Is Your “Healthy” Diet Silently Causing Pre-Diabetes?

Via Dr. John Douillard
on Apr 6, 2012
get elephant's newsletter

Did you know at least one-third of Americans are at imminent risk of becoming diabetic?

Relephant: 12 Tips to Becoming A Weekday Vegetarian.

If you experience food cravings, mood swings, anxiety and depression, irritability and/or fatigue, you might unknowingly be at risk. The scary truth is, even a “healthy” diet can put you in the danger zone.
You may have heard that diabetes is climbing at an alarming rate. But staying out of the diabetic range is not enough—high blood sugar, even within the so-called “normal range,” has been shown to increase the risk of dying of a heart attack or stroke by 40%, as well as chronic diseases such as cancer, cardiovascular disease, Alzheimer’s, kidney disease, and neuropathy (2).

In this first installment of our series on pre-diabetes, join me as I delve into why and how this silent killer develops, and why most people that already have it, don’t know it. Most importantly, I will offer the real-life strategies that have helped stave off and even reverse pre-diabetes for my patients.

In coming weeks, look for articles about pre-diabetes home screening, so-called “natural” sweeteners, dark chocolate, and more.

Blood Sugar 101

It’s important to understand why and how blood sugar rises, and how common, even “healthy” diets, can prompt the progression of pre-diabetes:

As sugars—even “natural sugars”—and simple carbohydrates are digested, they force the pancreas to produce excess insulin, which is needed to escort the sugars out of the bloodstream and into the cells.

Over time, when the insulin levels are driven up again and again several times a day, the pancreas becomes worn out and the cells can become resistant to taking in any more sugar.

Excess sugar in the blood, unable to be absorbed by the cells, keeps the blood sugar unnaturally high. It lingers there until the insulin stores it as fat, often (but not always) causing abdominal fat, obesity, and high cholesterol.

Excess blood sugar also attaches to proteins that may damage or thicken the arterial wall, directly increasing the risk of cardiovascular disease (2), clots, inflammation, cancer, heart attack and stroke, and more (4).

Most People Who Have Pre-Diabetes Don’t Know It

Here are some staggering statistics: while one third of the American population currently qualifies as Pre-Diabetic, an incredible 90% of them do not know it (9).

Moreover, many of them maintain what would commonly be considered a “healthy” diet.

So how can a condition with such potentially far-reaching complications go unnoticed? Perhaps it has to do with the fact that Pre-Diabetes can cause symptoms in almost every system in the body.

Here are just some of the health risks associated with pre-diabetes (7):

Premenstrual Syndrome
Polycystic Ovarian Syndrome
Increased Blood Coagulation
High Level of Stress Hormones
Accelerated Aging
Sleep Apnea
Heart Disease
Early Puberty
Need for Stimulants
Sleep Disorders
Poor Circulation
Mood Swings
Erectile Dysfunction
Low Vitamin Levels
Enlarged Male Breasts
Mental Fuzziness
Stiff Blood Vessels
Alzheimer’s Disease
High Cholesterol
Male Pattern Baldness
Food Cravings
High Triglycerides

Sugar Has Been Around for Ages—Why is It Posing a Threat Now?

Natural foods like energy bars, chai tea lattes, most yogurt, natural chips, whole wheat breads, dried fruits and even fresh squeezed fruit juices all deliver a blood sugar surge that may contribute to pre-diabetes.

There is more than one reason for the epidemic climb in blood sugar, and of course, simply eating more of the sweet stuff is a big part of the equation. But the fact is that we don’t always know what we are eating, and that is largely due to the rise in popularity of processed and refined foods.

While many of us equate the idea of “processed foods” with a certain kind of poor quality “junk food,” many of the items at the health food store are far from the natural state of the ingredients they were made from.

Jack Lalaine told me once a long time ago, “I never eat anything that has a wrapper.” Prophetic advice from a nutrition icon. Just think, foods with wrappers are generally processed and then wrapped to help preserve them.

The human body wasn’t designed to ingest refined and processed foods. The more refined and processed the food, the quicker it will enter the bloodstream.

Natural Sweeteners—Are They Really “Natural?”

So-called “natural” sweeteners, like molasses, pure maple syrup, agave, date and beet sugars are all concentrates from the whole plant, and as such do not exist in nature. It is hard to refute the logic that if we were meant to eat refined carbs and concentrated sugars, they would exist in nature in that form.

