
You May Want To Skip The Splenda
Before you sweeten your coffee with the contents of a little yellow packet, read this. A popular artificial sweetener known as sucralose and marketed as Splenda can adversely affect how some people metabolize sugar, according to a new study from researchers at Washington University in St. Louis. The study compared overweight people with normal sugar metabolism to see how they reacted when they were given either water or sucralose—about as much as is in one can of diet soda—to drink before a glucose challenge test, which involves drinking a glucose mixture and then having blood taken at multiple intervals. Researchers found a kind of insulin-and-blood-sugar roller-coaster scenario. People’s blood sugar levels peaked higher if they got sucralose, rather than water, before the glucose challenge test. Insulin levels also climbed higher. And, a few hours into the test, at the lowest blood sugar point, sucralose consumption led to lower blood sugar levels than did water, which can set the stage for carb cravings. “Everyone got the same amount of glucose, both times, but their bodies secreted much more insulin when they got sucralose first,” says M. Yanina Pepino, PhD, the study’s main researcher. Insulin is needed for the body to use sugar for energy, but too much is harmful, Dr. Pepino says. High blood levels of insulin keep fat from being broken down for energy, making it hard to lose weight. And chronically high insulin levels can lead to insulin resistance, a precursor to type-2 diabetes. Does that mean that people who drink diet soda all the time are setting themselves up for type-2 diabetes? No one knows, Dr. Pepino says. However, in two large population studies, consumption of non-nutritive sweeteners (think all of those pastel packets at your local coffee Continue reading >>

5 Sugar Substitutes For Type 2 Diabetes
1 / 6 A Small Amount of Real Sugar Is Best, but Sugar Substitutes Can Help If you think that people with diabetes should always avoid sugar, think again — they can enjoy the sweet stuff, in moderation. "The best bet is to use a very minimal amount of real sugar as part of a balanced diabetic diet," says Keri Glassman, MS, RD, CDN, of Nutritious Life, a nutrition practice based in New York City. That being said, sugar substitutes offer sweetness while controlling carbohydrate intake and blood glucose. There are many sugar substitutes to choose from, but they’re not all calorie-free and they vary in terms of their impact on blood sugar. "The major difference between the sugar substitutes is whether they are nutritive or non-nutritive sweeteners," says Melissa Mullins, MS, RD, a certified diabetes educator with Johnston Memorial Hospital in Abingdon, Va. "Non-nutritive sweeteners provide no calories and no changes in blood glucose levels, which is perfect for people with diabetes.” Here are six sweet options to consider. Continue reading >>

Should I Add Sugar Or Splenda To My Coffee?
As a medical student, I adjusted to waking up at 6 AM every day with the help of coffee, of course. Living in New York City and its fast-paced routine requires that extra kick those beans provide. So, should I add sugar or Splenda to my coffee? Half a century ago this question did not exist, but obesity was not a word in the Merriam-Webster then. Today, we have to think more carefully. Non-sucrose based sweeteners can be either natural or artificial. The best known natural sweetener is Stevia, an extract of leaves from Stevia rebaudiana Bertoni that has been used for many years in the traditional treatment of diabetes in South America [1]. Artificial sweeteners have existed since 1879 when saccharin was incidentally discovered by Constantine Fahlberg, who licked his finger after accidentally splashing himself with a substance during an experiment at Johns Hopkins and found that it was sweet [2]. Currently, the U.S. Food and Drug Administration has five approved artificial sweeteners, including the famous three: saccharin (SweetN Low), aspartame (Equal), and sucralose (Splenda). Most of these sweeteners are non-caloric (i.e. it takes 0 kcal/g to metabolize them) [2]. High-sugar foods and beverages are a major cause of weight gain. Substituting sugar with artificial sweeteners that provide very few or no calories seems, logically, to be helpful in the prevention of weight gain. Indeed, a trial in 2002 provided overweight subjects with food containing either sucrose or artificial sweeteners as supplements to their diets. The artificial sweetenersupplemented group took in 105kcal less of daily energy, an amount that prevented the 1.3 kg weight gained by the sucrose group over a 10 week period [3]. The reason for this difference is that subjects consuming the sucrose-contai Continue reading >>

