Skip to main content

Crystals of Sugar to be Consumed Sparsely and other Healthy Behaviours

  • Conference paper
  • First Online:
Crystallizing Ideas – The Role of Chemistry

Abstract

On the occasion of the International Year of Crystallography, it was pertinent to focus on the consumption of sugar crystals and all other forms of fast sugars in view of the primary and secondary prevention of type 2 diabetes mellitus. This study was carried out to determine the extent to which Mauritians with type 2 diabetes engage in diet modification and physical exercise as means of self-management of their disease. A cross-sectional quantitative study was carried out among diabetic patients aged 25 and above, randomly identified. Data were obtained from face-to-face interview with anonymity of respondents and confidentiality of data being respected. The study sample constituted of 266 participants with type 2 diabetes. Findings revealed that less than half of the participants reported engaging in each of the lifestyle behaviours all the time. Statistical analysis showed that there was a significant association between weight control and advice received from a health professional. The majority of the participants engaged in diet modification, but only a minority sustained the diet modification all the time. In an island which has been producing tonnes of sugar for local consumption and for export, it could be expected that temptation for fast sugars prevails.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. International Diabetes Federation (2013) Diabetes atlas, 6th ed. Available from: http://www.idf.org/diabetesatlas. Accessed 11 June 2013

  2. Zimmet PZ, McCarty DJ, De Courten MP (1997) The global epidemiology of non-insulin-dependent diabetes mellitus and the metabolic syndrome. J Diabetes Complications 11:60–68

    Article  CAS  Google Scholar 

  3. Magliano DJ, Soderderg S, Zimmet PZ, Chen L, Joonas N, Kowlessur S, Larhubarbe J, Gaoneadry D, Pauvaday V, Tuomilehto J, Alberti KG, Shaw JE (2012) Explaining the increase of diabetes prevalence and plasma glucose in Mauritius. Diabetes Care 35:87–91

    Article  Google Scholar 

  4. Shaw JE, Sicree JE, Zimmet PZ (2010) Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 87:4–14

    Article  CAS  Google Scholar 

  5. Republic of Mauritius, Ministry of Health and Quality of Life (2009) The trends in diabetes and cardiovascular disease risk in Mauritius: the Mauritius non communicable diseases survey. Available from: http://www.gov.mu/portal/goc/moh/file/ncd/ncd-2009.pdf. Accessed 4 May 2013

  6. Pereira MA, Kriska AM, Joswiak ML, Dowse GK, Collins VR, Zimmet PZ, Gareeboo H, Chitson P, Hemraj F, Purran A et al (1995) Physical inactivity and glucose intolerance in the multiethnic island of Mauritius. Med Sci Sports Exerc 27:1626–1634

    Article  CAS  Google Scholar 

  7. Soderberg S, Zimmet P, Tuomilehto J, De Courten M, Dowse GK, Chitson P, Gareeboo H, Alberti KGMM, Shaw JE (2005) Increasing prevalence of type 2 diabetes mellitus in all ethnic groups in Mauritius. Diabet Med 22:61–68

    Article  CAS  Google Scholar 

  8. American Diabetes Association (2013) Standards of medical care in diabetes. Diabetes Care 36:S11–S66

    Article  Google Scholar 

  9. Van Den Arend IJ, Stolk RP, Krans HM, Grobbee DE, Schrijvers AJ (2000) Management of type 2 diabetes: a challenge for patient and physician. Patient Educ Couns 40:187–194

    Article  Google Scholar 

  10. Russell WR, Baka A, Bjorck I, Delzenne N, Gao D, Griffiths HR, Hadjilucas E, Juvonen K, Lahtinnen S, Lansink M, Loon LV, Mykkanen H, Ostman E, Riccardi G, Vinoy S, Weickert MO (2013) Impact of diet composition on blood glucose regulation. Crit Rev Food Sci. Available from: http://www.tandfonline.com/doi/full/10.1080/10408398.2013.792772

