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The Cardiac Clinic for a healthy heart Phone 0508 CARDIAC (0508 227 342) www.thecardiacclinic.co.nz What are Carbohydrates? There are three main groups of nutrients – protein, fat and carbohydrate. Carbohydrates are the most important source of energy for your body. Your digestive system changes carbohydrates into glucose (sugar) and transports it into your bloodstream. Your body uses this sugar to make energy in your cells, tissues and organs. It stores any extra sugar in your liver and muscles as glycogen which you can use at a later time when it is needed. Carbohydrates can be classified as either sugars or starches. The sugars give us instant energy. They are sometimes called “simple” carbohydrates and they include sugars found naturally in foods such as fruits, vegetables, milk, and milk products. They also include sugars in confectionary and those added during food manufacture. Starches are the “complex” carbohydrates and they include whole grain breads and cereals, starchy vegetables and legumes and many of the complex carbohydrates are good sources of fibre. Fibre does not provide energy for our body but it is important for digestion and eliminating waste. It joins to fatty substances in our intestines and helps remove it from our body which helps lower our cholesterol levels. Fibre also helps to regulate the sugar in our blood and keep hunger in check. Why are Carbohydrates Good For You? Research has shown that carbohydrates aren’t all good but they are also not all bad. Some carbohydrates promote health while others, when eaten often and in large quantities, actually increase the risk for diabetes and coronary heart disease. Research estimates that 90% of type 2 diabetes cases could be prevented through a combination of a healthy diet and an active lifestyle. Low-digestible carbohydrates that contain fibre helps us with satiety (fullness/satisfaction), digestion, glucose (sugar) absorption into the blood, fat burning as energy, nitrogen excretion (from protein),and fermentation (breakdown of foods for their nutrients). In addition, clinical research has suggested that the eating of some of these carbohydrates may decrease the factors associated with metabolic syndrome (obesity, diabetes, high blood pressure) and may prevent or treat other chronic diseases. Which Carbohydrates Should You Choose? Carbohydrate foods are rated by their glycemic index (GI). Foods with a high GI cause rapid spikes in blood sugar whilst foods with a low GI are digested more slowly, causing a lower and gentler change in blood sugar. Foods with a score of 70 or higher are defined as having a high GI; those with a score of 55 or below have a low GI. Diets rich in high GI foods have been linked to an increased risk for diabetes, heart disease, and overweight, and some cancers. Foods with a low GI have been shown to help control type 2 diabetes and improve weight loss. For a healthy diet limit the amount of high GI carbohydrates and added sugar. Swap refined grains (white flour based foods) with wholegrains. Use whole grain breads over white types and look for bread that lists the first ingredient as “whole wheat”, “whole rye”, or some other whole grain. Swap potatoes for kumara or pumpkin, swap white rice for brown and swap fresh white pasta for whole wheat pasta. Grains that have been milled and refined remove the bran and the germ, resulting in a nutrient poor grain. Choose fruit instead of fruit juice as it has much more fiber and a lot less sugar than a glass of juice. Avoid sports drinks, unless you are exercising at a high intensity or for more than 90 minutes, otherwise use water when exercising. Use the GI as a general guide only. In some cases it can be misleading for example a Snickers bar has a GI of 41, therefore low GI, but a Snickers bar is not a healthy choice. Should You Consider a Low Carbohydrate Diet to Loose Weight? Many people have had short-term success in weight loss by reducing the amount of carbohydrates in their diets. This initial success has led many to believe that carbs are the fattening enemy. NOT SO. Carbohydrates are not the enemy; they are, in fact, our number one source of energy, vitamins, minerals and fibre. It is the overindulgence in high GI carbohydrates that can cause weight gain. Choose good carbs, not no carbs.