Diet Soda And Diabetes
In reply to my recent blog entry “Stopping Diabetes Medicines,” Patsy wrote: “I have stop[ped] drinking Diet Cokes, or anything with artificial sweeteners. I can’t tell you what a difference that has made! … I am overweight and have lost 14 pounds. My blood sugar has gone down, too.” How could this be? How could diet sodas, which have essentially no carbohydrates and no calories, raise blood glucose and weight? Or is the whole thing an illusion? Four studies in the last decade have raised concerns about diet soda. In 2005, University of Texas researchers reported that people who drank diet soda were more likely to gain weight than those drank regular soda. Fewer calories = more weight! Strange… In 2006, Dartmouth scientists found that people with diabetes who drank one or more cans of diet soda a day raised their A1C levels by an average of 0.7%, compared to those who didn’t. In 2007, the American Heart Association found that those who drank either regular or diet soda had a higher risk of “metabolic syndrome,” which includes diabetes, high blood pressure, high levels of LDL (“bad”) cholesterol, and obesity, compared to nondrinkers. This is just a correlation; it doesn’t show cause, but it’s still interesting. In the January 16, 2009 issue of Diabetes Care, a group of analysts reviewing the Multi-Ethnic Study of Atherosclerosis found that “Daily consumption of diet soda was associated with… a 67% greater relative risk of… Type 2 diabetes compared to non-consumption.” They said the increased diabetes was not due to increased weight, although that happened too. “Associations between diet soda consumption and Type 2 diabetes were independent of baseline measures of adiposity or changes in these measures,” they wrote. The data was adj Continue reading >>
Two Diet Drinks A Day Could Double The Risk Of Diabetes, Study Finds
Two diet drinks a day could double the risk of diabetes, study finds Diet drinks were linked with a raised risk of diabetesCredit:John Taylor Two fizzy drinks a day could double the risk of diabetes - even if they are diet versions -a Swedish study has found. Research by the Karolinska Institute on 2,800 adults found that those who consumed at least two 200ml servings of soft drinks daily were 2.4 times as likely to suffer from a form of type 2 diabetes. Many fizzy drinks are sold in 330ml cans, meaning that one and a half cans would be enough to double the risk. Those who drank a litre of such drinks saw a 10-fold rise in their chance of suffering from the condition. The increased risks were the same regardless of whether the drinks were sugary or artificially sweetened, the research published in the European Journal of Endocrinology found. Researchers said the sugary drinks may have induced insulin resistance, triggering the cases of diabetes. The new research examined links between soft drink consumption and diabetesCredit:Frank Augstein/AP The artificial sweeteners in the diet drinks may stimulate and distort appetite, they said, increasing food intake, and encouraging a sweet tooth. Such sweeteners might also affect microbes in the gut leading to glucose intolerance. The research was a retrospective study, which relied on participants to recall their diet habits. Josefin Edwall Lfvenborg, lead author, said soft drinks might influence glucose metabolism and insulin sensitivity, leading to the increased risk of latent auto-immune diabetes, a form of type 2 diabetes. In this study we were surprised by the increased risk in developing autoimmune diabetes by drinking soft drinks, he said. We next plan on investigating what could counter this risk. More research was nee Continue reading >>
Diet Soda May Alter Our Gut Microbes And Raise The Risk Of Diabetes
The debate over whether diet sodas are good, bad or just OK for us never seems to end. Some research suggests zero-calorie drinks can help people cut calories and fend off weight gain. But in recent years, the idea that artificial sweeteners may trick the brain and lead to "metabolic derangements," as one researcher has theorized, has gained traction, too. Now, a new study published in the journal Nature introduces a new idea: Diet sodas may alter our gut microbes in a way that increases the risk of metabolic diseases such as Type 2 diabetes — at least in some of us. In the paper, researchers at the Weizmann Institute of Science in Israel describe what happened when they fed zero-calorie sweeteners, including saccharin, aspartame and sucralose, to mice. "To our surprise, [the mice] developed glucose intolerance," Weizmann researcher Eran Elinav tells us. Intrigued by the findings, Elinav and his colleague Eran Segal set out to determine whether this might happen in people as well. First, they analyzed data collected from a group of about 400 people who are enrolled in an ongoing nutrition study. They found that people who were heavy consumers of artificial sweeteners had slightly elevated HbA1C levels (a long-term measure of blood sugar) — compared with people who rarely or never consumed artificial sweeteners. Next, they recruited seven volunteers — people who were not in the habit of drinking diet drinks — and asked them to start consuming the equivalent of 10-12 of those fake sugar packets during a one-week experiment. "What we find is that a subgroup [four of the seven people] developed significant disturbances in their blood glucose even after short-term exposure to artificial sweeteners," Elinav says. For example, results of a glucose tolerance test found Continue reading >>
Is Diet Soda Ok For People With Diabetes?