Honey and stevia might be the only sweeteners that naturally occur in nature. I am a bee-keeper and love my bees, but I have to wonder if honey is actually meant for humans. With about 10 to 20 thousand stingers protecting each hive, it makes you wonder if nature intended for us to have any!

Moreover, the bees gather the nectar from thousands of flowers to manufacture the honey, so it really is a processed concentrate. I do think that raw honey has value for humans as a medicine and in extreme moderation as a sweet, but never for cooking or baking according to Ayurveda, or as the “healthy sweetener” it is touted as today. (Look for an upcoming newsletter in this series, in which I will discuss the properties of all “natural sweeteners” at length.)

These sweeteners, along with  simple carbs like packaged pastas, white rice, corn, potatoes, most breads, refined grains and most cereals, quicly break down into sugar and enter the bloodstream  too fast for the body to safely handle them.

Gulping the Sweet Stuff Down

One of the most common and efficient ways to deliver a massive sugar surge to the body is to drink a sweet beverage. Many folks try “healthier” beverages which often just package sugar with a healthy-looking label and marketing. Let’s look at exactly how much of the sweet stuff is packed into the drinks that “keep us going.”

•    Simply drinking a 12 ounce Coke is the same as swollowing 10 tsps of table sugar (39g of sugar) (1). Imagine asking your 8 year old to sit at the table and swollow 10 tsps of sugar. If a child has a coke and a package of licorice (57g of sugar) at the movies, that’s pushing 100g of sugar in one sitting with no activity to help the body process it. Licorice is actually one of the better candies – one box of Dots alone delivers 111g of sugar!

•    One can of Hansen’s Cherry Vanilla Crème Natural Soda contains 43 grams of sugar!

•    A bottle of Vitamin Water – considered a healthy beverage – has 27g of sugar – it’s a jolt to anyone’s brain chemistry and blood sugar.

•    8 ounces of Tazo iced tea contains 19g of sugar – but who drinks just 8 ounces?

•    The 24 oz Starbucks Venti  Iced Green Tea has 51 g of sugar – that’s more like it!

•    8 ounces of orange juice: out of 27 grams of carbohydrate, 24 of them are sugar. It’s almost all SUGAR!

•    8 ounces of lemonade:  out of 30 grams of carbs, 28 of them are sugar. We knew that lemonade wasn’t about the lemons!

•    100% Pomegranate (8oz):  36 grams of carbs, 31 grams of sugar.  Surprising, right? It’s still a ton of sugar.

Note: When you squeeze the juice out of a fruit, the fiber that slows down the absorption of the sugar is removed, and what you are left with is a juice of mostly sugar.

More Hidden Sugars

Soda pop, ice cream and candy are obvious sugar injections, but how many little injections of sugar are we getting all day? Chips, even the natural ones, break down extremely quickly into carbs. Cultures that ate a lot of potatoes were typically northern and always ate a big piece of meat with the potatoes to balance the blood sugar surge. Americans have chips with soda—really!

Remember, simple carbohydrates in bread and other refined grains turn into sugars and behave the same way in the bloodstream.


•    One Slice of organic whole wheat bread has 28 grams of carbs, 3 grams of sugar, with a glycemic index of 73. That’s more than table sugar, which has a glycemic index of 59.

•    One slice of sprouted grain and seed bread (requires refrigeration) has 14grams of carbs, 0 grams of sugar, and a glycemic index of 37. With no major blood sugar impact, this is definitely the preferable choice!


•    Organic wild berry low fat yogurt smoothie (6oz) has 23 grams of carbs, 23 grams of sugar.

•    Ben and Jerry’s Peach Cobbler ice cream (1/2 pint) has 28 grams of carbs,  26 grams of sugar.

Take a Fresh Look at Your Favorite Healthy Snack

Check out the label on your favorite nutrition bar and you will find it loaded with sugars. Just because they are dates sugars, molasses, honey, dried mangoes, raisins or fruit concentrates doesn’t mean they are healthy. They are still an overwhelming blast to the pancreas and blood sugar.

Take a bag of dried mango—a good example because it has a medium amount of sugar compared to most fruits. Many of my patients used to go through one of these bags in a day, or even one sitting:

•    100 grams of a ripe mango has 13.7 grams of sugar. 100 grams of the dried mango fruit—the same amount of mango—has 76 grams of sugar.

