
Rye vs Sourdough: Which bread is better for blood sugar control?
For diabetics, mindful choices can help control insulin levels and keep spikes under check. If you are confused between rye and sourdough and curious about their impact on your insulin level, indianexpress.com comes to you with inputs from a nutritionist.
Deepika Sharma, personal fitness expert with a focus on functional nutrition, told indianexpress.com that the primary difference between rye and sourdough is that rye is a grain and sourdough is a process. Still, both show up a lot in conversations around digestion, gut health, and blood sugar, so it's worth unpacking.
'Rye bread (the dense, old-school kind — not the soft, sweetened stuff from supermarket shelves) is naturally high in fibre. It's got these slow-digesting carbs that help keep your blood sugar steady. It's also rich in something called arabinoxylans, basically food for your good gut bacteria. So it's not just about sugar spikes, it's also about how your gut holds up over time,' said Sharma.
Sourdough, on the other hand, is more of a technique.
According to her, it can be made with rye, wheat, spelt, whatever flour you choose.
'What makes it different is the wild fermentation. Instead of commercial yeast, it uses natural bacteria and yeast (mostly lactobacilli) that slowly break things down, including carbs and gluten,' she explained, adding that the process is what makes it easier to digest, lowers the glycemic load, and even reduces compounds that block mineral absorption.
'If you're eating rye sourdough, that's the sweet spot, you get both the grain and the fermentation benefits,' said Sharma. If it's a basic rye vs a good white sourdough, then the sourdough often comes out ahead, especially if it's slow-fermented and made with whole grains, she added.
The part most people miss? It's not just the ingredient. It's how it's made. 'A fluffy, fast-baked rye with added sugar won't do much for your gut. But a slow-fermented whole wheat sourdough? That's a different story,' said Sharma. More often than not, labels don't tell the whole truth. The process does, she concluded.
Nutritionist Apeksha Chandurkar, founder of Balanced Bite, added that according to dietary recommendations, consuming plain or toasted bread solely depends on the individual's health status and preference. Between the both, toasted bread, which has a slightly lower GI (glycaemic index), could help keep blood glucose levels in check compared to plain bread.
Another way to reduce glucose spikes is to freeze and thaw bread. 'Take a plain slice of bread. Put it in a box or container. Freeze it in the refrigerator. The next day, you toast it. This reduces blood sugar spikes by 40 percent. When it is frozen and thawed, resistance starch forms, which is great for gut bacteria,' she added.

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News18
a day ago
- News18
Lung Cancer Myths, Risks And Signs, Doctor Shares Key Facts You Must Know
Last Updated: Lung cancer is an escalating health crisis in India, caused not just by smoking but also by air pollution, genetic predisposition, and occupational hazards. Each year on August 1, the world observes Lung Cancer Day to raise awareness about the disease and defeat the stigma associated with it. According to GLOBOCAN 2020 data by the International Agency for Research on Cancer (IARC), lung cancer remained the leading cause of cancer-related deaths in 2020, accounting for an estimated 1.8 million deaths, about 18% of all cancer fatalities, as reported by the World Health Organisation (WHO). In India too, Lung cancer is a serious public health issue, taking thousands of lives each year and affecting both smokers and non-smokers alike. According to the Indian Journal of Medical Research (2025), the number of cases in India is expected to rise from 63,807 in 2015 to 81,219 cases in 2025 It's Not Just A Smoker's Disease While smoking is the most widely known cause of lung cancer, in India, a growing number of non-smokers are being diagnosed due to environmental triggers. Dr. Mohit Sharma, Clinical Director & HOD- Medical Oncology, Marengo Asia Hospitals Faridabad, highlights that the most common misconception about lung cancer is that only smokers develop lung cancer. 'While smoking is a major risk factor for lung cancer, many times, non-smokers develop lung cancer because of environmental factors, secondhand smoke exposure, genetic mutations, radon exposure, etc," Dr Sharma says. He also notes that due to this myth, timely diagnosis in non-smokers is often put off, because early symptoms are dismissed as minor respiratory issues. 