How can you get your daily chocolate fix -- and eat less sugar or calories, too? That's a million-dollar question that several companies are banking on people asking. Over the past few years, the sugar-free and portion-controlled chocolate market has exploded. There are all sorts of sugar-free versions of favorite chocolate bars. And you can now buy individually wrapped chocolate bars or sticks in 60- to 100-calorie portions, along with the ever-popular kisses.
To help you decide among all the options...
"Diabetes is about balance - balancing food, activity, insulin, pills every single day," says Larry C. Deeb, MD, a diabetes specialist in Tallahassee, Fla. and president-elect of the American Diabetes Association.
Be vigilant. In its later stages, low blood sugar can be very dangerous -- possibly causing fainting, even coma.
High blood sugar (hyperglycemia). Blood sugar levels above 240 can develop when your insulin level is too low to control blood sugar. This leads to ketosis, a condition in which you're unable to use glucose for energy, so your body switches to burning fat instead.
In ketosis, fat is converted to ketones which get into your blood and your urine. Glucose also builds in your blood and spills into your urine -- pulling water from your body and causing dehydration, a potentially life-threatening condition.
"Ketosis decreases oxygen delivery to the tissues, which puts stress on eyes, kidneys, heart, liver," says Christine Gerbstadt, MD, MPH, RD, LDN, a spokeswoman for the American Dietetic Association and a diabetes specialist in Philadelphia.
That's why a low-carb, high-protein diet, like Atkins, for example, is not really safe for people with diabetes, says Gerbstadt. "Diabetics need to try to stick with a more balanced diet so your body can handle nutrients without going into ketosis."
If your blood sugar level is under control, hyperglycemia or ketosis isn't a risk, Deeb explains.
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