If you are not insulin or leptin resistant (have a normal weight without diabetes, hypertension, or high cholesterol) and you regularly engage in physical activity or strenuous manual labor, increased fructose consumption is unlikely to cause health problems . In this case, you can probably eat more fruit without worrying too much.
However, if you fall into category two above, you might benefit from further refinement. Fruit will still raise your blood sugar levels, and many experts believe this increases protein glycosylation. Therefore, my approach is to consume fruit generally after a workout, as your body will use the sugar for fuel rather than raising your blood sugar levels.
Furthermore, if you’re an endurance athlete, you can probably get away with eating large amounts of fruit since your body will use most of the glucose during exercise, and it won’t be stored as fat. (That said, I still believe athletes would be wise to consider becoming fat-adapted rather than relying on fast-acting sugars.)
If you are still unsure how rigorous you need to be, have your uric acid levels checked and use them as a guide.
Diabetes medications increase the risk of heart disease
Metformin, a drug that makes your body’s tissues more sensitive to insulin, is one of the most common diabetes medications on the market. However, a new study shows that among people with hypothyroidism , metformin use has been associated with an increased risk of low TSH (thyroid-stimulating hormone). 8 If your TSH level becomes too low, it can cause serious damage, including heart problems such as atrial fibrillation, which could lead to congestive heart failure. 9 Independent research has also shown that treating type 2 diabetes with blood sugar-lowering drugs has actually shown the potential to increase your risk of death from heart disease and other causes. The researchers noted: 10
80% of heart attacks could be prevented if everyone did these 5 easy things
