health and wellness
Sugar detox? Cutting carbs? A doctor explains why you should keep fruit on the menu
Sugar detox? Cutting carbs? A doctor explains why you should keep fruit on the menu
Jennifer Rooke, Morehouse School of Medicine
One of my patients – who had been struggling with obesity, uncontrolled diabetes and the cost of her medications – agreed in June 2019 to adopt a more whole-food plant-based diet.
Excited by the challenge, she did a remarkable job. She increased her fresh fruit and vegetable intake, stopped eating candy, cookies and cakes and cut down on foods from animal sources. Over six months, she lost 19 pounds and her HbA1c – a measure of her average blood sugar – dropped from 11.5% to 7.6%.
She was doing so well, I expected that her HbA1c would continue to drop and she would be one of our plant-based successes who had reversed diabetes.
Her three-month follow-up visit in March 2020 was canceled because of COVID-19 lockdowns. When I eventually saw her again in May 2021, she’d regained some of the weight and her HbA1c had climbed to 10.4%. She explained that her diabetes doctor and a diabetes nurse educator had told her that she was eating too much “sugar” on the plant-based diet.
She’d been advised to limit carbohydrates by cutting back on fruits and starchy vegetables and eating more fish and chicken. Sugar-free candy, cakes, cookies and artificial sweeteners were encouraged. In the face of conflicting medical advice, she fell back on conventional wisdom that “sugar” is bad and should be avoided whenever possible, especially if you have diabetes.
I’m a physician, board certified in preventive medicine with a lifestyle medicine clinic at Morehouse Healthcare in Atlanta. This emerging medical specialty focuses on helping patients make healthy lifestyle behavior modifications. Patients who adopt whole-food plant-based diets increase carbohydrate intake and often see reversal of chronic diseases including diabetes and hypertension. In my clinical experience, myths about “sugar” and carbohydrates are common among patients and health professionals.
Fruit vs. sugar
Your body runs on glucose. It is the simple sugar that cells use for energy.
Glucose is a molecular building block of carbohydrates, one of the three essential macronutrients. The other two are fat and protein. Starches are long, branching chains of glucose.
Naturally occurring carbohydrates travel in nutrient-dense packages such as fruits, vegetables, whole grains, nuts and seeds.
Humans evolved to crave sweet tastes to get the nutrients needed to survive. A daily supply of vitamins, minerals and fiber is needed because our bodies cannot make them. The best source of these substances for our ancient ancestors was sweet, ripe, delicious fruit. In addition, fruits contain phytonutrients and antioxidants, chemicals produced only by plants. Phytonutrients such as ellagic acid in strawberries have cancer-fighting properties and promote heart health.
Refined sugars, on the other hand, are highly processed and stripped of all nutrients except calories. They’re a concentrated form of carbohydrates. The food industry produces refined sugars in many forms. The most common are sucrose crystals, which you’d recognize as table sugar, and high-fructose corn syrup, which is found in many processed foods and sweetened beverages.
If you continually satisfy your taste for sweet with foods that contain refined sugar – rather than the nutrient-rich fruits at the core of this craving passed on by evolution – you may not get all the nutrients you need. Over time, this deficit may create a vicious cycle of overeating that leads to obesity and obesity-related health problems. Women who eat the most fruit tend to have lower rates of obesity.
Sugar toxicity
Refined sugars are not directly toxic to cells, but they can combine with proteins and fats in food and in the bloodstream to produce toxic substances such as advanced glycation end products (AGEs). High blood glucose levels may produce glycated low-density lipoproteins. High levels of these and other glucose-related toxic substances are associated with an increased risk of a wide range of chronic health problems, including cardiovascular disease and diabetes.
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The disease most commonly associated with sugar is Type 2 diabetes. A surprising number of people, including health professionals, incorrectly believe that eating sugar causes Type 2 diabetes. This myth leads to a focus on lowering blood sugar and “counting carbs” while ignoring the real cause: progressive loss of pancreatic beta cell function. At diagnosis, a patient may have lost between 40% and 60% of their beta cells, which are responsible for producing insulin.
