
Sugar is a type of carbohydrate that is naturally found in some foods, such as fruits, vegetables, and dairy products, and is also added to a wide variety of foods and drinks. While sugar can be a quick and simple source of energy, excessive sugar consumption can lead to weight gain and increase the risk of health problems such as heart disease, certain cancers, and type 2 diabetes. Therefore, it is essential to understand the role of sugar in our diet and how to maintain a healthy balance. This includes distinguishing between natural sugars and added sugars, as well as being mindful of overall calorie intake and the nutritional value of the foods we consume.
How important is sugar in your diet?
| Characteristics | Values |
|---|---|
| Recommended daily intake | 90g of total sugars, including 30g of "free sugars" |
| Natural sources | Fruits, vegetables, and milk |
| Added sources | Sweets, cakes, biscuits, chocolate, fizzy drinks, juice drinks, baked goods, honey, high fructose corn syrup |
| Health effects | Excessive consumption can lead to weight gain, heart disease, cancer, type 2 diabetes, brain problems, increased risk of dementia, inflammation, and autoimmune diseases |
| Nutritional value | Provides energy but lacks vitamins and minerals |
| Role in diet | Can make food more palatable and encourage consumption of nutritious foods |
| Moderation | Eating sugar in moderation is unlikely to cause harm, and a 'moderate' intake is defined as about 10% of daily energy intake |
| Alternatives | Water, lower-fat milk, diet drinks, unsweetened tea, fruit |
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What You'll Learn

The difference between natural and added sugars
Sugar is a type of carbohydrate that is found in many foods and drinks. While sugar is often associated with negative health effects, not all sugar is bad. The difference between natural and added sugars is crucial in understanding how sugar can be incorporated into a healthy diet.
Natural sugars are those that are found in whole, unprocessed foods such as fruits, vegetables, honey, and milk. These sugars are packaged with essential vitamins, minerals, and fibre, providing valuable nutrients alongside sweetness. For example, fruit is rich in potassium, which is linked to blood pressure regulation, and also contains magnesium, fibre, and polyphenols, which decrease plaque buildup in arteries. The fibre and other nutrients in whole foods cause natural sugars to be slowly released, helping to regulate blood sugar levels and providing a steady stream of energy.
Added sugars, on the other hand, are processed sweeteners that are added to foods and drinks during processing, preparation, or at the table. These sugars, such as corn syrup, refined white sugar, and high-fructose corn syrup, enhance flavour but offer little nutritional value. They are rapidly digested and converted into fat, which can strain the body over time and lead to health issues such as weight gain, metabolic disorders, and dental problems. Added sugars are commonly found in processed foods like candy, cookies, cake, ice cream, and soda, which are typically located in the centre aisles of grocery stores.
To make healthier food choices, it is recommended to limit added sugars and embrace natural sugars from whole foods. Natural sugars support overall health and well-being by providing sustained energy and essential nutrients. While it is not necessary to cut down on natural sugars, it is important to be mindful of the total amount of sugar consumed, as eating too much sugar can contribute to an increased risk of developing chronic health conditions, including heart disease, cancer, type 2 diabetes, and dementia. Checking nutrition labels and opting for products with minimal added sugars can help reduce intake.
In summary, the key difference between natural and added sugars lies in their source and nutritional value. Natural sugars are found in whole foods and provide essential nutrients alongside sweetness, while added sugars are processed sweeteners that offer little nutritional value beyond enhanced flavour. By understanding this difference, individuals can make more informed choices about their sugar consumption and cultivate a healthier relationship with sweetness.
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How to identify sugar in nutrition labels
Sugar is an important component of a healthy diet, but consuming too much sugar can be detrimental to your health. The key is to maintain a balanced diet, and understanding nutrition labels can help you make informed choices about your sugar intake. Here are some detailed guidelines on how to identify sugar content in nutrition labels:
Understand the Different Types of Sugars
Recognise that sugar appears in nutrition labels in various forms. "Total Sugars" refers to sugars naturally present in many nutritious foods and beverages, such as milk and fruits, as well as any added sugars. "Added Sugars," on the other hand, are sugars that have been introduced during the processing of foods, including sweeteners like table sugar, syrups, honey, and sugars from concentrated fruit or vegetable juices. These are the sugars you want to be particularly aware of, as they can contribute to excessive sugar intake.
