Studies show with acute hyperglycemia following a high sugar/carbohydrate meal there is an increase in plasma cytokines. Cytokines or inflammatory chemicals some of which include interleukin-6, tumor necrosis factor, and interleukin-18. These inflammatory chemicals can fuel pain as well as degeneration of her joints and soft tissues. Some are suggesting that osteoarthritis is also a metabolic disorder associated with metabolic syndrome. Focus on real Whole Foods. No sugars, no grains, and no high and Omega 6 seed oils.