  11. UK Prospective Diabetes Study (1990) Response of fasting plasma glucose to diet therapy in newly presenting type II diabetic patients. Metabolism 39:905–912

    Article  Google Scholar 

  12. Jenkins DJA, Kendall CWC, McKeown-Eyssen G, Josse RG, Silverberg J, Booth G, Vidgen E, Josse AR, Nguyen TH, Corrigan S, Banach MS, Ares S, Mitchell S, Emam A, Augustin LSA, Parker TL, Leiter LA (2008) Effect of a low–glycemic index or a high–cereal fiber diet on type 2 diabetes: a randomized trial. JAMA 300:2742–2753

    Article  CAS  Google Scholar 

  13. Jenkins DJA, Kendall CWC, Augustin LSA, Mitchell RD, Sahye-Pudaruth S, Blanco-Mejia S, Chiavaroli L, Mirrahimi A, Ireland C, Bashyam B, Vidgen E, De Souza RJ, Sievenpiper JL, Coveney J, Leiter LA, Josse RG (2012) Effect of legumes as part of a low glycemic index diet on glycemic control and cardiovascular risk factors in type 2 diabetes mellitus: a randomized controlled trial. Arch Intern Med 172:1653–1660

    Article  CAS  Google Scholar 

  14. Brand-Miller J, Hayne S, Petocz P (2003) Low-glycemic index diets in the management of diabetes: a meta-analysis of randomized controlled trials. Diabetes Care 26:2261–2267

    Article  Google Scholar 

  15. Anderson JW, Kendall CWC, Jenkins DJA (2003) Importance of weight management in type 2 diabetes: review with meta-analysis of clinical studies. J Am Coll Nutr 22:331–339

    Article  Google Scholar 

  16. Jarvi AE, Karlstrom BE, Granfeldt YE, Bjorck IE, Asp NG, Vessby BO (1999) Improved glycemic control and lipid profile and normalized fibrinolytic activity on a low-glycemic index diet in type 2 diabetic patients. Diabetes Care 22:10–18

    Article  CAS  Google Scholar 

  17. Chandalia M, Garg A, Lutjohann D, Von Bergmann K, Grundy SM, Brinkley LJ (2000) Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342:1392–1398

    Article  CAS  Google Scholar 

  18. Klein S, Sheard NF, Pi-Sunyer X et al (2004) Weight management through lifestyle modification for the prevention and management of type 2 diabetes: rationale; and strategies: a statement of the American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition. Diabetes Care 27:2067–2073

    Article  Google Scholar 

  19. Lindstorm J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemio K, Hamalainen H, Harkonen P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Mannelin MM, Paturi M, Sundvall J, Valle TT, Uusitupa M, Tuomilehto J (2006) Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet 368:1673–1679

    Article  Google Scholar 

  20. Uusitupa M, Louheranta A, Lindstrom J, Valle T, Sundvall J, Eriksson J, Tuomilehto J (2000) The Finnish diabetes prevention study. Br J Nutr 83:S137–142

    Article  CAS  Google Scholar 

  21. Wing RR (2010) Look AHEAD Research Group. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med 170:1566–1575

    CAS  Google Scholar 

  22. Pi-Sunyer X, Blackburn G, Brancati FL et al (2007) Look AHEAD Research Group. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trial. Diabetes Care 30:1374–1383

    Article  Google Scholar 

  23. Gregg EW, Chen H, Wagenknecht LE, Clark JM, Delahanty LM, Bantle J, Pownall HJ, Johnson KC, Safford MM, Kitabchi AE, Pi-Sunyer FX, Wing RR, Bertoni AG (2012) Association of an intensive lifestyle intervention with remission of type 2 diabetes. JAMA 308:489–2496

    Article  Google Scholar 

  24. Shiroma EJ, Sesso HD, Lee I (2012) Physical activity and weight gain prevention in older men. Int J Obesity 36:1165–1169

