Today @ MAND – January 2020

January 17th, 2020

What is Allulose?

By Hailey Crean, MS, RD, CDE, CSOWM

In my practice, I encourage an all-foods-fit approach to nutrition and that includes sugar. And yes, even when managing diabetes. But, while some sugar fits, studies show most of us are eating way too much of it. In fact, the CDC estimates that between 2005 -2010 US adults were consuming as much s 15% of their total daily calories from added sugars(1).  According to recommendations from Healthy People 2020 this should be under 10%. Studies show excess sugar consumption can lead to undesirable increases in lipid profile, excess weight gain, fatty liver, and limit intake of essential nutrients (4,7,8).

There is a growing list of options available to reduce sugar intake with one of the newest being Allulose.  Allulose, also know as D-psicose, is a sweetener gaining in popularity for its unique effects against hyperlipidemia and hyperglycemia.  Allulose is a monosaccharide and has a similar sweetness to table sugar or sucrose (about 70% as sweet) with only 0.4 calories per gram (6). Classified as a rare sugar, it is found in nature but only in very small quantities in foods including raisins, figs, wheat, brown sugar, and maple syrup (5).

What are the Health Benefits?

In addition to providing sweetness with only a fraction of the calories, studies in rats using allulose have shown improvements in obesity-induced fatty liver and hyperglycemia without additional exercise or diet restriction (2).

Another study on blood sugar control in individuals with type 2 diabetes examined the effect of allulose versus fructose when added to a glucose solution.  The researchers then measured postprandial blood sugar rise and found “modest reductions” in blood sugar response in the allulose group, that was not seen in the fructose group (3). This suggests that Allulose may suppress the glycemic response of other sweeteners, in addition to having not impacting blood sugars itself. 

Is Allulose Safe?

In terms of safety, Allulose is Generally Recognized as Safe (GRAS) by the FDA.  Due to their conclusions on how Allulose is processed in the body, the FDA is also in the process of ruling that it be removed from the total and added sugar counts on the Nutrition Facts label.

Should I Switch to Allulose?

This “rare” sweetener may have benefits on lipid profile and glycemic response in addition to being nearly calorie-free. While I would still recommend use in moderation (as with all sweeteners) it may provide an alternative option for improved blood sugar control and a bit of sweet!

References:

1) Ervin RB, Ogden CL. Consumption of added sugars among U.S. adults, 2005-2010. Nchs Data Brief. 2013 May(122):1-8.

2) Itoh, K., Mizuno, S., Hama, S., Oshima, W., Kawamata, M., Hossain, A., Ishihara, Y. and Tokuda, M. (2015), Beneficial Effects of Supplementation of the Rare Sugar “D‐allulose” Against Hepatic Steatosis and Severe Obesity in Lepob/Lepob Mice. Journal of Food Science, 80: H1619-H1626. doi:10.1111/1750-3841.12908

3)Noronha, JC, Braunstein, CR, Glenn, AJ, et al. The effect of small doses of fructose and allulose on postprandial glucose metabolism in type 2 diabetes: A double‐blind, randomized, controlled, acute feeding, equivalence trial. Diabetes Obes Metab. 2018; 20: 2361– 2370. https://doi.org/10.1111/dom.13374

4) Welsh JA, Sharma A, Abramson JL, Vaccarino V, Gillespie C, Vos MB. Caloric Sweetener Consumption and Dyslipidemia Among US Adults. JAMA. 2010;303(15):1490–1497. doi:https://doi.org/10.1001/jama.2010.449

5)Zhang,  W., Yu, S.,  Zhang, T., et al. Recent advances in d-allulose: Physiological functionalities, applications, and biological production,
Trends in Food Science & Technology, 2016, 54: 27-137, https://doi.org/10.1016/j.tifs.2016.06.004.

6) H. Kimoto-Nira, N. Moriya, S. Hayakawa, K. Kuramasu, H. Ohmori, S. Yamasaki, M. Ogawa, Effects of rare sugar D-allulose on acid production and probiotic activities of dairy lactic acid bacteria, Journal of Dairy Science,100, 7,2017, 5936-5944,ISSN 0022 0302, https://doi.org/10.3168/jds.2016-12214

7) Schulze MB, Manson JE, Ludwig DS, et al. Sugar-Sweetened Beverages, Weight Gain, and Incidence of Type 2 Diabetes in Young and Middle-Aged Women. JAMA. 2004;292(8):927–934. doi:https://doi.org/10.1001/jama.292.8.927

8) Bray, George A., and Barry M. Popkin. “Dietary Sugar and Body Weight: Have We Reached a Crisis in the Epidemic of Obesity and Diabetes?.” Diabetes Care 37.4 (2014): 950-956. Web. 26 Dec. 2019.

