Obesity and Diabetes – Is Your Gut in Control?

Aug. 21, 2015

By Medical Discovery News

Your body is like a forest, providing a home to microscopic flora and fauna. In fact, your body is home to up to 100 times more microbes than your own cells, which make up your microbiome. While we provide them residence, these microbes help us out by providing a first line of defense against disease trying to invade our bodies, even breaking down food during digestion and producing vitamins. Now, the microbes that live in the digestive tract are helping us understand diabetes better.

According to the Human Microbiome Project sponsored by the National Institutes of Health, the microbiome plays a huge role in human health. When the microbiome is altered or imbalanced, it can cause conditions like obesity, irritable bowel syndrome, skin disease, urogenital infection, allergy, and can even affect emotion and behavior.

Recently, scientists from Israel discovered another surprising effect of the microbiome while investigating the use of artificial sweeteners in relation to glucose intolerance and diabetes. Artificial sweeteners such as saccharin, sucralose, and aspartame are commonly used in weight loss strategies because they do not add calories while still satisfying sweet cravings. However, artificial sweeteners are not always effective in managing weight and glucose, and scientists at the Weizmann Institute of Science may have figured out why.

Through experimentation they observed that adding artificial sweeteners to the diets of mice caused significant metabolic changes, including increasing blood sugar levels more than mice fed regular sugar. It didn’t matter whether the mouse was obese or at a normal weight, they all reacted the same. Dietary changes can alter the populations of bacteria in our guts, so the study addressed whether those changes affected blood glucose levels as well. After being treated with saccharin for nine days, the populations of gut bacteria in the mice shifted dramatically and corresponded with an increase in their glycemic index. Specifically, the bacterial group Bacteroidetes increased while the group Clostridiales decreased. These changes in bacterial populations is associated with obesity in mice and people.

When they administered antibiotics to reverse this and return the bacterial populations to a healthy state, it also countered the effects of saccharin, returning glucose levels to normal. To take it a step further, researchers took feces from saccharin-consuming mice showing glucose intolerance and transplanted them into other mice that had never consumed saccharin. Remarkably, those mice started showing signs of glucose intolerance.

In a study of 400 people, those who consumed artificial sweeteners had a gut microbiome that was vastly different from those who did not. They had a group of people consume high levels of artificial sweeteners for seven days, and like the rats their glucose levels increased and their microbiomes changed.

Overall, these studies show that artificial sweeteners may induce glucose intolerance instead of preventing it due to the intimate connection between the bacteria that live in our digestive systems and our metabolic state. In the future, expect to see diagnostic and therapeutic procedures that utilize our microbial friends.

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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.

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