Health Hazards Associated With Splenda Consumption
FDA Loosens Restrictions on Diabetes Drug Avandia An in-depth scientific review of sucralose (Splenda) reveals an extensive list of safety concerns, including toxicity, DNA damage, and heightened carcinogenic potential when used in cooking When heated, it releases chloropropanols, which belong to a class of toxins known as dioxins. Dioxina component of Agent Orangeis among the most dangerous chemicals known to man Sucralose can destroy as much as 50 percent of the microbiome in your gut. Whats worse, it appears to target beneficial microorganisms to a greater extent than pathogenic and other more detrimental bacteria Both animal and human studies have shown that Splenda alters glucose, insulin and glucagon-like peptide-1 (GLP-1) levels, thereby promoting weight gain, insulin resistance, and type 2 diabetes The adverse effects of sucralose are oftentimes misdiagnosed or overlooked entirely as the side effects are so varied and mimic common ailments Sucralose, marketed under the brand name Splenda, is a best-selling artificial sweetener around the world. (In the European Union, sucralose is also known under the additive code E955.) Subscribe to the #1 Natural Health Newsletter Unlock censored health information that Google doesn't want you to read Keep your privacy secure We are no longer active on Facebook and are blocking our content from Google search to ensure your privacy stays protected Get access to all of Dr. Mercola's health articles, E-books and special reports Existing Subscribers: Enter your email address for instant access Disclaimer: The entire contents of this website are based upon the opinions of Dr. Mercola, unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information Continue reading >>

How Natural & Artificial Sweeteners Affect Blood Sugar
I have wanted to write a post about sweeteners for a while now. Mainly because I get a little frustrated when reading or hearing outright incorrect claims about how some of the natural and artificial sweeteners affect your blood sugar. As a person with diabetes, I want to know exactly what will happen to my blood sugar when I eat or drink something, and I don’t take kindly to half-true marketing claims. I’ve decided to focus on how natural & artificial sweeteners impact blood sugar rather than on whether they are healthy or not, since I think that is somewhat out of my domain and because plenty of others have already covered that. What are natural & artificial sweeteners? FDA defines sweeteners as: “…commonly used as sugar substitutes or sugar alternatives because they are many times sweeter than sugar but contribute only a few or no calories when added to foods”. This means that regular sugar, honey, and Agave nectar/syrup don’t fall into the sweetener category. However, I do want to address these shortly before moving on to the real artificial sweeteners, since I’ve seen claims of how honey and agave won’t impact blood sugar in the same way as sugar. Honey and agave nectar Let’s start with honey because, let’s face it, it’s sugar in liquid form. It’s delicious, but an October 2015 study in the Journal of Nutrition found that when subjects were given honey, cane sugar, or high-fructose corn syrup, they saw no notable difference in blood sugar increase. As for agave, I think that the corporate marketing machine has been very clever when declaring this a health food, for as Dr. Jonny Bowden points out“..It’s basically high-fructose corn syrup masquerading as healthy food.” Agave nectar may have a lower glycemic index than sugar or honey, but Continue reading >>

Artificial Sweeteners: Can They Cause Diabetes?
Diet sips and snacks may not be as healthy as you think, according to new research published in the journal Diabetes Care. Sucralose, one of the most popular artificial sweeteners on the market, may cause a spike in insulin secretion, finds a team of researchers at Washington School of Medicine in St. Louis. Since artificial sweeteners are often marketed as weight-loss aids, researchers chose to study the effects of sucralose on 17 obese, diabetes-free adults who rarely consumed sugar substitutes. In one session of the small clinical trial, participants were instructed to drink either water or a dose of liquid sucralose (about the amount in a 12-ounce can of diet soda) before taking a 75-gram serving of glucose (as if they were consuming the drink with food). As a control, the team repeated the experiment a week later with the same group, but doled out water to the participants whod had sucralose in the initial test and vice versa. When insulin levels were measured 90 minutes later, the participants who had consumed the sucralose had insulin concentrations 20 percent higher than those who had sipped water. Researchers also noted that the blood sugar of people whod had the sucralose-spiked drinks peaked at a higher level than it did in those who didnt have the sweetener. Although a surge of insulin is a healthy response to a sugar rush, repeatedly flooding your body with sugar could lead to insulin insensitivity. Normally, the pancreas will bump insulin production to compensate for cells blunted response to insulins regulation of glucose, fatty acids, and amino acids, but if left unchecked, the concentration of sugar and fatty acids in the blood will build up and could lead to type 2 diabetes. Since the clinical trial only tested the effects of sucralose in a small grou Continue reading >>

