Can I use artificial sweeteners if I have diabetes?


You can use most sugar substitutes if you have diabetes, including:

  • Saccharin (Sweet’N Low)
  • Aspartame (NutraSweet, Equal)
  • Acesulfame potassium (Sunett)
  • Sucralose (Splenda)
  • Stevia (Pure Via, Truvia)

Artificial sweeteners, also called sugar substitutes, offer the sweetness of sugar without the calories. Artificial sweeteners are many times sweeter than sugar, so it takes a smaller amount to sweeten foods. This is why foods made with artificial sweeteners may have fewer calories than those made with sugar. Sugar substitutes don’t affect your blood sugar level. In fact, most artificial sweeteners are considered “free foods” — foods containing less than 20 calories and 5 grams or less of carbohydrates because they don’t count as calories or carbohydrates on a diabetes exchange. Remember, however, other ingredients in foods containing artificial sweeteners can still affect your blood sugar level.

More research is needed, but more studies are finding that the benefits of substituting sugar-sweetened food and beverages with those that have been sweetened artificially may not be as clear as once thought, particularly when consumed in large amounts. One reason may be a “rebound” effect, where some people end up consuming more of an unhealthy type of food because of the misperception that because it’s sugar-free it’s healthy. Also, be cautious with sugar alcohols including mannitol, sorbitol and xylitol. Sugar alcohols can increase your blood sugar level and for some people, sugar alcohols may cause diarrhea.

Adapted from: M. Regina Castro, M.D.

Tip of the Day

Eat a variety of vegetables to get vitamins and minerals your body needs. How can you include two different vegetable subgroups into the same meal? Try to eat a red and orange vegetable like red bell peppers or carrots and a dark leafy green like spinach, collard greens, or kale.

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2 thoughts on “Can I use artificial sweeteners if I have diabetes?

  1. I cant be sold on the fake sweeteners other then Stevia, I think we are gone to far with this artificial this and that. My feeling is , if you need to use a sweetener use regular sugar in moderation and please don’t forget Honey (I am a owner of two Bee hives) Honey makes a lovely sweeter not as easy to use bit messy but so much better

    I have a post on blood sugar that might interest you


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