Insulin is a hormone that controls how much glucose is in the bloodstream by blocking glucose production in the liver and driving it into fat and muscle cells. Loss of beta cell function means not enough insulin gets produced, resulting in the high blood glucose levels characteristic of Type 2 diabetes.
Beta cells have low levels of antioxidants and are susceptible to attack by metabolic and dietary oxidized free radicals and AGEs. Antioxidants in fruit can protect beta cells. Researchers have found that eating whole fruit decreases the risk of Type 2 diabetes, with those who eat the most fruit having the lowest risk.
Detoxing from sugar
People interested in losing weight and improving health often ask if they should do a “sugar detox.” In my opinion this is a waste of time, because it is not possible to eliminate sugar from the body. For instance, if you ate only baked chicken breasts, your liver would convert protein to glucose in a process called gluconeogenesis.
Low-carb diets may lead to weight loss, but at the expense of health. Diets that significantly reduce carbohydrates are associated with nutrient deficiencies and higher risk of death from any cause. On low-carbohydrate ketogenic diets the body will break down muscles and turn their protein into glucose. The lack of fiber causes constipation.
Eliminating foods sweetened with refined sugar is a worthy goal. But don’t think of it as a “detox” – it should be a permanent lifestyle change. The safest way to go on a refined sugar “detox” is to increase your intake of nutrient-dense fruits and vegetables. Once you eliminate refined sugar, you’ll likely find that your taste buds become more sensitive to – and appreciative of – the natural sweetness of fruits.
This article is part of a series examining sugar’s effects on human health and culture. You can read the articles on theconversation.com.
Jennifer Rooke, Assistant Professor of Community Health & Preventive Medicine, Morehouse School of Medicine
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Child Health
9 Steps for a Lifetime of Heart-Healthy Eating
Heart Healthy: More than half of adults and about 60% of children in the United States have unhealthy diets, which can contribute to higher rates of health factors such as high blood pressure and obesity. However, these nine key features of a heart-healthy dietary pattern may help reduce cardiovascular disease risk and improve quality of life.
9 Steps for a Lifetime of Heart-Healthy Eating
(Feature Impact) More than half of adults and about 60% of children in the United States have unhealthy diets, which can contribute to higher rates of health factors such as high blood pressure and obesity, and lead directly to poor health outcomes including death from chronic conditions such as cardiovascular disease.
These findings come from the American Heart Association, a global force changing the future of health for all, which published its “2026 Dietary Guidance to Improve Cardiovascular Health” in its peer-reviewed, flagship journal “Circulation” recommending Americans follow a lifelong healthy eating pattern that may reduce cardiovascular disease risk and improve quality of life based on the latest in evidence-based science.
The statement outlines nine key features of a heart-healthy dietary pattern:
- Adjust energy intake and expenditure to achieve and maintain a healthy body weight: Try to balance how much you eat with how active you are to reach and maintain a healthy body weight.
- Eat a variety of vegetables and fruits: Include different colors, textures and types of produce. Remember, even canned and frozen can be nutritious and affordable.
- Choose foods made mostly with whole grains: Foods such as whole‑wheat bread, brown rice and oatmeal are typically better choices than refined grains including white bread or rice.
- Choose healthy sources of protein: Shift from meat to plant-based sources such as legumes, including beans, peas and lentils, along with nuts and seeds; regularly consume fish and seafood; select low-fat or fat-free dairy products; and, if red meat is desired, choose lean cuts, avoid processed forms and limit portion size.
- Choose sources of unsaturated fats: Replace saturated fats with healthy unsaturated fats, including those from nuts, seeds, avocados and nontropical plant oils.
- Choose minimally processed foods: Go with foods close to their natural state, with minimal added commercial ingredients, rather than those that are highly processed with additives.
