Did you know that whether you eat an apple or a cookie can affect your pain? Yes it can, because it influences the inflammatory state of the body.
All sugar affects insulin release by the pancreas and blood sugar levels. Blood sugar levels affect a hormone called cortisol that is released in response to stress whether the stress is chemical (food), physical or mental/ emotional. When cortisol levels are spiking repetitively due to meals of high amounts of simple sugars, this creates inflammation in the body. Inflammation is not always specific to areas of the body. There is something called systemic inflammation which affects the body as a whole and when inflammation is wide spread like this, it can lead to chronic pain.
While an apple and a cookie both contain sugar, one significant difference is the amount of fiber contained in the apple is much higher. This slows the release of insulin from the pancreas in response to the sugar, and limits the effect of cortisol spikes from managing high and low blood sugar.
This article is a great and simple explanation of sugar in processed form (ie. in cakes or baked goods) vs in nature’s form (ie. in fruit).