Note: Drying fruits concentrates their sugar content, dramatically altering their behavior in the body. The body was not meant to thrive on concentrates!

Please start looking at the labels of the health foods you buy. Read how many grams of sugar and total carbs are in each product.  You might be surprised!

Warning: Check the serving size!

Often the serving size is very small, much smaller than the amount in the container you are purchasing. Because of this, the nutritional facts can be misleading. A bottle of juice, for example, often amounts to 16 ounces, but the serving size is eight ounces. The amount of sugar in the whole bottle in this case is really double the number on the label.

The Real Natural Sugars

In nature, the carbohydrates we were meant to ingest and thrive on are vegetables—lots of vegetables.

The sugars in veggies are protected by the vegetable fiber and are delivered into the bloodstream in a slow and steady fashion. If we compare ourselves to the gorilla, the animal who has the most similar digestive system to humans, we will notice that they eat half their body weight in veggies per day. They do eat small amounts of meat—and the grains they get are raw, with all of the plant fiber intact.

I don’t think we always have to eat like gorillas, but I believe the amount of veggies they eat per day puts us to shame. To protect yourself from pre-diabetes and the many risks associated with it, you simply cannot eat enough veggies. That doesn’t mean that real whole grains or some meats are bad—it is balance that the body likes.

Your Diet Is Your Best Defense

The best strategy to avoid and, in many cases, reverse Pre-Diabetes is with a diet free of simple and refined sugars. Try to avoid all sugars, sweeteners and the high-sugar-content mentioned in this article.

If you are going to eat shorter chain—or higher glycemic index—foods such as corn, white rice, wheat or potatoes – try to have them in the natural state rather than a refined version like corn or potato chips, or non-sprouted breads. Also eat these carbs with a protein source so they are not just un-opposed sugars entering your bloodstream.

Try to make three meals a day count. Make them balanced with a starch, like a whole grain, lots of green veggies, and a protein source such as fish, eggs, tempeh, nuts, seeds or meats. It is all about whole unprocessed foods and making each meal balanced, three times a day.

Stay tuned: In my next newsletter in part two on Pre-diabetes I will discuss the importance of testing for Pre-Diabetes and a Self Home Pre-Diabetes Screening that every American should have.

1,2,3,4,5,6.Challem, Berkson, Smith. Syndrome X. Wiley Press.2000.
7,8,10  Challem. Stop Pre-Diabetes Now. Wiley. 2007
9. Available at Accessed November 3, 2011.

 Like elephant health and wellness on Facebook.


Editor: Kate Bartolotta.


About Dr. John Douillard

Dr. John Douillard, DC, CAP is a globally recognized leader in the fields of natural health, Ayurveda and sports medicine. Over the past 30 years, he’s helped over 100,000 patients repair their digestive system and eat wheat and dairy again. He is the creator of, a leading Ayurvedic health and wellness resource on the web with over 6 million views on YouTube. LifeSpa is evolving the way Ayurveda is understood around the world with over 1000 articles and videos proving ancient wisdom backed by modern science. Dr. John is the former Director of Player Development and nutrition advisor for the New Jersey Nets NBA team, author of six books, a repeat guest on the Dr. Oz show, and has been featured in Woman’s World Magazine, Yoga Journal, the Huffington Post and dozens of other publications. ----------------------------------------------------------------------------------------------------- Receive his valuable health reports in your inbox - sign up for free! ----------------------------------------------------------------------------------------------------- For information on Dr. John's newest book, Eat Wheat, please visit, and connect with Dr. Douillard on Twitter, Facebook and YouTube. ----------------------------------------------------------------------------------------------------- Eat Wheat is now available in bookstores. It can be ordered from Amazon, and all major booksellers.


45 Responses to “Is Your “Healthy” Diet Silently Causing Pre-Diabetes?”

  1. […] original post here: Is Your "Healthy" Diet Silently Causing Pre-Diabetes? | elephant …   Posted in: Uncategorized Tags: anxiety-and, food-cravings, imminent-risk, know-at-least, […]

  2. Lorin says:

    Just posted to "Featured Today" on the brand new Elephant Food Homepage.

    Lorin Arnold
    Blogger at The VeganAsana
    Please "like" Elephant Food on Facebook and follow us on Twitter.