Artificial Sweeteners Could Lead To Obesity, Diabetes
Many people feel that using artificial sweeteners instead of sugar is the healthier choice. But, researchers are now saying the opposite may be true. The American Heart Association suggests that people should avoid added sugars, which are sugars and syrups put in foods during preparation, processing or right before consumption. Sugar intake has been linked to obesity, type 2 diabetes and metabolic syndrome, which includes risk factors for heat disease and stroke. The AHA and American Diabetes Association said in July 2012 that artificial or non-nutritive sweeteners could be a good option to help people reduce calories and added sugars from their diets. In turn, you may even lose some pounds with these kinds of sweeteners -- as long as you weren't making up for it later in the day by eating more sweets, which some studies have showed. However, an opinion article published on July 10 in Trends in Endocrinology and Metabolism reveals that artificial sweeteners like aspartame, sucralose and saccharin may not be as good for you as you might have thought. "It is not uncommon for people to be given messages that artificially-sweetened products are healthy, will help them lose weight or will help prevent weight gain," author Susan E. Swithers, a professor of behavioral neuroscience at Purdue University in West Lafayette, Ind., said in a press release. "The data to support those claims are not very strong, and although it seems like common sense that diet sodas would not be as problematic as regular sodas, common sense is not always right." About 30 percent of adults and 15 percent of children in the U.S. currently use artificial sweeteners, Swithers said. A study in August 2012 revealed that more children are drinking artificially-sweetened beverages. From 2007 to 2008, the rat Continue reading >>

The Abc's Of Sugar Substitutes
A sugar substitute is a food additive that tastes like sugar, but has either few or no calories. Sugar substitutes can be very useful to people with diabetes. Gillian Arathuzik, R.D., C.D.E., Nutrition Diabetes Educator, at Joslin Diabetes Center, goes over the basics of sugar substitutes and how they can impact your blood glucose levels when you have diabetes. Artificial Sweeteners Synthetic sugar substitutes are referred to as artificial sweeteners and have more intense sweetness than sugar. Artificial sweeteners have been controversial as to whether or not they pose any health risks, but so far no studies have conclusively found any and each sweetener is FDA approved. Some commonly used artificial sweeteners include: Aspartame (Equal): 200 times as sweet as sugar. No effect on blood glucose levels. Sucralose (Splenda): 600 times as sweet as sugar. Contains about 1 g carb per packet or teaspoon and could affect blood glucose levels if you consume a large quantity at one time. Saccharin (Sweet ‘N Low): 300-500 times as sweet as sugar. No effect on blood glucose levels. Acesulfame potassium (Sunett or Sweet One): 300 times as sweet as sugar. No effect on blood glucose levels. Artificial sweeteners each have an acceptable daily intake (ADI). This can help a person determine how much of each sweetener to consume. “I recommend either Aspartame or Sucralose depending on a person’s taste preference and recommend using either in moderation,” Arathuzik says. Sugar Alcohols Natural sugar substitutes are known as sugar alcohols. Sugar alcohols are typically less sweet than sugar and provide half the calories of sugar. They are used in many sugar-free products and energy bars. Since half the carbohydrate of sugar alcohols is not absorbed by the body, you can subtract half Continue reading >>

You Asked: Do Sugar Substitutes Cause Type 2 Diabetes?
TIME Health For more, visit TIME Health. By now you’ve heard that sugary foods drive insulin resistance and type-2 diabetes. The more of the sweet stuff you swallow—whether it’s table sugar or organic honey—the more insulin your pancreas has to produce and release into your bloodstream in order to control your blood’s glucose levels. At some point, an overworked pancreas can become incapable of producing enough insulin to manage sugar loads in the blood, resulting in type-2 diabetes But what happens if you replace sugar with artificial sweeteners? The American Diabetes Association says on its website that sugar substitutes are safe by FDA standards, and “may help curb your cravings for something sweet.” But other experts are dubious. “The short answer is we don’t know what happens when you replace sugar with artificial sweeteners,” says Dr. Robert Lustig, an endocrinologist and sugar researcher at the University of California, San Francisco. “We have data nibbling around the edges, but we don’t have enough to make a hard determination for any specific sweetener.” People who consume diet soda on a daily basis are 36% more likely to develop metabolic syndrome and 67% more likely to develop type-2 diabetes than people who don’t drink diet or regular soda, found a 2009 study. That may seem damning until you consider that overweight or obese people—the groups most at risk for type-2 diabetes—may be more likely to drink diet soda in an attempt to lose weight than their slimmer pals. Newer evidence, though still far from conclusive, is more telling. A 2014 study from Israel found that artificial sweeteners changed the microbiotic makeup of rodents’ guts in ways linked to metabolic disease. For another recent study, researchers at Washington Un Continue reading >>