'Many people still consider lung cancer solely a smoker's disease, which is dangerous in that it fosters a false sense of security in non-smokers. Because of this misconception, many people without smoking experiences will often delay getting a checkup or diagnosis, allowing the disease to progress without medical treatment," Dr Sharma adds. As per the National Cancer Registry and GLOBOCAN 2020, India reported 85,221 new lung cancer cases and 70,264 deaths in 2020, with an age-standardised incidence rate of 7.3 per 100,000. Smoking is still the major contributor, responsible for around 60–70% of male cases and a significant portion among females. However, among Indian women, lung cancer doesn't feature among the top five cancers, indicating that other risk factors are at play. Air pollution, secondhand smoke, and workplace exposure to carcinogens are increasingly affecting non-smokers. Link Between Air Pollution and Lung Cancer in India Air pollution, especially fine particulate matter known as PM 2.5, is a key risk factor for lung cancer in India, particularly among non-smokers. The International Agency for Research on Cancer (IARC) categorised outdoor air pollution and PM2.5 as Group 1 carcinogens in 2013, directly linking them to lung cancer. PM2.5 particles are tiny (less than 2.5 microns), allowing them to reach deep into the lungs, where they cause inflammation and DNA damage that can result in cancer. Urban centres like Delhi-NCR frequently suffer from 'severe" air quality, with AQI levels above 350 due to vehicle exhaust, industrial emissions, and biomass burning. A 2023 study in Scientific Reports showed a strong link between worsening air quality and rising lung cancer deaths in India. Predictive models were able to estimate pollution levels with 81–98% accuracy. The Global Burden of Disease 2019 report found that 15% of global lung cancer deaths can be attributed to PM2.5 exposure, with India being one of the worst-affected regions. In parts of Asia, including the Western Pacific, the connection between air pollution and lung cancer is especially strong. Research from the Francis Crick Institute revealed that EGFR-mutant lung cancer is more common in areas with high PM2.5 levels, putting non-smokers with genetic vulnerabilities at even greater risk. Symptoms Lung cancer often shows no signs until it reaches an advanced stage, making early detection difficult. The common symptoms include: These symptoms usually develop slowly and are frequently confused with tuberculosis (TB) or other chronic lung diseases. As a result, diagnosis is often delayed. The Tamil Nadu Cancer Registry reports that 70% of patients in India are diagnosed at an advanced stage (35% locally advanced and 35% with metastasis), which greatly reduces the chances of survival. How Symptoms Are Often Missed Or Misunderstood Lung cancer symptoms are commonly confused with other respiratory issues. In India, air pollution worsens asthma and chronic obstructive pulmonary disease (COPD), while TB remains a prevalent diagnosis. Dr Sharma says, 'The diagnosis of lung cancer is often delayed because patients with symptoms of lung cancer, such as persistent or worsening cough, persistent fatigue, or unexplained shortness of breath, often attribute their symptoms to trivial conditions such as asthma or allergies." 'Perhaps, the most concerning phenomenon is that many patients seeking help from a medical professional only do so after the symptoms worsen – thus leading to late-stage diagnosis of lung cancer when treatment becomes more challenging," he adds. Many people seek medical help only after more serious signs, such as coughing up blood or major weight loss, appear—by which time the disease may be advanced. How Early Detection Saves Lives Dr Sharma highlights that an early-stage lung cancer is most treatable, and screening is an important factor in detecting the disease at an early stage. Detecting lung cancer early greatly improves survival rates. Globally, the five-year survival rate for lung cancer is between 10–20%, but early detection can significantly improve outcomes. In India, lung cancer is the fourth most common cancer, and with a high mortality rate (5.3 per 100,000), early diagnosis is especially crucial. 'Screening is highly recommended for people aged 50 and older with a history of heavy smoking or long-term exposure to certain exposures, such as pollutants (e.g., asbestos) or a family history of lung cancer," Dr Sharma says. Dr Sharma advises individuals at higher risk to take an annual screening for lung cancer via low-dose CT scans, which have been shown to have the potential for earlier stage detection and subsequent treatment. Low-dose computed tomography (LDCT) scans are highly effective in spotting lung cancer in people who show no symptoms but are considered high-risk, especially those aged 55–80 with a 20 pack-year smoking history or who quit recently. What Lifestyle Changes Can Lower A Person's Risk Of Lung Cancer? Dr Sharma explains that a few healthy lifestyle choices can reduce the chances of developing lung cancer. 'Stopping smoking and stopping environmental tobacco smoke like secondhand smoke are the most critical," he adds. He adds that staying active, eating plenty of fruits and vegetables, and limiting alcohol intake can help lower the risk. Avoiding exposure to air pollution, radon, and workplace carcinogens also plays a key role in reducing risk and supporting overall lung health. Quit Smoking and Avoid Tobacco: Quitting smoking is the single most effective way to reduce lung cancer risk. According to the ICMR, quitting before age 50 can reduce risk by half within 10–15 years. Avoiding smokeless tobacco (like chewing tobacco or pan) and hookah is equally important, as both beedis and cigarettes pose high risks. Limit Secondhand Smoke Exposure: Encourage those around you to quit smoking, and steer clear of smoky areas. Secondhand smoke increases a non-smoker's lung cancer risk by up to 20%. Reduce Exposure to Air Pollution: Avoid going outdoors when AQI levels are dangerously high (e.g., above 300), especially in polluted cities like Delhi. Wear N95 