A Teaspoon of Agavin

Sept. 12, 2014

By Medical Discovery News

Agave plant

Next time you have a bitter pill to swallow, think about reaching for a spoonful of agavin instead of sugar to help the medicine go down. You might not know what agavin is yet, but you’ve probably noticed that a number of alternative natural sweeteners like Stevia have been added to grocery store shelves next to traditional sugar. These products sweeten foods but often do not add calories or raise blood sugar levels. Recent research suggests that a sweetener made from agave, the same plant used to make tequila, may lower blood sugar levels and help people maintain a healthy weight.

Agavin is a natural form of sugar, fructose, called fructan. With fructan, individual sugar molecules are linked together in long chains. The human body cannot use this form of fructose, so it is a nondigestible dietary fiber that does not contribute to blood sugar levels. But it can still add sweetness to foods and drinks. Alternatively, agave syrup or nectar, while made from the same plant, contains fructan that has been broken down into individual fructose molecules so it does affect caloric intake and blood sugar levels.

Studies of mice prone to diet-induced obesity and type 2 diabetes found that when they consumed agavin, they ate less and had lower blood glucose levels, increased insulin, and more glucagon-like peptide-1 (GLP-1). GLP-1 is a hormone that inhibits gastrointestinal motility, which causes people to eat less because they feel fuller. It also stimulates the production of insulin. GLP-1 appears to be a regulator of appetite and food intake, and so it is being evaluated as a therapy for type 2 diabetes.

Further testing showed that when agavin was added to the water supply of mice eating a normal diet, they ate less, lost weight, and had lower blood glucose levels compared with mice that consumed other sugars such as glucose, fructose, sucrose, agave syrup, and the artificial sweetener aspartame. While these results are encouraging, the studies need to be replicated and then done using humans for agavin’s effectiveness to be proven. The possible long-term consequences of its use must also be examined. So far, the only known down sides are that agavin is not yet widely available and that it is not as sweet as sucrose or artificial sweeteners.

Agavin would join other natural sweeteners that do not add calories or affect blood sugar such as stevia, which is currently found in a variety of products. The stevia plant is native to Paraguay, where its leaves have been used as a sweetener for over a century. Stevia has been the subject of biological and toxicological studies for more than 50 years and its safety is well-established. It stimulates the pancreas to secrete insulin, a benefit to diabetics, and does not alter the naturally-occurring, beneficial bacteria in the digestive tract.

Thanks to agavin and other natural sweeteners, people with diabetes (or anyone watching their caloric and sugar intake) now have more choices than ever for sweeteners and products made with them, so they can eat or drink without raising their blood sugar levels. Agavin: it’s not just for tequila anymore.

For a link to this story, click here.

The Trouble with Sugar Substitutes

Dec. 20, 2013

By Medical Discovery News

Those reaching for a packet of artificial sweetener to satisfy a sweet tooth without adding calories may want to think again – the long-time diet staple may actually lead to serious unintended side effects.

Artificial sweeteners include the recently launched Stevia products like Truvia and the compounds  aspartame (found in Equal), saccharin (Sweet N’ Low), and sucralose (Splenda). These were developed because they add no caloric content to the foods they are added to, but they stimulate the sweet receptors on the tongue. Non-caloric sweeteners are popular with those working to control their weight because of the allure of no calories without sacrificing sweetness.

Consider one product – yogurt. There can be 200 calories or more in those sweetened with sugar while the artificially sweetened varieties come in under 100 calories. The shine of artificial sweeteners may be wearing off though, as some recent studies suggest their use may actually lead to weight gain.

The first sign that artificial sweeteners weren’t as harmless as they seem was a study in the 1970s that linked saccharin to bladder cancer, although those results aren’t substantiated, and approved artificial sweeteners are now considered generally safe for human consumption.

In a new study at Washington University in St. Louis, scientists looked at people with a body mass index (BMI) of over 42 (30 and over is considered obese), who don’t have diabetes and don’t regularly use sweeteners. Individuals were divided into two groups and given the artificial sweetener sucralose or water before ingesting a solution of glucose, the same amount given during a glucose tolerance test. On a separate day, the groups were reversed so researchers could compare the effects in each person.  

The results were surprising. When individuals drank sucralose before ingesting glucose, their insulin levels peaked at a higher level and increased by about 20 percent more than those drinking water alone. This means that sucralose was affecting insulin and blood glucose levels. Previously, scientists thought that these sweeteners did not have an effect on sugar metabolism. 

It turns out that there are sweet responsive receptors in the gut and pancreas that are similar to those found on the human tongue. When they are stimulated, they can cause an increase in the release of hormones including insulin. This in turn causes more sugar to be absorbed in the gut and subsequently higher levels in the blood. For unknown reasons, it happens only in the obese. An elevation in insulin levels can contribute to insulin resistance and type 2 diabetes. 

One thing is for sure – further research will help scientists understand the effects of artificial sweeteners on human metabolism.

For a link to this story, click here.