Sugar. Oh, Honey, Honey…

July 5, 2024.

by Bridget O’Donnell


Routine bloodwork brought our attention to a few numbers that have slowly encroached on borderline to moderately elevated, with cholesterol and glucose in the forefront. Despite a lifestyle of predominately clean eating and regular exercise, I’ve tentatively watched my numbers continue to rise a nominal amount for the last two years. Now that we both needed to make a more concerted effort, I felt the time spent reading about how we might begin to do this was overdue.

Total cholesterol -

Glucose (aka: Sugar) - 

Charts provided by: healthline.com

 

Current government websites generated from a google search seem to gloss over how someone might begin to reverse the anomaly and improve their numbers. By suggesting a handful of foods to eat or avoid, and encouraging daily but light exercise, resources like the American Heart Association and Dietary Guidelines (.gov) can speak to a wider audience. Unfortunately, (or to be honest, fortunately), people have different bodies, heredities, lifestyles and goals. We all have limitations, but try to be thankful for the abilities and good health you do have.

Authoritative print resources pertaining to cholesterol appear to be more heavily published between the late 1990s to about 2017. As is often the case, research shifts over time. Subsequent publications that contain the word cholesterol also seem to address the phenomenon of comorbidity, suggesting that high cholesterol has a close relationship with other health issues. The antiquated argument that people developed this condition solely by eating foods containing cholesterol and saturated fats has been replaced with cholesterol's relation to other conditions and chronic diseases including obesity, diabetes, high blood pressure, heart disease and inflammation. Thankfully, diet and lifestyle changes made to counter the aforementioned also aid in lowering cholesterol.

Stress, aging and a few other factors could also be considered, but I recently read that children can have high cholesterol too(!!!). To help avoid medications, I came across suggestions for intermittent fasting and following the DASH, South Beach, Mediterranean, and Keto diets. [The Keto diet would never be one that I would rely on personally.] Additional recommendations include avoiding an overconsumption of starches, carbohydrates and ultimately, sugar, while adding more fiber and foods with a low glycemic index/load to your diet. With more books checked out than I can feasibly read from cover to cover before leaving to attend a conference, I’ve only scratched the surface. To be continued...

**Talk to your doctor about how your diet might affect personal health issues and/or ask for a referral to discuss them with a specialist like a dietician**

So now what? Sugar seems to be the culprit of many aliments, so that’s where we’re starting. Because our numbers are borderline and we're more or less asymptomatic, I feel there's a little less urgency to reinvent the wheel. We’re not going to throw away everything we already have containing starch, carbohydrates or sugar. but we will be more conscious about how often (and how much) we consume them. We will also try to be more aware of what we buy in the future. Working in our favor, we’ve already cut out most foods with processed sugar. Our meals are balanced and plant forward--especially during the CSA vegetable season which, for us, covers most of the year. (During this period I don't get many colds; Popeye may have been on to something.) Moving forward, we can look for more foods that have a lower glycemic index, like strawberries, but to be fair we will still occasionally have gelato or full fat ice cream. Hopefully our efforts are enough to curb pre-diabetes and collectively lower our cholesterol without medication.

Tangentially, while writing this blog entry I came across an email from the Walkway over the Hudson that referred to June's full moon as the "strawberry moon." According to Nasa, this name refers to the relatively short season for harvesting strawberries in the north-eastern United States. Serendipitously, for the 2024 season I had the foresight to purchase a berry share from a local farm working cooperatively with my CSA. The first few weeks they’ve had strawberries. Strawberry Shortcake any everyone? The second and third week I had to freeze a large portion of the 'berries to arrest ripening. Those will be perfect for smoothies. Their short harvesting season does make me wonder where the groceries stores are sourcing the 'berries they sell all year long.

Using 1 cup of fresh strawberries I revisited the strawberry-rhubarb pairing (suggested in PPLD's What’s Cooking Blog for “All-Season Mocktails, Spritzers, Syrups and Shrubs”) and made a "Naturally Sweet Strawberry and Rhubarb Compote.” -- Add less honey for a lower sugar version, which I did, or substitute agave for a vegetarian/vegan version. Canning & Preserving has another recipe on page 57 that you might also want to try.  ....Serve over angel food cake with whipped cream (as shown in the photo at the top of this post), over pancakes or waffles, ice cream or gelato, on toast with or without your choice of nut butter, in parfait or yogurt with or without granola... You get the idea. Whatever you decide to put it on, Enjoy!!