- Minimize intake of added sugars: Limit the sugar-sweetened beverages you drink and the foods with added sugar you eat.
- Choose foods low in sodium and prepare foods with minimal or no salt: Be aware of hidden sources of sodium in prepared and packaged foods, and season food with healthier options such as herbs, spices or lemon instead of salt.
- If alcohol is not consumed, do not start; if alcohol is consumed, limit intake: Alcohol can increase your risk for high blood pressure and other health conditions, so if you don’t drink, don’t start.
“For healthy eating to be more attainable and sustainable, we recommend people focus on their overall eating pattern rather than specific nutrients or foods,” said Alice H. Lichtenstein, D.Sc., FAHA, volunteer chair of the scientific statement writing committee and senior scientist and leader of the Diet and Chronic Disease Prevention Directive at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University. “Every time you choose to make a swap for a healthier alternative, you’re making a step toward a healthier life.”
While the updated guidance is specifically designed to improve cardiovascular health, it’s generally consistent with dietary recommendations for other conditions like Type 2 diabetes, kidney disease, some cancers and brain health as well due to shared risk factors, including high blood pressure, high cholesterol, high blood sugar, excess weight and reduced kidney function.
“A healthy dietary pattern can support lifelong health and well-being beyond cardiovascular health,” Lichtenstein said.
To learn more about eating for heart and brain health, visit heart.org/healthydietand talk to your health care provider about what will work best for you.
Photo courtesy of Shutterstock
SOURCE:
The Food and Drink section at STM Daily News delivers fresh coverage on dining, drinks, recipes, and the food stories bringing communities together.
Lifestyle
You have 30 minutes to save a knocked-out tooth. Only 27% of U.S. adults know that.
Saving a knocked-out tooth: Most U.S. adults say they would do almost anything to avoid losing a natural tooth. Most have also put off going to the dentist when they suspected something was wrong. And some may not be aware of the dental specialists whose entire focus is helping them do exactly that.
You have 30 minutes to save a knocked-out tooth. Only 27% of U.S. adults know that.
(Tiffany Miller) Most U.S. adults say they would do almost anything to avoid losing a natural tooth. Most have also put off going to the dentist when they suspected something was wrong. And some may not be aware of the dental specialists whose entire focus is helping them do exactly that. A new national survey from the American Association of Endodontists, the organization representing those specialists, finds all three of those things together at the center of how U.S. adults actually approach their dental health.
That tension runs through the entire survey. When faced with a serious tooth infection, 61% would choose a treatment that saves the tooth over extraction. Seventy-eight percent say they would do almost anything to avoid losing a natural tooth. The attachment runs deeper than appearances. It is about the tooth itself, the one that has been there your whole life, that feels irreplaceable in a way an implant or crown never quite does.
The gap is not in conviction. It is in knowing what to do.
Only 27% of U.S. adults correctly identify that a knocked-out tooth needs to be treated within 30 minutes to give it the best chance of being saved. The rest either guess wrong or have no idea how quickly the clock is running. And the specialists most equipped to help in that moment, dental professionals called endodontists whose entire focus is saving natural teeth, are known to only 44% of U.S. adults.
Cost widens the gap. Sixty percent of U.S. adults admit to having put off going to the dentist when they suspected something was wrong. The anatomy of that delay is familiar: a symptom that does not seem urgent enough, a bill that feels easier to avoid than face, an appointment that keeps getting pushed to next month. Of those who waited, 51% say it made things worse.
And then there is the fear. Root canals have a reputation that the data does not support. Asked what they believe, 28% of U.S. adults say a root canal is usually more painful than the toothache that sent them to the dentist in the first place. They have it backward. A root canal is designed to relieve that pain, not add to it, according to the American Association of Endodontists. But the perception lingers, shaped in part by a fragmented information environment where 35% of U.S. adults say they have encountered conflicting or confusing information online about procedures such as root canals.