    Article  CAS  Google Scholar 

  25. Joslin EP, Root EF, White P (1959) The treatment of diabetes mellitus. Lea & Febiger, Philadelphia

    Google Scholar 

  26. Sigal RJ, Kenny GP, Wasserman DH, Castaneda C, White R (2004) Physical activity/exercise and type 2 diabetes. Diabetes Care 10:2518–2539

    Article  Google Scholar 

  27. Mourier A, Gautier JF, De Kerviler E et al (1997) Mobilization of visceral adipose tissue related to the improvement in insulin sensitivity in response to physical training in NIDDM: effects of branched-chain amino acid supplements. Diabetes Care 20:385–391

    Article  CAS  Google Scholar 

  28. Gautier JF (2005) Physical activity and type 2 diabetes. Rev Med Liege 60:395–401

    CAS  Google Scholar 

  29. Ronnemaa T, Mattila K, Lehtonen A, Kallio V (1986) A controlled randomized study on the effect of long-term physical exercise on the metabolic control in type 2 diabetic patients. Acta Med Scand 220:219–224

    Article  CAS  Google Scholar 

  30. Eriksson KF, Lingarde F (1991) Prevention of type 2 diabetes mellitus by diet and physical exercise. Diabetologia 34:891–898

    Article  CAS  Google Scholar 

  31. Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ (2001) Effects of exercise on glycaemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 286:1218–1227

    Article  Google Scholar 

  32. Yokoyama H, Emoto M, Araki T, Fujiwara S, Motoyama K, Motioka T, Koyama H, Shoji T, Okuno Y, Nishizawa Y (2004) Effect of aerobic exercise on plasma adiponectin levels and insulin resistance in type 2 diabetes. Diabetes Care 27:1756–1758

    Article  CAS  Google Scholar 

  33. Sherman JJ (2005) The impact of smoking and quitting smoking on patients with diabetes. Diabetes Spectrum 18:202–208

    Article  Google Scholar 

  34. Al-Delaimy WK, Willet WC, Manson JE, Speizer FE, Hu FB (2001) Smoking and mortality among women with type 2 diabetes. The Nurses’ Health Study cohort. Diabetes Care 24:2043–2048

    Article  CAS  Google Scholar 

  35. Sands M, Shetterly S, Franklin G, Hamman R (1997) Incidence of distal symmetric neuropathy in NIDDM: the San Luis diabetes study. Diabetes Care 20:322–329

    Article  CAS  Google Scholar 

  36. Haire-Joshu D, Glasgow RE, Tibbs TL (1999) Smoking and diabetes (technical review). Diabetes Care 22:1887–1898

    Article  CAS  Google Scholar 

  37. Chiolero A, Faeh D, Paccaud F, Cornuz J (2008) Consequences of smoking for body weight, body fat distribution, and insulin resistance. Am J Clin Nutr 87:801–809

    CAS  Google Scholar 

  38. Targher G, Alberiche M, Zenere MB, Bonadonna RC, Muggeo M, Bonora E (1997) Cigarette smoking and insulin resistance in patients with noninsulin-dependent diabetes mellitus. J Clin Endocrinol Metab 82:3619–3624

    CAS  Google Scholar 

  39. Eliasson B (2003) Cigarette smoking and diabetes. Prog Cardiovasc Dis 45:405–413

    Article  CAS  Google Scholar 

  40. Stead LF, Bergson G, Lancaster T (2008) Physician advice for smoking cessation (review). Cochrane Database Syst Rev 2

    Google Scholar 

  41. Russell MA, Wilson C, Taylor C, Baker CD (1979) Effect of general practitioners’ advice against smoking. Br Med J 2:231–235

    Article  CAS  Google Scholar 

  42. Eliasson B, Attvall S, Taskinen MR, Smith U (1997) Smoking cessation improves insulin sensitivity in healthy middle-aged men. Eur J Clin Invest 27:450–456

    Article  CAS  Google Scholar 

  43. Solomon CG, Hu FB, Stampfer MJ, Colditz GA, Speizer FE, Rimm EB, Willet WC, Manson JE (2000) Moderate alcohol consumption and risk of coronary heart disease among women with type 2 diabetes mellitus. Circulation 102:494–499