masks, use indoor air purifiers, and maintain good ventilation at home. Exercise Regularly: Staying active strengthens lung function and boosts overall health. Even indoor workouts during high pollution periods can lower cancer risk by improving immunity, as per Hindustan Times. Avoid Harmful Workplace Exposures: Workers in construction, mining, or industrial jobs should use proper safety gear to protect themselves from asbestos, coal dust, and other carcinogens. Get Regular Health Check-Ups: Routine screenings for high-risk individuals—such as those with a family history or living in highly polluted areas—are vital for early detection. The Times of India stresses that knowing symptoms and accessing LDCT scans can be life-saving when facilities are available. Progress In Lung Cancer Treatment top videos View all Dr Sharma notes that lung cancer treatment has advanced significantly in recent years. Newer options like immunotherapy and targeted therapies offer more personalised, effective care with fewer side effects compared to traditional chemotherapy. 'Liquid biopsies have facilitated more timely genetic mutation detection and, as a result, therapy selection. All of the above have contributed to higher survival rates and quality of life for many individuals," he adds. About the Author Surbhi Pathak Surbhi Pathak, subeditor, writes on India, world affairs, science, and education. She is currently dabbling with lifestyle content. Follow her on X: @S_Pathak_11. Get Latest Updates on Movies, Breaking News On India, World, Live Cricket Scores, And Stock Market Updates. Also Download the News18 App to stay updated! view comments Location : New Delhi, India, India First Published: August 01, 2025, 08:00 IST News explainers Lung Cancer Myths, Risks And Signs, Doctor Shares Key Facts You Must Know Disclaimer: Comments reflect users' views, not News18's. Please keep discussions respectful and constructive. Abusive, defamatory, or illegal comments will be removed. News18 may disable any comment at its discretion. By posting, you agree to our Terms of Use and Privacy Policy.
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Business Standard
a day ago
- Business Standard
Can juice fast really detox your body? Here's what doctors want you to know
Fact-check Friday: Juice cleanses promise detox, weight loss, and instant energy, but are they truly effective or just hyped-up health myths? Barkha Mathur New Delhi 'Three-day juice fast challenge', 'green juice detoxes', 'seven-day juice reset', and 'glow-up juice detox' have become popular health trends on social media, often touted as a quick fix to 'reset' the body, shed excess weight, or undo days of unhealthy eating. Promoted by influencers and wellness brands, these fasts promise benefits that sound appealing, especially to those seeking easy health hacks. But behind the viral appeal lies a growing concern among medical experts: many of these claims are scientifically unproven, misleading, and in some cases, potentially harmful. In this edition of Fact-check Friday, we unpack the truth behind juice cleanse myths with insights from Dr Mohit Sharma, Senior Consultant, Internal Medicine at Amrita Hospital, Faridabad. Myth 1: Juice fasts detox your body Fact: Your body already has a built-in detox system called your liver and kidneys. 'They do the detoxing job 24x7. You don't need expensive juices for that,' said Dr Sharma. So, before you drop thousands on a fancy cleanse, remember your organs are already doing the work for free. Myth 2: Juice fasts lead to sustainable weight loss Fact: You'll probably see the number on the scale drop, but don't celebrate just yet. 'It's mostly water weight,' Dr Sharma explained. Once you start eating normally again, it usually comes right back. Long-term weight loss doesn't come in a bottle—it comes from consistent, balanced eating and movement. Myth 3: Juice is as nutritious as whole fruits and vegetables Fact: 'When you juice, you strip out the fibre and sometimes even the nutrients,' said Dr Sharma. What you're left with is mostly sugar. Eating the whole fruit or vegetable—with skin and pulp—offers far more nutritional benefits and keeps your digestion on track. Myth 4: Juice fasting gives your digestive system a 'break' Fact: Your digestive system isn't a tired employee that needs time off. In fact, ' Your gut thrives on fibre, and juice doesn't have any,' explained Dr Sharma. Skipping fibre may actually make digestion sluggish over time. Myth 5: Juice fasts cure chronic diseases Fact: There's zero scientific evidence to back that up. 'Extreme diets like juice cleanses can even worsen conditions like diabetes or kidney disease,' warned Dr Sharma. If you're managing a chronic illness, always consult a doctor—don't rely on juice to be your medicine. Myth 6: Juice gives you more energy Fact: You may feel a temporary boost, but it's usually a sugar high. 'Juices are mostly simple sugars. After the initial spike, you'll likely feel even more tired,' said Dr Sharma. Energy levels are better maintained with protein, healthy fats, and complex carbs—not just sugar-laden sips. Myth 7: Juice fasts are safe for everyone Fact: 'They can be risky, especially for children, pregnant women, older adults, or people with existing health conditions,' cautioned Dr Sharma. Just because it's natural doesn't mean it's safe for all. Myth 8: Drinking juice is the same as eating a salad Fact: 'A salad has fibre and keeps you full. Juice? Not so much,' Dr Sharma said. It may taste refreshing, but it won't keep your hunger at bay for long. Myth 9: All juices are healthy Fact: Some are loaded with sugar, preservatives, and additives. 