Recommendations for using sweeteners in a diabetic diet:
The advice given by Diabetes UK is:
Sweeteners are safe and can be recommended;
Sweeteners have the potential to reduce overall energy and carbohydrate intake and may be superior to sugar when consumed in moderation;
●For people who need to control energy intake and manage weight, sweeteners may be an effective choice;
Sweeteners may help lower glycated hemoglobin (HbA) when used as part of a low-energy diet.
The recommendations from the American Diabetes Association are:
Sweeteners are safe when used within specified daily acceptable limits;
Sweetener use can reduce total energy and carbohydrate intake if energy (sugar) sweeteners are substituted and no additional energy intake is obtained from other food sources.
American Academy of Nutritionists
Registered dietitians and nutritionists (RDNs) recommend:
Studies report that, independent of weight loss, consuming sweeteners (such as aspartame, steviol glycosides, and sucralose) has no significant effect on glycated hemoglobin (HbA), fasting blood glucose levels, or insulin levels.

The safety of Low Calorie Sweetener and LCS has been recognized by food and drug health organizations in Europe, the United States and even many countries and regions around the world.
Dr. Richard believes that high sugar intake is associated with an increased risk of chronic diseases and recommends reducing intake! LCS does not affect blood sugar metabolism and has nothing to do with increased appetite and food intake.
monk fruit sweetener & artificial sweeteners
Compound natural sweeteners are made of two or more natural sweeteners through a compound formula. Among them, the compound sweetener of mogroside and erythritol has the most outstanding performance. The sweetness of mogroside is close to that of sucrose, but the sweetness is slow and lasts for a long time, while the sweetness of erythritol appears quickly and lasts for a short time. , the combination of the two produces very good results. Moreover, both are calorie-free compounds and are safe enough even if consumed in large amounts. They are widely popular as zero-calorie sugar substitutes.
In addition, after compounding steviol glycosides and erythritol, the taste is close to that of sucrose. The sweeteners compounded with mogroside, glycyrrhizinate, glucosyl steviol glycosides, xylitol, erythritol, etc. have a sweet taste. It is long-lasting and suitable for use in chewing gum and other products.
Reference
[1].Bramlet, Kellie. "Artificial sweeteners and natural sweeteners: What to know". MD Anderson Cancer Center. Archived from the original on 2023-05-05. Retrieved 2023-05-05.
[2].Association of Low- and No-Calorie Sweetened Beverages as a Replacement for Sugar-Sweetened Beverages With Body Weight and Cardiometabolic Risk: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022, 5(3):e222092.
