Diabetes

Symptoms of Diabetes

Testing for Diabetes

Diabetes Urine Testing     Glucose in Urine
    Ketones in Urine

Diabetes Blood Glucose Test
    Glucose Tolerance Test
    Self Monitoring Of Blood Glucose
    Glycated Hemoglobin

Other Diabetes Tests

Diabetes Treatment & Cure

Diabetes Nutrition     Carbohydrates, Fibre & Proteins
    Fats
    Vitamins
    Minerals
    Trace Elements
    Electrolytes

Nutritive Value Of Common Foods

Diabetes Diet

Planning A Diabetes Diet     Calories & Proteins
    Carbohydrates
    Fibre
    Glycaemic Index (Gi)
    Fats & Cholesterol
    Vitamins, Minerals & Water
    Spacing Of Meals & Food Exchanges
    Sweetening Agents
    Fibre
    Diabetic Foods & Beverages
    Alcohol
    Eating Out

Diet In Type 2 Diabetes

Diet In Type 1. Diabetes

Diabetes Food: Cookery

Diabetes & Exercise

Oral Drugs for Diabetes

Oral Drugs for Diabetes

Groups of Oral Drugs for Diabetes

Combinations Of Oral Drugs

Diabetes Insulin

Types of Insulin

Insulin Administration

Insulin Administration: SYRINGE

Insulin Storage Guidelines

Insulin Injection

Insulin Injection Technique

Problems in Insulin Injection

Complications of insulin treatment

SPECIAL INSULIN SYRINGES

INSULIN RESISTANCE

Symptoms of Hypoglycaemia

Causes of Hypoglycaemia

Prevention of Hypoglycaemia

Complications of Diabetes - SHORT TERM COMPLICATIONS

Complications of Diabetes - LONG TERM COMPLICATIONS

Diabetes Complications: Blood vessels And Hypertension

Diabetes Complications: Heart

Diabetes Complications: Blood Lipids And Brain

Diabetes Complications:Peripheral arterial disease

Diabetes Complications:Eyes

Diabetes Complications:Kidneys

Diabetes Complications:Nervous System

Diabetes Complications:Erectile dymsfuntion

Diabetes Complications:Autonomic neuropathy

Diabetes Complications:Joints & Skin

Diabetes Complications:Life Expectancy

Causes of Foot Problems in Diabetes

Prevention & CARE OF THE FEET

Causes of Diabetes in Children

Diet for Children with Diabetes

Care for Diabetic Children

Diabetes in Women

Menses & Fertility

Gestational diabetes mellitus

PREGNANCY In Diabetec Women

Diabetes in the Elderly

Management of Diabetes: Sick day management

Management of Diabetes: Hospitalization

Management of Diabetes: Surgical operations

Personal Problems

TRAVEL AND HOLIDAYS

Looking Ahead

PANCREAS AND ISLET TRANSPLANT

STEM CELL INJECTION & Technological advances

APPENDIX-1

APPENDIX-2

APPENDIX-3

APPENDIX-4

APPENDIX-5

APPENDIX-6

APPENDIX-7

APPENDIX-8

APPENDIX-9

Left Side

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Planning A Diabetes Diet - Sweetening agents

Many persons with diabetes have a sweet tooth. For them, restriction on the use of sugar means an intolerable hardship. Sugar is the most commonly used sweetening agent. It can be added during cooking and it does not have a bitter after taste. Its preservative property is made use of in preparing jams. One g sugar provides 4 kcals.

Sweetening agents fall into two categories: non-calorific sweetening agents or intense sweeteners and calorific sweetening agents or bulk sweeteners.

NON-CALORIFIC SWEETENING AGENTS

Saccharin

This chemical is 300 times as sweet as sugar. It has a bitter after taste and is decomposed by heat. It does not improve the texture of the foodstuff or increase its bulk and lacks a preservative action. Saccharin is used in canned fruits, fruit preserves, soft drinks, chewing gums, toothpastes and drugs. From the evidence available so far, saccharin can be regarded safe for human consumption. It is advisable to avoid saccharin during pregnancy.

Saccharin is added to tea or coffee or a dish, after it is prepared and not while boiling or cooking (1 tablet = 1 teaspoon sugar) A mixture of sugar and saccharin is marketed.

Acesulfame Potassium

This substance is 180-200 times as sweet as sugar. It can be added to foodstuffs or drinks. Its calorie value is negligible. It is not available in India but is marketed in USA as Sunett or Sweet One. It is remarkably stable in liquids and in baking and cooking.

Thaumatin

Derived from a fruit, it is 2500-3000 times sweeter than sucrose. It is added to yoghurt, jams, chewing gum, coffee drinks.

Sucralose

It is 600 times as sweet as sucrose.

Aspartame

This is a mixture of amino acids and has a negligible calorie value. It is 180-200 times as sweet as sugar. It does not have a bitter after-taste. Aspartame, dissolved in water loses its sweet taste, after six months. Persons suffering from phenylkctonuria, a rare disease, should not use asparatame.

Asparatame is marketed as Sugarfree and Equal in India and as Nutrasweet and Canderel abroad.

CALORIFIC SWEETENING AGENTS

Fructose and Sorbitol: Fructose provides 4 kcals/g and is 1.2 times sweeter than sucrose. Sorbitol provides 2.6 kcals/g and is half as sweet as sucrose. These are used in preparing cakes. In large amonts these can cause diarrhoea.

All sweetening agents have some limitations and an ideal sugar substitute is yet to be found.

Mixtures of sweetening agents

A mixture of sorbitol and saccharin has been marketed abroad. A mixture of saccharin and either lactose or maltodextrin is used to sweeten liquids like tea or coffee.