  3. Sarah says:

    this is quite interesting!!! feels like i should never make fuss about going healthy…..however some supplements have really helped me to control Zyvia, Organic Natural Sweetener…it works great..and really got my diabetes under control… it has become a part of our daily diet now

  4. oz_ says:

    A hugely important subject to understand, but the biochemistry involved in the way the different *kinds* of sugars are metabolized is absolutely essential to grasp. For example, the body treats fructose completely differently than glucose. The former is a severe problem – the latter is not. That's not mentioned here. For that info, this video is must-see-TV……!

  5. Susan says:

    A Very helpful article. The information about mangoes is misleading, however – 100g of fresh mango is mostly water weight. If you eat 100g of dried mango it is NOT the same amount of fruit but considerably more, which is why the sugars seem to "concentrate".

  6. guest says:

    "Natural foods like energy bars, chai tea lattes, most yogurt, natural chips, whole wheat breads,"
    the only natural food I would count here as natural is plain yoghurt. (and maybe whole wheat bread without added sugar)
    Not sure how all those things ended up in the same sentence. chai tea latte? a bazillion calories and sugar. energy bars? sugar, sugar and fat. yoghurt? 25% sugar. "natural chips" fat. fat. and fat.


  7. guest says:

    PS: continued reading, did you use "natural foods" the way companies use it? that's how it looks like.. to me, natural is unprocessed or as little processed as possible..

  8. Eulalia Cristaldi says:

    California Pain Center9475 Heil Ave., Suite DFountain Valley, CA 92708(714) 775-7700

  9. Great article! Shared on EJ FB Page :

    Jeannie Page

  10. […] I mentioned in the first part of our Pre-Diabetes Series, rising blood sugar—even within the “normal range”—has been shown to increase the risk of […]

  11. @gmcheeseman says:

    I really like this article because it affirms my commitment to eat a healthy diet. I have struggled my whole life with intense sugar cravings. It didn't help that as a child my grandmothers and mothers constantly made homemade desserts. I am also a recovering alcoholic who has been in recovery for almost 18 years. When I quit drinking I realized that my body craved the sugar in alcohol. Unfortunately, I filled my diet with sugary foods, thus swapping one addiction for another.

    I am slowly changing my taste buds and that is helping with the sugar cravings. I am learning to practice what my grandfather always said, "Everything in moderation, and moderation in everything." Change happens little by little and rarely, if ever, all at once. About six or seven years I ago I started cutting back on the amount of sugar I put in my coffee until I put none in. I am doing the same thing with honey in my plain yogurt, which is a staple in my Armenian culture. The next step will be to make my own Armenian style yogurt, called madzoun, like my grandmother used to do.

  12. SOFLY_Anna says:

    this is great info! Thank you, my father has diabetes and I try really hard to stay healthy. I am re-thinking the dry fruit…

  13. […] after, I’ll be wandering around aimlessly. Am I coming from a desperate place, or from a place of health? Am I being artless and unaffected, am I being kosher to who I am, or am I just playing games? Am I […]

  14. […] said. In the previous year, her blood pressure had gone way up, her cholesterol was high, she was pre-diabetic, and she could barely make it up the two flights of stairs to her attic office. Food was a constant […]

  15. […] article also contains my conclusion to the entire Pre-Diabetes four-part series (“Is Your ‘Healthy’ Diet Silently causing Pre-Diabetes?“; “Crave Sweets? Home Screen Your Risk for Pre-Diabetes” and “The Truth […]

  16. […] my previous articles on blood sugar and the epidemic of pre-diabetes, I cited research indicating the severe cardiovascular damage that takes place when the fasting […]

  17. […] quickest way for the body to lower blood sugar is to convert it quickly and effortlessly into fat in the form of triglycerides (body/belly/hip […]

  18. […] and other related illnesses. What do you think they are going to push?Powered by Yahoo! AnswersJoseph asks…Im pre-diabetic and don't do well with dairy, any diet suggestions?I am a 20 year old …/div>Im pre-diabetic and don't do well with dairy, any diet suggestions?I am a 20 year old female […]

  19. […] doses, especially when a person suffers from conditions like seafood allergies, bipolar disorder, diabetes or depression or it is taken alongside prescription medications such as anti-hypertensive […]

  20. Kate says:

    Great article – as a Type 1 of 25 years I am trying to help spread the word, and knowledge, of how Type 2 can be prevented. To me, the above points are common sense, but to the majority of the population it isn't at all! Many people simply want a cure, or help once it's developed but prevention is the key – sharing this with many people today, thank you!

