Drink Soda

To prevent diabetes, we’re often told by health experts what not to eat, such as too many refined carbohydrates from breads, pasta, and ice cream. What not to drink may be just as important.

Latest finding: Researchers at the Harvard School of Public Health analyzed health data from 310,000 people who participated in eleven studies that explored the connection between sugar-sweetened beverages (SSBs) and diabetes.

Fact: SSBs include soda, fruit drinks (not 100 percent fruit juice), sweetened iced teas, energy drinks, and vitamin water drinks. And in the last few decades, the average daily intake of calories from SSBs in the United States has more than doubled, from 64 to 141. The beverages are now “the primary source of added sugars in the U.S. diet,” wrote the Harvard researchers in Diabetes Care. The researchers found:

  • Drinking one to two twelve-ounce servings of SSBs per day was linked to a 26 percent increased risk of type 2 diabetes, compared with people who drink one or fewer SSBs per month. The increased risk for diabetes among those drinking SSBs was true even for people who weren’t overweight, a common risk factor for diabetes. The researchers concluded that while SSBs are a risk factor for overweight, they’re also a risk factor for diabetes whether you gain weight or not. “The association that we observed between sodas and risk of diabetes is likely a cause-and-effect relationship,” says Frank Hu, PhD, professor of nutrition and epidemiology at the Harvard School of Public Health.

Theory: A typical twelve-ounce serving of soda delivers ten teaspoons of sugar. That big dose of quickly absorbed sugar drives up blood sugar (glucose) levels, in turn driving up blood levels of insulin, the hormone that moves glucose out of the bloodstream and into cells, leading to insulin resistance, with cells no longer responding to the hormone and blood sugar levels staying high, eventually leading to diabetes. SSBs also increase C-reactive protein, a biomarker of chronic, low-grade inflammation, which is also linked to a higher risk for diabetes.

  • Cola-type beverages also contain high levels of advanced glycation end products, a type of compound linked to diabetes, say the researchers. And many SSBs are loaded with fructose, a type of sugar that can cause extra abdominal fat, another risk factor for diabetes.

Bottom line: “People should limit how much sugar-sweetened beverages they drink and replace them with healthy alternatives, such as water, to reduce the risk of diabetes, as well as obesity, gout, tooth decay, and cardiovascular disease,” says Vasanti Malik, PhD, a study researcher.


“I help many of my clients break the habit of regularly drinking soda, sweetened iced tea, and other sugary beverages,” says Lora Krulak, a healthy foods chef and self-described “nutritional muse” in Miami, Florida. “I show them how to make other beverages that have natural sugar or are naturally sweetened, so they don’t miss the sugary drinks.” One of her favorite thirst-quenching combinations:


  • 2 to 3 liters of water (sparkling or still)
  • Juice of 2 lemons
  • Juice of 2 limes
  • Small bunch of mint
  • Pinch of salt
  • 1 tablespoon of maple syrup, honey, or coconut sugar or stevia to taste (stevia is a natural, low-calorie sweetener)
  1. Let the mixture steep for 30 minutes before drinking.

“It’s good to make a lot of this drink, so it’s in your refrigerator and you can grab it any time,” says Krulak. When leaving home, put some in a water bottle and carry it with you.


“If one of my patients is craving sugary drinks, it means his or her blood sugar levels aren’t under control,” says Ann Lee, ND, LAc, a naturopathic doctor and licensed acupuncturist in Lancaster, Pennsylvania. To balance blood sugar levels and control sugar cravings, she recommends eating every three to four hours, emphasizing high-protein foods (lean meats, chicken, fish, eggs, nuts, and seeds), good fats (such as the monounsaturated fats found in avocados and olive oil), and high-fiber foods (such as beans, whole grains, and vegetables). She also advises her clients to take nutritional supplements that strengthen the adrenal glands, which play a key role in regulating blood sugar levels.


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