Hailey Crean, MS, RD, CDE, CSOWM is the owner of Hailey Crean Nutrition, LLC, a telenutrition practice that specializes in virtual nutrition coaching for diabetes and conditions of metabolic syndrome.  This article originally appeared on her blog at www.haileycrean.com.


Revolutionizing Performance Nutrition

The 36th Annual Sports, Cardiovascular, and Wellness Nutrition (SCAN) Symposium, Revolutionizing Performance Nutrition, will be held in Boston, Massachusetts, March 21-23, 2020. The 2020 symposium will explore, challenge, and discuss revolutionizing evidence-based nutrition science, practice, and policy. Visit www.scandpg.org for more info.

Posted by: Maureen Kelly Gonsalves

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Today @ MAND – December 2019

December 16th, 2019

Q&A session with Dan Coello for a feature on the BU Sargent Programs in Nutrition By Caroline Kohler Q: What is the most surprising/interesting thing you’ve learned in the DI? A: That people make mistakes in healthcare, and sometimes they can be pretty bad mistakes. While now it seems like common sense that people would […]

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Today @ MAND – November 2019

November 19th, 2019

MAND BLOG National School Lunch Week: What’s On Your Playlist? Celebrated Across the Nation By Shennie Quintanilla, MS, RDN School lunch is not what it used to be in yesteryears. Districts across the nation are cooking scratch-made tasty meals, enhancing culinary skills, reducing food waste, and supporting local agriculture. School districts are hiring more and […]

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Today @ MAND – October 2019

October 17th, 2019

What exactly does a HAT Trick in Hockey have to do with Sepsis Therapy? By Jody Bergeron, RN, BSN, MS, CEN Hydrocortisone Ascorbic Acid and Thiamine Sepsis is a physiologic, biologic and biochemical chaotic state reflecting a dysregulated inflammatory response to infection. Sepsis exists on a continuum of severity, ranging from infection and bacteremia to […]

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Today @ MAND – September 2019

September 19th, 2019

Dinners in a Dash: Healthy Meals in Less Than 30 Minutes  By Joan Salge Blake, EdD, MS, RDN, FAND September is #FamilyMealsMonth and as the saying goes, what’s old is new and this applies to the lure of dining out regularly.  According to the latest survey from the Hartman Group and the Food Marketing Institute, […]

Posted by: Maureen Kelly Gonsalves

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Today @ MAND – August 2019

August 19th, 2019

Advocacy Summit  Hello fellow MAND members! This is Christina Ypsilantis, your President-Elect. I had the incredible opportunity to attend the Academy of Nutrition & Dietetics “Advocacy Summit” in DC this past July. As President-Elect, one of my roles is to help out with the Public Policy Panel (PPP). Within my first few weeks as President-Elect, […]

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Today @ MAND – July 2019

July 22nd, 2019

What Public Policy Means to Me As the 2018-2019 MAND fiscal year ends and the 2019-2020 year begins, I wanted to thank the MAND colleagues I have been fortunate to serve as MAND’s Director of Public Policy. I offer a hearty thank you to the outgoing members of the Public Policy Panel (PPP) for your […]

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Today @ MAND – June 2019

June 16th, 2019

President’s Update I hope you’ve all been enjoying the nice weather. We’ve certainly had a rainy spring, but as the days get longer and the sun begins to shine more frequently, I’m loving every single minute of it! It’s so hard to believe, but this is my last President blog update. It’s been quite a […]

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Today @ MAND – May 2019

May 22nd, 2019

Malnutrition Awareness WeekTM and Clinics May 13-May 17 The Massachusetts Commission on Malnutrition Prevention Among Older Adults, in partnership with the Massachusetts’ Elderly Nutrition Program, is holding over 80 malnutrition awareness clinics May 13 – May 17. The campaign’s kick off will be 11 a.m., May 13, 2019 at Keystone Apartments, 151 Hallet Street, Dorchester. […]

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Today @ MAND – April 2019

April 15th, 2019

President’s Update Happy Spring! It’s hard to believe that Spring is finally here. It’s so nice to have the longer days. I always feel a bit more productive when the weather starts to get warmer. We had a busy and very successful March. Starting with MAND’s Annual Day on the Hill where we were at […]

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Annual Meeting

ANCE will take place on Friday, April 3, 2020 at the Four Points Sheraton in Norwood. Register today!

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