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BBC
12 November, 2002
Slow-cooking
could protect diabetics
Cooking food fast
could increase the amount of toxins
Diabetics who are prepared to wait while their food cooks slowly might protect
themselves against dangerous blood vessel problems, suggests research.
Experts from the US say that preparing food using high temperatures increases
the levels of potentially toxic chemicals.
And they say that while a healthy person could cope with these chemicals, diabetics
are less able to do so.
The chemicals in question are "advanced glycation end products" (AGEs),
which are formed when combinations of sugars, proteins and fats - such as those
found in many foodstuffs - are heated.
These can also be generated from fats, sugars and proteins circulating in the
body.
When certain body tissues are exposed to AGEs over long periods, they can lose
their natural elasticity.
The most important example of this is the way the walls of blood vessels can
become hardened, allowing the accumulation of fatty plaques which can eventually
block the vessel and cause problems.
Diabetic problem
Diabetics are known to be particularly prone to heart disease, and one of the
reasons is because uncorrected high blood sugar levels offer more opportunity
for the generation of AGEs.
However, it is not yet established whether the source of these AGEs is purely
internal, or whether AGEs created during the cooking process can get into the
bloodstream and contribute to the process.
To try to answer this question, researchers at Mount Sinai School of Medicine
in New York took two small groups of diabetic patients and put both on a diet
with the same essential ingredients.
However, one was allowed to cook the food normally, while the other slow-cooked
it to avoid the generation of AGEs.
Then all the subjects were given blood tests to check for AGE levels.
Higher levels
Those cooking in a normal fashion had significantly higher levels of AGEs in
their bloodstreams than those who took the slow-cooking route.
They also had higher levels of a chemical linked to inflammation of the tissue
that makes up the blood vessel wall.
This suggests, say the researchers, that AGE levels in food may have an impact
on the levels in the bloodstream.
Professor Alan Stitt, an expert on diabetic vascular problems at Queen's University
in Belfast, said that there were still sceptics who believed that AGEs could
not get through the gut wall and reach the blood.
He told BBC News Online: "This is one of those ideas that is not widely
accepted.
"In my opinion, AGEs do probably have a major role to play - but a lot
more work needs to be done to prove this.
"It's a little early to be telling diabetics to change the way they prepare
their food."
He said it was likely that severe diabetics with "end-stage" kidney
problems would be most disadvantaged by AGEs, as their bodies were less capable
of removing excess amounts of this chemical.
The study was published in the journal Proceedings of the National Academy of
Sciences.
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