Managing your
carbohydrate intake doesn’t have to be complicated—or expensive. Nevermind all
the high-priced, heavily marketed “carb aware” foods. If you want to keep it
simple, keep your carbs complex, and just cut out the candy, skip the soda and
pass on the processed pastry.
Know Your Macronutrients: Carbohydrate
Today’s
anti-carb diet hype is really giving carbohydrates a bad name when, actually,
the right type of carbs form the backbone of good nutrition.
Sadly, the
average American eats way too much of the wrong type—those sugars and processed
starches in snack foods, most bakery goods, beverages and desserts—and not
enough of the high-nutrient carbohydrates we find in vegetables, dairy and whole
grains, which provide most of our essential vitamins and minerals. But the
current hype villainizes the good with the bad. This is why you need to know your macronutrients.
If you’re
really curious about the diet industry’s latest creations, you can blow your
money on the new no-carb, low-carb products. But if what you want is to eat
better and maybe even lose a few pounds, a little understanding about
macronutrients will serve you better.
Carb
Structure and Function
Chemically,
all carbs are made up of sugar units. Nearly all carbohydrates come from plant
sources, but they also occur in dairy products, honey and some seafood.
They are
typically classed as “complex” carbs, which include starches and fiber, and
“simple” carbs, which include sugars and starches that have been commercially
processed to the point that they’ve almost been broken down into sugars already.
Simple carbs
contain just one or two sugar units and they taste sweet; they’re rapidly
processed by your body and they provide energy (calories), but no nutrient
value.
Complex carbs
contain long chains of sugar units. They have a characteristically starchy
taste, and unlike sugars, they are typically found in foods rich in vitamins,
minerals and fiber—like vegetables, whole grains, dairy foods, and even some
protein. Because of these additional nutrients, the body takes a longer time to
digest them than it does simple carbs.
When you
digest carbohydrates, they are all broken down into simple sugars, which are
converted in the liver to one common denominator: glucose. Also known as blood
sugar, glucose is the body’s basic fuel.
The main
function of carbohydrate in the diet is to supply the body a ready source of
fuel for glucose production. The trick is to determine how much is really needed
for that “ready source,” based on how much energy you burn up, because excess
glucose that is not immediately needed for energy is converted to glycogen or
fat.
Glycogen, a
starch made by your body, is stored in the liver and muscle for the body to draw
on as a secondary quick energy source. An average 150-pound man can store about
1750 calories this way, but that’s about it.
When glycogen
stores are full, any leftover glucose is then changed to fat, and unfortunately,
there is no limit to the amount of fat that can be stored.
Simple
Carb Complications
Recent
research shows that some Americans get up to half of their calories today from
simple carbohydrates.
But eaten
alone—as in a breakfast of toast and juice, or a snack of pretzels and a
soda—those simple carbs will cause the blood sugar to rise dramatically. This in
turn causes a spike in the production of insulin, the hormone that carries
glucose into the body’s cells.
Since the
cells can only take so much glucose at once, insulin also aids the conversion of
the excess glucose into fat, so it can be stored. Because of this, people who
eat a lot of simple carbs have typically higher insulin levels, and produce and
store fat more quickly and efficiently.
And there’s
more bad news. Another side effect of that spike in blood sugar and insulin is
the inevitable crash that follows. Once insulin is on the job, it makes quick
work of cramming the glucose from simple carbs into your body’s cells.
But as that
task is suddenly finished, you experience an abrupt drop in blood sugar that can
be accompanied by shaking, dizziness and ravenous hunger—even though you’ve
actually eaten quite recently.
And if you’re
one of those people prone to eat simple carbs, you’ll probably grab for more of
the same. See the vicious cycle developing there? You could be on that roller
coaster all day, and indeed, many Americans are, without even knowing
it.
For instance,
your customary sourdough English muffin and glass of juice may be a quick
breakfast, but it’s also a spike-and-crash recipe, because the white flour in
that muffin is already so processed it’s nearly a sugar already.
The same is
true for your fruit juice. While it may have the same nutrient value as the
whole fruit in terms of vitamins, without the fiber, that juice is basically
liquid sugar pouring into your blood stream.
Now, if you
make that a whole-grain muffin and a solid piece of fruit, or couple it with a
glass of skim milk, that’s another story. The extra nutrients and fiber slow
down the digestion process, keep your body feeling satisfied for longer, and
hold off that next wave of hunger for a while.
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Caroline J. Cederquist, M.D. is a board certified Family Physician and a board certified Bariatric Physicians (the medical specialty of weight management). Dr. Cederquist is the founder of Bistro M.D., a home diet delivery program that specializes in low calorie gourmet food that is delivered to your home or office. Bistro M.D. serves as culmination of Dr. Cederquist's expertise and experience in the world of medical weight loss.