    Article  CAS  Google Scholar 

  44. Bonnet F, Disse E, Laville M, Mari A, Hojlund K, Anderwald CH, Piatti P, Balkau B (2012) Moderate alcohol consumption is associated with improved insulin sensitivity, reduced basal insulin secretion rate and lower fasting glucagon concentration in healthy women. Diabetologia 55:3228–3237

    Article  CAS  Google Scholar 

  45. Diem P, Deplazes M, Fajfr R, Bearth A, Muller B, Er Christ, Teuscher A (2003) Effects of alcohol consumption on mortality in patients with type 2 diabetes mellitus. Diabetologia 46:1581–1585

    Article  CAS  Google Scholar 

  46. Koppes LLJ, Dekker JM, Hendriks HFJ, Bouter LM, Heine RJ (2006) Meta-analysis of the relationship between alcohol consumption and coronary heart disease and mortality in type 2 diabetic patients. Diabetologia 49:648–652

    Article  CAS  Google Scholar 

  47. Emanuele NV, Swade TF, Emanuele MA (1998) Consequences of alcohol use in diabetics. Alcohol Health Res W 22(3). Available from http://pubs.niaaa.nih.gov/publications/arh22-3/211.pdf. Accessed 02 Sept 2013

  48. Howard AA, Arnsten JH, Gourevitch MN (2004) Effect of alcohol consumption on diabetes mellitus: a systematic review. Ann Intern Med 140:211–219

    Article  Google Scholar 

  49. Chen CP, Peng YS, Weng HH, Yen HY, Chen MY (2013) Health-promoting behavior is positively associated with diabetic control among type 2 diabetes patients. Open J Nurs 3:274–280

    Article  Google Scholar 

  50. Agborsangaya CB, Gee ME, Johnson ST, Dunbar P, Langlois MF, Leiter LA, Pelletier C, Johnson JA (2013) Determinants of lifestyle behaviour in type 2 diabetes: results of the 2011 cross-sectional survey on living with chronic diseases in Canada. BMC Public Health 13:451

    Article  Google Scholar 

  51. Perri MG, Sears SF, Clark JE (1993) Strategies for improving maintenance of weight loss: toward a continuous care model of obesity management. Diabetes Care 16:200–209

    Article  CAS  Google Scholar 

  52. Franz MJ, Monk A, Barry B et al (1995) Effectiveness of medical nutrition therapy provided by dietitians in the management of non-insulin-dependent diabetes mellitus: a randomized, controlled clinical trial. J Am Diet Assoc 95:1009–1017

    Article  CAS  Google Scholar 

  53. Petrella RJ, Koval JJ, Cunningham DA, Paterson DH (2003) Can primary care doctors prescribe exercise to improve fitness? The step test exercise prescription (STEP) project. Am J Prev Med 24:316–322

    Article  Google Scholar 

  54. Wolf AM, Conaway MR, Crowther JQ, Hazen KY, Nadler J, Oneida B, Bovbjerg VE (2004) Translating lifestyle intervention to practice in obese patients with type 2 diabetes: improving control with activity and nutrition (ICAN) study. Diabetes Care 27:1570–1576

    Article  Google Scholar 

  55. Christian JG, Bessesen DH, Byers TE, Christian KK, Goldstein MG, Bock BC (2008) Clinic based support to help overweight patients with type 2 diabetes increase physical activity and lose weight. Arch Intern Med 168:141–146

    Article  Google Scholar 

  56. Davies MJ, Heller S, Skinner TC, Campbell MJ, Carey ME, Cradock S, Dallosso HM, Daly H, Doherty Y, Eaton S, Fox C, Oliver L, Rantell K, Rayman G, Khunti K (2008) Effectiveness of the diabetes education and self-management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ 336:491–495

    Article  CAS  Google Scholar 

  57. Jansink R, Braspenning J, Van der Weijden T, Niessen L, Elwyn G, Grol R (2009) Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (MILD-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations. BMC Health Serv Res 9:19

