Fruits are often a source of confusion when it comes to diet, especially for those concerned about diabetes. A recent claim by a nutritionist suggested that eating fruits on an empty stomach could increase the risk of developing the condition. But is there any truth to this?
Dr. Santhosh Jacob, an orthopedic and sports surgeon specializing in muscle health, challenges this notion. In a video shared on Instagram, he asserts that consuming whole fruits is not only safe but also beneficial for individuals managing diabetes.
He explains that fruits primarily consist of water (around 80%), along with fructose, glucose, sucrose, and fiber. The impact of these components on blood sugar levels, when consumed in whole fruit form, is minimal.
"Fructose doesn't immediately spike insulin or blood sugar. It's processed by the liver. Sucrose breaks down into glucose and fructose. While glucose does raise blood sugar, it's bound to fiber, which ensures a gradual and controlled release," Dr. Jacob clarifies.
According to Dr. Jacob, consuming whole fruit typically leads to a modest increase in blood sugar, around 30 milligrams per deciliter over a two-hour period, before returning to normal.
This controlled response makes whole fruits a safe and even advantageous dietary choice for people with diabetes, even when consumed on an empty stomach. Furthermore, the fiber, polyphenols, and short-chain fatty acids present in fruits promote a healthy gut by nourishing beneficial bacteria. This contradicts claims that fruit can disrupt the gut flora.
The misconception that eating fruit on an empty stomach is harmful often arises from unfounded fears about rapid gastric emptying and sugar absorption. Dr. Jacob explains that while fruits are digested quickly, their fiber content prevents rapid blood sugar spikes. He dismisses concerns that fruit can "wash out" gut bacteria, stating that only high alcohol consumption, antibiotic overuse, or chemotherapy drugs could have such an effect.
He also cites numerous meta-analyses demonstrating that daily consumption of approximately 250 grams of whole fruits is associated with a reduced risk of diabetes and other metabolic disorders.
Dr. Jacob emphasizes the significance of lifestyle factors in the development of diabetes. He identifies several key contributors:
He concludes that whole fruits, packed with essential nutrients and fiber, can serve as a valuable asset for individuals seeking to manage or prevent diabetes.
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