'Even cold-pressed ones can be high in natural sugars and low in actual nutrition,' said Dr Sharma. Read those labels carefully. Myth 10: Feeling weak or dizzy during a juice fast means it's working Fact: No, that's a red flag. Weakness often means your blood sugar is crashing or you're running low on vital nutrients. 'Feeling dizzy or tired isn't a sign of healing—it's your body crying out for help,' Dr Sharma said. Myth 11: Juice fasts boost your metabolism Fact: Ironically, the opposite is true. 'When your calorie intake drops too low, your metabolism slows down to conserve energy,' explained Dr Sharma. Long-term, this can make weight management even harder. Myth 12: Juice cleanses reset your DNA or cells Fact: That's just well-packaged pseudoscience. 'No juice can reset your genes or heal your cells. It's a fancy claim without medical basis,' said Dr Sharma. True cellular health comes from regular, balanced nutrition—not quick fixes. Myth 13: Juice fasts are a spiritual or mental clarity shortcut Fact: Any mental clarity you feel might come from taking a break from caffeine, junk food, or decision fatigue—not from the juice itself. 'It's not magic—just temporary lifestyle changes,' Dr Sharma notes. Myth 14: A 3-day juice cleanse is enough to undo months of bad eating Fact: Unfortunately, no. 'If only it were that simple,' Dr Sharma said. Real health doesn't come from occasional punishment. It comes from daily, sustainable habits—even small ones. Myth 15: Doctors and nutritionists recommend juice fasts Fact: Most don't. 'We recommend balanced meals, not quick fixes. Fads fade, healthy habits last,' Dr Sharma emphasised. Juice isn't evil—but it's not a magic elixir either. Instead of chasing a detox trend, focus on eating whole foods, staying active, and listening to your body. That's the real reset.


Hindustan Times
2 days ago
- Hindustan Times
Age and IVF: Fertility expert explains what's different in your 30s and your 40s
When it comes to fertility, several differences emerge between a woman's 30s and 40s. These differences highlight the importance of considering fertility options, such as egg freezing or IVF (in vitro fertilization) earlier in life, especially for women who plan to conceive later. Also read | IVF vs IUI: What's the difference, which is better for you or more affordable? Gynecologist explains pros and cons IVF has been helpful even in cases where a natural pregnancy is medically not possible. In an interview with HT Lifestyle, Dr Kanika Sharma, fertility specialist at Birla Fertility and IVF, West Delhi, said, 'Age is among the most determinative influences on fertility, and it profoundly impacts both method and success of IVF. Assisted reproduction brings promise to every age, but the experience and outcome can vary widely between a woman's 30s and 40s.' IVF in your 30s: Time is on your side Women in their late 20s or early 30s are likely to possess a better ovarian reserve and egg quality, which means greater IVF success rates, she said. 'A study by CCRM showed that at the age of 30, almost 70 percent of a woman's eggs are chromosomally normal. This rate drops to nearly 60 percent by the age of 35. With healthier eggs, there are higher chances of successful fertilisation, implantation, and a full-term pregnancy in this age group,' Dr Sharma explained. 'The majority of women in their 30s also react more consistently to ovarian stimulation, needing smaller doses of medication and less IVF procedures. Risks like miscarriage, gestational diabetes, or chromosomal aberration are relatively lower during this period, thus making the entire process less complicated,' Dr Sharma added. IVF in your 40s: A more nuanced path By the age of 40, a woman's fertility picture changes significantly, she added. 'The reserve of the ovaries decreases, in both numbers and quality. Only approximately 35 percent of eggs are chromosomally normal at age 40, as per the CCRM study. Not only is conception less likely, but it also heightens the risk of early pregnancy loss and chromosomal defects like Down syndrome,' according to Dr Sharma. Women in their 40s tend to have lower levels of AMH, fewer antral follicles, and might need more aggressive stimulation cycles, she said. Women over the age of 40 are also predisposed to conditions such as hypertension, preeclampsia, gestational diabetes, and premature delivery, Dr Sharma added. 'IVF tends to be associated with higher medication doses, increased monitoring, and can incorporate adjunct therapies like growth hormone supplementation or preimplantation genetic testing (PGT-A). Donor eggs may sometimes provide a more successful route to pregnancy,' he said. Knowledge enables choice Dr Sharma concluded, 'The journey to parenthood is highly individual. For some, the 30s are a window of opportunity and greater success. For others in their 40s, IVF is still a viable option with the proper model of care and medical support. The secret is early evaluation, well-informed choices, and a treatment plan fit for your own distinctive reproductive picture.' Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.