Decode the Nutrition Facts Label
Nutrition labels typically present sugar information in two sections: "Total Sugars" and "Added Sugars." The "Total Sugars" section provides the total sugar content per serving, including both naturally occurring and added sugars. The "Added Sugars" section indicates the amount of sugar that has been added during manufacturing. Be cautious not to add these two values together, as they represent different types of sugar. Instead, focus on the "Added Sugars" value to identify how much extra sugar has been included in the product.
Interpret the Sugar Amounts
The sugar content in nutrition labels is usually given in grams per serving. To evaluate the sugar intake, you should consider the portion size you will actually consume. For instance, if a label states that a portion is a quarter of the product, but you typically consume half, you would need to double the sugar amount stated. Additionally, keep in mind that sugary drinks can contribute significantly to your daily sugar intake, with soft drinks often containing high levels of added sugars.
Compare Different Products
Nutrition labels allow you to compare sugar content across brands, varieties, and flavours. By examining the "Added Sugars" section, you can identify products that are lower in added sugars and make more informed choices. This is particularly useful when comparing similar products to find the option with the lowest added sugar content.
Be Aware of Different Label Formats
While many nutrition labels follow a standard format, there are variations. Some manufacturers use dual-column labels that indicate nutrient amounts per serving and per package or unit. This is especially helpful for products that could be consumed in one sitting or multiple sittings. Additionally, some companies use colour-coded labelling (red, amber, or green) to indicate high, medium, or low sugar content at a glance. However, always refer to the detailed nutrition information to make fully informed decisions.
By following these guidelines and staying vigilant when reading nutrition labels, you can effectively identify sugar content and make healthier choices to support your overall well-being.
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The health implications of a high-sugar diet
Sugar is a type of carbohydrate that is naturally found in some foods, such as fruits and vegetables, grains, and dairy, or added to others during processing, preparation, or at the table. While consuming whole foods that contain natural sugar is okay, problems can arise from consuming too much added sugar. Consuming too much sugar can cause serious health problems, and can lead to an increased risk of developing chronic health conditions.
Weight Gain and Obesity
Eating too much sugar can contribute to people having too many calories, which can lead to weight gain and obesity. Obesity rates are rising worldwide, and evidence suggests that added sugar, often from sugar-sweetened beverages, is a major contributor. Sugar-sweetened drinks like sodas, juices, and sweet teas are loaded with fructose, a type of simple sugar. Consuming fructose increases your hunger and desire for food more than glucose, the main type of sugar found in starchy foods. Additionally, animal studies show that excessive fructose consumption may cause resistance to leptin, an important hormone that regulates hunger and tells your body to stop eating. This can lead to weight gain as it is easier for people to add more calories to their regular diet when consuming sugary beverages.
Dental Health
Eating too much sugar can cause cavities. Bacteria in your mouth feed on sugar and release acid byproducts, which cause tooth demineralization.
Risk of Developing Gout
Added sugars raise uric acid levels in the blood, increasing the risk of developing or worsening gout. Gout is an inflammatory condition characterized by pain in the joints.
Cardiovascular Disease
Consuming too much added sugar can raise blood pressure and increase chronic inflammation, both of which are pathological pathways to heart disease. In a study published in 2014, researchers found an association between a high-sugar diet and a greater risk of dying from heart disease. Over the course of the 15-year study, people who got 17% to 21% of their calories from added sugar had a 38% higher risk of dying from cardiovascular disease compared with those who consumed 8% of their calories as added sugar.
Mental Health
Human research has revealed that high consumption of foods rich in added sugars and sweetened drinks increased the risk of depression over the next few years and resulted in a high incidence and recurrence of mood disorders. More recent studies have confirmed that excessive consumption of sugar-sweetened soft drinks was associated with an increased risk of depression in adults and Asian adolescents. In overweight people, increased consumption of sugar-sweetened beverages was associated with an increased incidence of a diagnosis of depression.
Skin Aging
Advanced glycation end products (AGEs) are compounds formed by reactions between sugar and protein in the body. Consuming a diet high in refined carbs and sugar leads to the production of AGEs, which may cause your skin to age prematurely. AGEs damage collagen and elastin, which are proteins that help the skin stretch and keep its youthful appearance. When collagen and elastin become damaged, the skin loses its firmness and begins to sag.
Cognitive Decline
High-sugar diets can lead to impaired memory and have been linked to an increased risk of dementia, Alzheimer’s disease, and stroke. Research on the impact of added sugar on health is ongoing, and new discoveries are constantly being made.
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Sugar substitutes and their effects
Sugar substitutes are food additives that replicate the taste of sugar without the calories. They are popular among people who want to reduce their calorie intake and are often used by those with diabetes or weight concerns. These substitutes fall into three categories: artificial sweeteners, sugar alcohols, and novel sweeteners.