  21. Swami bruce says:

    Good post, Dr. I fully fell in that category, a "health food" eater that was eating way too much sugar and high glycemic foods, until I developed pacreatic cancer. With surgery and diet, I have managed to stay alive, even thrive. I have basically made the switch to a very low glycemic diet, and though it was hard for the first week or two, I must say that after that my taste buds became wonderfully sensitized to subtle flavors in foods that I was heretofore missing. Trust me on this. You will find a whole world of tastes and flavors that were masked by sugar. And the decrease in inflammation in your body is wonderful! Less aches and pains, recovery from workouts is much quicker, and better quality sleep, meaning you need less because you are sleeping so soundly. It's all about the vegetables! One cannot eat enough, although I doubt we will ever see zucchini farmers buying a 30 second spot at the Super Bowl. I use this rule with fruit: no juices, in season, and only enough that you could hold in one hand. Stick to temperate fruits, unless you actually are in the tropics. Eat slowly, chew well, live a long time. Sugar is evil, basically.

  22. Sara says:

    that's what i think too.

  23. Sara says:

    "8 ounces of Tazo iced tea contains 19g of sugar…" How come Tazo can contain 19g of sugar, if you don't add any sweeteners?

  24. […] a lot of sugar and carbohydrate foods your insulin level has to go up to meet this demand. In fact, every time you eat anything your insulin levels go […]

  25. […] I propose a new tactic to the “war” on diabetes: More. Good. Stuff. […]

  26. […] if you already eat a strict, balanced diet and keep track of all your nutrients to make sure that you get just enough of iron, potassium, B12 […]

  27. Web site says:

    Whoa! This blog looks exactly lіκe my old one! It’s on a entirely different topic but it has pretty much the same layout and design. Excellent choice of colors!

  28. ummetus says:

    Excellent content – as a Kind 1 of 25 decades I am trying to help distribute the phrase, and information, of how Kind 2 can be avoided. To me, the above factors are sound judgment, but to many of the inhabitants it isn't at all! Many individuals basically want a treat, or help once it's designed but avoidance is the key – discussing this with many buyers, thank you!

  29. Its like you read my mind! You appear to know a lot about this, like you wrote the book in it or something.

    I think that you could do with some pics to drive the message home a little bit, but instead of that, this is wonderful blog.

    A great read. I will certainly be back.

  30. Me or my Diet? says:

    I´ve got a question. Many bodybuilders/physique builders eat anywhere from 5-8 times a day to keep their metabolism up. Protein in every meal. Can this consistent supply of nutrients into the bloodstream (mostly protein and complex carbs) contribute to pre-diabetes?? (eg. when one can no longer keep up that lifestyle..). I´ve been experimenting with 4 meals a day (proteins, veggies, complex carbs) and when i miss a meal i get fatigued, my mood swings horribly, sometimes i get dizzy, even vision seems affected. I seem to crave sugar a lot, but I always have. I may already have signs of blood sugar issues… but eating like this seems to have triggered all these symptoms. I´ve found I cannot last as long as i used to between meals without feeling bad. It never was an issue for me until I started playing with my diet. Thoughts?

  31. 5-htp says:

    A good hour of cardio 3 times a week can do wonders for depression and anxiety issues. Speaking as someone who has struggled with both

  32. Interesting post and thanks for sharing. Some things in here I have not thought about before. Thanks for making such a cool post.

  33. aanrechtblad says:

    this is great info! Thank you, my father has diabetes and I try really hard to stay healthy. I am re-thinking the dry fruit…

  34. designerradiatorsbanyo says:

    much thanks to you for imparting this….

  35. I was looking for something like this…I found it quiet interesting, hopefully you will keep posting such blogs….Keep sharing.

  36. tafelblad says:

    OMG…This is just what I need. Flabuless where have you been the last ten years of my life? I need you. Thanks!

  37. So well explained incredible article, any buddy can follow it, thanks and keep up the great work. All the contents you mentioned in post are too good and can be very useful, Thanks

  38. I have read about keep updating about their present works and keep sharing. I love to read on more of this sort. Thank you with regards.