Splenda (sucralose) Found To Have Diabetes-promoting Effects
Promoted for decades as a "safe" sugar alternative, presumably to prevent or reduce symptoms of diabetes, Splenda (sucralose) has been found to have diabetes-promoting effects in human subjects. The artificial sweetener sucralose, which is approximately 600 times sweeter than sucrose (table sugar), and marketed under a variety of brand names, such as Splenda, Cukren, Nevella and SucraPlus, has recently been found to have diabetes-promoting effects in human test subjects, despite containing no calories and being classified as a 'nonutritive sweetener.' A new study published in the journal Diabetes Care, lead by researchers at the Center for Human Nutrition, Washington University School of Medicine, St. Louis, Missouri, set out to test the metabolic effects of sucralose in obese subjects who did not use nonnutritive sweeteners. Seventeen subjects underwent a 5-hour oral glucose tolerance test on two separate occasions preceded by consuming either sucralose (experimental condition) or water (control condition) 10 min before the glucose load in a randomized crossover design. The results were reported as follows: Compared with the control condition, sucralose ingestion caused 1) a greater incremental increase in peak plasma glucose concentrations (4.2 ± 0.2 vs. 4.8 ± 0.3 mmol/L; P = 0.03), 2) a 20 ± 8% greater incremental increase in insulin area under the curve (AUC) (P < 0.03), 3) a 22 ± 7% greater peak insulin secretion rate (P < 0.02), 4) a 7 ± 4% decrease in insulin clearance (P = 0.04), and 5) a 23 ± 20% decrease in SI (P = 0.01). In other words, a single dose of sucralose lead to a .6 mmol/L increase in plasma glucose concentrations, a 20% increase in insulin levels, a 22% greater peak insulin secretion rate, and a 7% decrease in insulin clearance, an indication Continue reading >>

Impact Of Sugar Substitutes On Glucose Control In Diabetic Patients Mckenzie C. Ferguson Southern Illinois University Edwardsville, [email protected]
Southern Illinois University Edwardsville SPARK Pharmacy Faculty Research, Scholarship, and Creative Activity School of Pharmacy Erin Marie Timpe Behnen Southern Illinois University Edwardsville, [email protected] Follow this and additional works at: Part of the Pharmacy and Pharmaceutical Sciences Commons This Article is brought to you for free and open access by the School of Pharmacy at SPARK. It has been accepted for inclusion in Pharmacy Faculty Research, Scholarship, and Creative Activity by an authorized administrator of SPARK. For more information, please contact [email protected]. Recommended Citation Ferguson, McKenzie C.; Timpe Behnen, Erin Marie; and Carlson, Amy, "Impact of Sugar Substitutes on Glucose Control in Diabetic Patients" (2013). Pharmacy Faculty Research, Scholarship, and Creative Activity. 2. Cover Page Footnote This is an Accepted Manuscript version of an Article published by SAGE in the Journal of Pharmacy Technology, available online at Timpe Behnen EM, Carlson A, Ferguson MC. Impact of sugar substitutes on glucose control in diabetic patients. J Pharm Tech. 2013;29:61-5. This article is available at SPARK: 1 JR062 Draft 3 Do Sugar Substitutes Have any Impact on Glycemic Control in Patients with Diabetes? Erin M. Timpe Behnen, Pharm.D., BCPS* Associate Professor Southern Illinois University Edwardsville School of Pharmacy 220 University Park Drive, Edwardsville, IL 62026-2000 Phone: (618) 650-5170 Fax: (618) 650-5141 Email: [email protected] McKenzie C. Ferguson, Pharm.D., BCPS Assistant Professor Southern Illinois University Edwardsville School of Pharmacy 220 University Park Drive, Edwardsville, IL 62026-2000 Phone: (618) 650-5143 Fax: (618) 650-5141 Email: [email protected] Amy Carlson, Pharm.D. Clinical Pharmacist – Internal Medicine Unive Continue reading >>