 

If you can tolerate a little more sugar you might consider giving the following recipe a try. One of our Librarians, Kayleigh H. found a recipe for this street food on TikTok then created a batch in our staff kitchen for a Teen program. It may not be low-sugar per se but it is made with fruit, strawberries work well. Tanghulu is probably a little healthier than some of the snacks sold at the convenience store, too.


Title of cookbook/website: Aubrey's Kitchen

Author of Recipe:  Aubrey ...

What prompted you to check out this recipe?

Checked out the recipe because of videos on TikTok.

What did you like about this recipe?

This recipe was really easy to make! All you need is sugar and water in a 2:1 ratio and fruit.

History: Tanghulu is a popular northern Chinese street food traditionally made with hawthorn fruit, but you can use strawberries, grapes, blueberries, clementines- whatever fruit you desire, but fruit with an enclosed skin works best.

What didn’t you like about this recipe?

[Nothing]

Favorite recipes (that you tried from the cookbook/website):

Tanghulu!

Did you alter the recipe or make any substitutions?

Nope!

Would you recommend this cookbook?

Yes.


References:

Books - 

American Heart Association Healthy Fats, Low-Cholesterol Cookbook: Delicious Recipes to Help Reduce Bad Fats and Lower Your Cholesterol.

Canning & Preserving: 80+ Simple, Small-Batch Recipes / Good Housekeeping.

Cholesterol: the Essential Guide / Sara Kirkham.

The Dash Diet Action Plan: Proven to Lower Blood Pressure and Cholesterol without Medication / Marla Heller.

Diabetes & Heart Healthy Cookbook: More than 160 Delicious Recipes for Everything from Snacks to Desserts / American Heart Association.

Eating For Lower Cholesterol: A Balanced Approach to Heart Health with Recipes Everyone Will Love / Catherine Jones with Elaine Trujillo.

The Fiber Fueled Cookbook: Inspiring Plant-Based Recipes to Turbocharge Your Health / Will Bulsiewicz, recipes by Alexandra Caspero.

The Glycemic Load Diet Cookbook: 150 Recipes to Help You Lose Weight and Reverse Insulin Resistance  / Rob Thompson & Dana Carpender.

The Great Cholesterol Myth. Why Lowering Your Cholesterol Won't Prevent Heart Disease--and the Statin-Free Plan That Will / Johnny Bowden.

Perfect Cholesterol In Just Three Weeks (Without Drugs!): The Answer to High Cholesterol / Dr. David M. Vitko.

Websites -

“The Archies - Sugar Sugar.” YouTube, 14 Feb. 2015, www.youtube.com/watch?v=PcLObPhKdDk.

Aubry. “Tanghulu.” Aubrey’s Kitchen, 10 Sept. 2020, aubreyskitchen.com/tanghulu/.

“Cholesterol - Search Results.” National Institutes of Health, U.S. Department of Health and Human Services, search.nih.gov/search?utf8=%E2%9C%93&affiliate=nhlbi_nhlbi_prod&query=cholesterol&commit=Search. Accessed 5 July 2024.

“Community Supported Agriculture (CSA).” Poughkeepsie Farm Project, www.farmproject.org/csa. Accessed 5 July 2024.

Goldman, Rena, et al. “The Recommended Cholesterol Levels By Age.” Healthline, Healthline Media, www.healthline.com/health/high-cholesterol/levels-by-age#adults. Accessed 5 July 2024.

Hartnett, Kayleigh. “Tanghulu.” Canva, https://www.canva.com/design/DAGHfDtWWNM/N9WC_HcJ8_BQuMKenjDVSA/edit. Accessed 5 July 2024. - Link to sheets w/recipe and instructions

Hoskins, Mike, and Stacy Sampson. “Blood Sugar Level Chart Based on Age.” Healthline, Healthline Media, 24 Mar. 2023, www.healthline.com/health/diabetes/blood-sugar-levels-chart-by-age#glucose-by-age.

Johnston, Gordon. “The Next Full Moon Is the Strawberry Moon - NASA Science.” NASA, 13 June 2024, science.nasa.gov/solar-system/skywatching/the-next-full-moon-is-the-strawberry-moon-2/.

Mansour, Donna. “Naturally Sweetened Strawberry Rhubarb Compote.” Whole Food Bellies, 4 June 2019, www.wholefoodbellies.com/strawberry-rhubarb-compote/.

Quick Subject/Concept links to the Discover Online Library catalog:

Canning and preserving

Cholesterol

Natural Sugar* - (Results narrowed by Format: Book; Literary Form: Non-fiction; Concepts: Nutrition, Cooking (Natural foods), Sugar-free diet, Desserts, Baking, Reducing diets, Detoxification (Health))

Sugar-Free Diet