U.S. adults feel strongly about their natural teeth, probably more than they would have predicted before being asked. They delay the care that protects them, do not know what to do when time is short, and are not always getting their information from sources that serve them well.
For a tooth that can often be saved in 30 minutes, that combination has consequences.
Methodology
American Association of Endodontists commissioned Atomik Research, a creative market research agency part of 4media group, to conduct an online survey of 2,000 adults throughout the United States. The margin of error is plus or minus 2 percentage points at a 95 percent confidence level. Fieldwork was conducted between April 3 and April 8, 2026.
Photo courtesy of Shutterstock
SOURCE:
American Association of Endodontists
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Author
Last Updated on May 19, 2026 by Daily News Staff
(Feature Impact) Roughly 1 in 8 American adults take GLP-1 medications for diabetes or weight loss and the number continues growing, according to a recent KFF Health poll. People considering these drugs understandably have many questions, ranging from which GLP-1 would be best, what side effects might they experience and whether their insurance will cover it.
The health care professional who prescribes GLP-1s is a key source of information, but another vital partner is the medication expert on your health care team: your pharmacist.
“GLP-1s are more complicated than your typical antibiotic or medicines like cholesterol drugs, and they require particular expertise to manage effectively,” said Martin Torres, PharmD, director of pharmacy, University of California, Irvine. “With their medication management expertise, pharmacists are particularly equipped to counsel people on GLP-1s. Our guidance can help people maximize benefits and minimize the risks.”
GLP-1s are intended to be taken long-term, so it’s helpful to consult with the pharmacist at your medical center or clinic. The health-system pharmacists who work collaboratively with doctors in these settings can serve as ongoing guides on your GLP-1 journey.
Here are three ways they can support you.
Managing Costs
Health-system pharmacists are an important resource for helping figure out how to pay for your medications. If you have insurance, they can help determine which GLP-1s your plan covers and which will suit you best.
If your plan doesn’t cover these drugs or you lack insurance, pharmacists can help you find alternative payment options, such as a drug-maker coupon or medication-support program.
Effective and Safe Usage
Figuring out the optimal dose and frequency for each patient typically takes time. Many people also experience side effects. Pharmacists can help you manage the risks and maximize the effectiveness of your GLP-1 in several ways.
- They’re experts in flagging potential harmful interactions between GLP-1s and other medications or supplements you’re taking.
- They can work with you to cope with or lessen side effects such as nausea, reflux and constipation.
- They can advocate to your doctor for increasing or decreasing your dose to get you to the safest effective amount and coordinate any other needed medication changes.
- They can teach you how to administer your medication properly to avoid waste.
Lifestyle Changes
Health-system pharmacists are also resources for lifestyle counseling to make the most of your GLP-1. There’s a common misconception that GLP-1s simply melt away fat. Rather, by reducing cravings, they help people eat less – and that can open the door to developing healthier eating and activity habits.
Pharmacists can provide a wealth of information on the effects of lifestyle modifications. The strategies for healthy eating and physical activity they share can help make these a routine part of your life for long-term success.
To learn more about how health-system pharmacists can impact your overall health, visit yourpharmacist.org.
Discontinuing a GLP-1: How Your Pharmacist Can Smooth the Transition
At least half the people who start GLP-1s will stop within the first year. High costs, insurance issues and side effects are among the reasons people discontinue use. If you anticipate stopping your GLP-1, your health-system pharmacist can help smooth the transition.
A pharmacist’s extensive knowledge of medications is valuable not only for starting but also for stopping GLP-1s. They can help by:
- Determining whether a different GLP-1 or a more affordable source for the drug is right for you
- Helping people understand the source of side effects and how to lessen and manage them
- Providing advice on alternative medicines that may help patients reach their goals
- Guiding people on tapering their doses to avoid a hard stop
SOURCE:
American Society of Health-System Pharmacists
Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.