Non-nutritive Sweeteners Can Increase Insulin Resistance In Those Who Are Obese
Sucralose may adversely affect glucose metabolism. Even though Splenda has zero calories, it can play havoc with your blood sugars. Published in the journal Diabetes Care, researchers from the Washington University School of Medicine in St. Louis found that sucralose, most popularly known by the brand name Splenda, has effects on the body’s responses to sugar (glucose) — which could thereby impact diabetes risk. “There seem to be differential effects of sucralose on glucose metabolism in normal-weight people and in people with obesity, so previous findings in lean subjects cannot be extrapolated to what will be the effects of sucralose in subjects with obesity (and vice versa),” said Marta Yanina Pepino De Gruev, PhD, assistant professor in food science and human nutrition at the University of Illinois in Urbana. “Clinicians may find surprising that sucralose is not metabolically inert, as generally thought, at least for people with obesity.” The new study included 17 people who were severely obese (They had a body mass index over 42. A BMI of 30 is considered the starting point for obesity) and didn’t regularly consume artificially sweetened products. The study participants drank sucralose or water before taking a glucose challenge test. This test involves drinking a sugary solution before undergoing blood sugar measurements in order to see how well the body responds to sugar; it’s typically used as a tool to determine if a woman has gestational diabetes, according to the Mayo Clinic. After that, the researchers asked all the study participants who first drank water to then drink sucralose before undergoing another glucose challenge test, and all those who first drank sucralose to then drink water before undergoing another glucose challenge test. Resear Continue reading >>

Artificial Sweeteners: Any Effect On Blood Sugar?
Can I use artificial sweeteners if I have diabetes? Answers from M. Regina Castro, M.D. 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 studies are increasingly 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. Continue reading >>

Here’s The 8 Best And Worst Sugar Substitutes For Your Health
Now that people are becoming more aware about the dangers of too much refined sugar, people are opting for “healthier” substitutes for the sweetener. Whether it’s sugar-free soda, a lighter Starbucks drinks, or sugar-free gum, artificial sweeteners have been popping up everywhere, and many are choosing these options over their sugar-filled counterparts, believing them to be the more nutritious option. Unfortunately, many of these sugar substitutes are actually worse for you than the real thing. Whether you’re into baking at home or trying to buy the right products at the grocery store, it’s important to know which sugar substitutes to choose and which to avoid. If you’re at a loss as to what sweeteners are the healthiest option, use the below guide for the worst and best sugar substitutes. Worst Sugar Substitutes 1. Equal This popular sweetener is made from aspartame, which can cause headaches, and even worse, an increased risk for heart attack and stroke. Aspartame is found in thousands of foods, especially diet soda, and it accounts for 75 percent of the adverse food reactions reported to the FDA. 2. Splenda Splenda, also known as sucralose, has been found to have some harmful effects on the body, including reducing good gut bacteria, releasing toxic compounds during baking, and altering insulin responses and blood sugar levels. Research has also shown that consumption of sucralose is linked to type 2 diabetes, obesity, and heart disease. 3. Sweet N’ Low Sweet N’ Low contains saccharin, a white crystalline powder that is 200 times sweeter than sugar. Studies from the 1970s show that rats who consumed the sweetener showed a higher risk of obtaining bladder cancer, and while the effect has not yet been shown on humans, the Center for Science in the Publi Continue reading >>

Is Splenda Safe For Diabetes?
Remember when those little yellow sweetener packets started showing up next to the pink and blue packets in your local restaurant? Well, since its commercial introduction in 1999, Splenda has risen in popularity to take over 62 percent of the U.S. market share for artificial sweeteners. But, should you be using Splenda? Is it safe for people with diabetes? Read on to find out the answers to these questions and more. What Is Splenda? Splenda is made from the FDA-approved artificial sweetener sucralose. The FDA reviewed over 110 human and animal studies on sucralose prior to approving it safe for consumption. In its review, it included studies that looked for links to cancer and reproductive and nerological issues. None were found. An individual 1g packet of Splenda technically has 3.3 calories, however, this number is low enough to be considered "calorie-free" under FDA labeling laws. Interestingly, the low caloric content actually comes from bulking agents used in the production of Splenda, not sucralose. As with other artificial sweeteners, Splenda is intensely sweet. In fact, sucralose is 600 times sweeter than table sugar. In the U.S., Splenda is used as a sweetener in many pre-sweetened beverages and foods. It can be purchased as either individual packets or larger bulk packaged granuals, in both white and brown sugar baking forms. (If you're having tea across the pond in the UK, however, you could also find Splenda available in tablet form.) Which Foods Use Splenda? Many "sugar-free" and "reduced-calorie" foods use artificial sweeteners to add a sweet flavor without adding extra carbohydrates or grams of sugar. Splenda, in the form of sucralose, is one of the artificial sweeteners that is used. If you're wondering if a product contains Splenda, read the ingredient Continue reading >>