    Article  Google Scholar 

  58. Beisecker AE, Beisecker TD (1990) Patient information-seeking behaviors when communicating with doctors. Med Care 28:19–28

    Article  CAS  Google Scholar 

  59. Dimatteo MR (1998) The role of the physician in the emerging health care environment. West J Med 168:328–333

    CAS  Google Scholar 

  60. Heisler M, Bouknight RR, Hayward RA, Smith DM, Kerr EA (2002) The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. J Gen Inter Med 17:243–252

    Article  Google Scholar 

  61. McGuire LC (1996) Remembering what the doctor said: organization and adults’ memory for medical information. Exp Aging Res 22:403–428

    Article  CAS  Google Scholar 

  62. Renders CM, Valk GD, Griffin S, Wagner EH, Eijk JT, Assendelft WJ (2001) Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database Syst Rev 1:CD001481

    Google Scholar 

  63. Siddiqui A, Gul A, Ahmedani MY, Masood Q, Miyan ZM (2010) Compliance to dietary counseling provided to patients with type 2 diabetes at a tertiary care hospital. J Diabetology 1(5)

    Google Scholar 

  64. Andrews RC, Cooper AR, Montgomery AA, Norcross AJ, Peters TJ, Sharp DJ, Jackson N, Fitzsimons K, Bright J, Coulman K et al (2011) Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the early ACTID randomised controlled trial. Lancet 378:129–139

    Article  CAS  Google Scholar 

  65. Minet L, Moller S, Vach W, Wagner L, Henriksen JE (2010) Mediating the effect of self-care management intervention in type 2 diabetes: a meta-analysis of 47 randomised controlled trials. Patient Educ Couns 80:29–41

    Article  Google Scholar 

  66. Galuska DA, Will JC, Serdula MK, Ford ES (1999) Are health care professionals advising obese patients to lose weight? JAMA 282:1576–1578

    Article  CAS  Google Scholar 

  67. Miller CK, Edwards L, Kissling G, Sanville L (2002) Nutrition education improves metabolic outcomes among older adults with diabetes mellitus: results from a randomized controlled trial. Prev Med 34:252–259

    Article  Google Scholar 

  68. Anderson DA, Wadden TA (1999) Treating the obese patient: suggestions for primary care practice. Arch Fam Med 8:156–167

    Article  CAS  Google Scholar 

  69. Gunton JE, Davies L, Wilmshurst E, Fulcher G, Mcelduff A (2002) Cigarette smoking affects glycemic control in diabetes. Diabetes Care 25:796–797

    Article  Google Scholar 

  70. Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM (2002) Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care 25:1159–1171

    Article  Google Scholar 

  71. Wilson C, Brown T, Acton K, Gilliland S (2003) Effects of clinical nutrition education and educator discipline on glycemic control outcomes in the Indian health service. Diabetes Care 26:2500–2504

    Article  Google Scholar 

  72. Kirk A, Mutrie N, Macintyre P, Fisher M (2004) Effects of a 12-month physical activity counselling intervention on glycaemic control and on the status of cardiovascular risk factors in people with type 2 diabetes. Diabetologia 47:821–832

    Article  CAS  Google Scholar 

  73. Shibayama T, Kobayashi K, Takano A, Kadowaki T, Kazuma K (2007) Effectiveness of lifestyle counseling by certified expert nurse of Japan for non-insulin-treated diabetic outpatients: a 1-year randomized controlled trial. Diabetes Res Clin Pract 76:265–268

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. F. Chan Sun .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this paper

Cite this paper

Chan Sun, M.F., Neptune-Madeleine, J., Ramasawmy, D. (2016). Crystals of Sugar to be Consumed Sparsely and other Healthy Behaviours. In: Ramasami, P., Gupta Bhowon, M., Jhaumeer Laulloo, S., Li Kam Wah, H. (eds) Crystallizing Ideas – The Role of Chemistry. Springer, Cham. https://doi.org/10.1007/978-3-319-31759-5_18

Download citation

Publish with us

Policies and ethics