Artificial sweeteners, also known as nonnutritive sweeteners, are typically created from chemicals in a lab, although some are derived from natural substances. They can be 200 to 700 times sweeter than table sugar and do not contain calories or sugar. While they can help reduce calorie intake, they also lack beneficial nutrients like vitamins, fibre, minerals, and antioxidants. Some experts have expressed concerns about potential health hazards, such as weight gain and cancer, associated with artificial sweeteners. However, extensive scientific research has demonstrated the safety of several low-calorie artificial sweeteners approved for use in the US and Europe, including stevia, acesulfame-K, aspartame, neotame, saccharin, and sucralose. These sweeteners have undergone rigorous safety evaluations by regulatory authorities like the FDA, with some bearing warning labels for specific populations.
Sugar alcohols, such as tagatose, are another type of sugar substitute. They are well-known for not contributing to tooth decay and have been approved for use in several countries. However, large amounts of sugar alcohols can cause digestive issues such as diarrhoea, nausea, and flatulence.
Novel sweeteners, a newer category, are derived from natural sources like plants and are sometimes called "plant-derived noncaloric sweeteners." They provide benefits similar to both artificial and natural sweeteners, such as fruit or honey. Novel sweeteners are less processed than artificial sweeteners and do not lead to weight gain or blood sugar spikes due to their low-calorie content. Examples include stevia and monk fruit, which have a flavour similar to regular sugar and are generally regarded as safe by the FDA.
While sugar substitutes offer alternatives to sugar, it is important to note that completely removing sugar from one's diet may result in missing out on important nutrients found in sugary foods like fruits, whole grains, and dairy. Additionally, the excessive consumption of sugar substitutes may lead to an aversion to less intensely sweet foods, such as fruits and vegetables. Thus, while sugar substitutes can be useful in managing specific health conditions or weight, they should be consumed in moderation as part of a balanced diet that includes whole foods.
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How to reduce sugar intake
Sugar is a type of carbohydrate that occurs naturally in many foods, such as fruits and vegetables. However, consuming too much sugar, particularly added sugars, can lead to serious health problems. These include weight gain, obesity, prediabetes, type 2 diabetes, and heart disease. Thus, it is important to reduce sugar intake to lead a healthy life. Here are some ways to achieve that:
Read the labels
Look at information on nutrition labels and ingredients lists to help reduce your intake of free sugars. While shopping, look for more "greens" and "ambers", and fewer "reds". Many packaged foods use a colour-coded system that makes it easy to choose foods that are lower in sugar.
Reduce sugar in tea or coffee
If you take sugar in tea or coffee, gradually reduce the amount until you can cut it out altogether, or try swapping to sweeteners instead. Try some new flavours with herbal teas, or make your own with hot water and a slice of lemon or ginger.
Cut down on sugary drinks
Sugar-sweetened beverages are the main source of added sugar. Drinking water is the best way to cut down on sugar. Opt for healthier options like low-fat milk, carbonated water, or unsweetened iced tea.
Eat less sugar at breakfast
If you add sugar to your cereal, try adding less. Or you could eat a smaller portion and add some chopped fruit, such as a pear or banana. If you usually eat jam, marmalade, or honey on your toast, try to get by with a little less, or opt for sugar-free or lower-sugar options.
Reduce sugar in baking
When baking cookies, brownies, or cakes, cut the sugar in the recipe by one-third to one-half. You can also use flavour extracts like vanilla or almond to add a sweet scent without adding sugar. Enhance foods with warm spices like cinnamon or nutmeg instead of sugar.
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Frequently asked questions
The reference intake for total sugars is 90g a day, including 30g of "free sugars". However, adults in the US are consuming roughly 77g of added sugar each day, and children are consuming close to 81g. Experts define a moderate intake of refined sugar as about 10% of your total energy intake per day.
Sugar is a form of carbohydrate and a source of energy. However, excessive sugar consumption can lead to weight gain and obesity, and increase the risk of health problems such as heart disease, certain cancers, type 2 diabetes, brain problems, and dementia.
While some people suggest cutting out added sugars, others believe it is best to simply consume natural sugars in moderation. Scientific evidence does not support adverse outcomes when sugar is consumed in moderation and when calories are not eaten in excess. However, it is generally agreed that sugar should not be consumed at the expense of more nutritious food choices.











