Susan B. Sloane, BS, RPh, CDE, has been a registered pharmacist for more than 20 years and a Certified Diabetes Educator for more than 15 years. Her two sons were diagnosed with diabetes, and since then, she has been dedicated to promoting wellness and optimal outcomes as a patient advocate, information expert, educator, and corporate partner. “I’ll have a burger and a diet cola, please!” No matter where we eat out these days, from fast food to fine dining, you hear this order a lot. I know I sometimes feel like I can consume more calories at a meal because I chose the diet beverage, but how accurate is that way of thinking? Should we be drinking as much diet soda as we do? First, to be clear, there is no absolute right or wrong about food or beverage consumption. I provide information I hope is useful to your own lifestyle. I always say that education is the best prescription. The power of soda Just to give you some idea of the popularity of soft drinks, our country produces 10.4 billion gallons of soft drinks yearly. Diet soda is often paired with unhealthy food choices, such as burgers and pizza. My husband is a pizza lover who cannot eat pizza without diet soda. He says the pizza tastes better with soda, and after all, it’s “diet” soda. But if the food actually tastes better to him, will he eat more pizza than he normally would with say, water as a beverage? This is a question that has actually been posed in studies. Do diet beverages allow and/or cause us to eat more calories? Data presented recently at the American Diabetes Association’s scientific sessions suggest that diet soft drinks may actually contribute to weight gain. One theory as to why this may happen is that your brain tastes something sweet, which triggers a release of insulin and elicit Continue reading >>
Is Diet Soda Safe For Diabetes?
Managing blood sugar levels is an everyday goal for people with type 1 and type 2 diabetes. While eating sugar doesn’t cause either type of diabetes, keeping tabs on carbohydrate and sugar intake is an important part of managing both types of diabetes. Eating healthfully can also reduce your risk for developing type 2 diabetes. Being overweight or obese is linked to the development of type 2 diabetes. In fact, obesity is one of the leading causes of type 2 diabetes. According to the Centers for Disease Control and Prevention, more than one-third of American adults are considered obese. Obesity puts you at risk for diabetes, as well as other troublesome conditions. Eating processed foods that are high in sugar, unhealthy fats, and empty calories increases your risk of gaining too much weight. Drinking sugary drinks is also a risk factor for developing type 2 diabetes. If you are working to keep your blood sugar in check or manage your weight, you might choose diet soda. Low in calories and sugar, diet sodas appear to be a good alternative to sugary drinks. Diet coke and A&W’s diet root beer, for example, claim to be entirely sugar-free. Unfortunately, even though they contain no actual sugar, they are loaded with artificial sweeteners and other unhealthy additives. At one time, there was much debate over the safety of artificial sweeteners. Many feared that these sweeteners caused certain types of cancer. Studies performed in the 1970s suggested that the artificial sweetener saccharin was linked to bladder cancer. Since that time, however, saccharin has been deemed safe. Both the National Cancer Institute and the U.S. Food and Drug Administration (FDA) consider the sweetener nontoxic. Aspartame, another common yet controversial sweetener, has also gained clearance fo Continue reading >>
Diet Soda And Diabetes: Things To Consider
Diabetes is a condition characterized by high amounts of sugar in the blood. These high blood sugar levels are a result of the body's inability to either produce or use a hormone called insulin. Insulin's role is to move sugar from the blood and into the cells of the body where it is used to make energy. Contents of this article: Sugary sodas and diabetes Diabetes is marked by high blood sugar, known medically as hyperglycemia. As such, drinks which have a lot of sugar in them should be avoided as they cause spikes in blood sugar. There are three major types of diabetes: Type 1 diabetes In type 1 diabetes, the body does not produce insulin. The immune system attacks the cells in the pancreas that produce insulin. There is no direct cause of type 1 diabetes. Factors that can increase the risk of type 1 diabetes include: Drinking cow's milk at an early age may also play a role in type 1 diabetes. Type 2 diabetes Type 2 diabetes is the most common form of diabetes. The body is unable to use insulin fully or make enough of it to keep up with sugar intake. Type 2 diabetes shows links to: Inactivity Genes Age Family history of type 2 diabetes Gestational diabetes Gestational diabetes affects women during pregnancy. If the body cannot make enough insulin to carry the sugar to cells to be used or if there is insulin resistance present, the woman may be diagnosed with gestational diabetes. One recent study posted in the BMJ found a link between drinking sugary drinks and the risk of type two diabetes. Another study posted in Diabetes Care found that people who drink 1-2 sugar-sweetened drinks every day have a 26 percent greater risk of developing type 2 diabetes than those who do not. Other things to consider about sugar-sweetened sodas: Plaque loves soda: The bacteria that make Continue reading >>
Should I Kick The Diet Soda Habit?
I drink a great deal of diet soda and have read that it can cause blood sugar spikes in people with type 2 diabetes. Is this true? Should I avoid diet soda? — Karen, Ohio The short answer is that drinking diet soda does not cause a rise in blood sugar level. Some studies have linked artificial sweeteners, such as the aspartame (NutraSweet) used in many diet sodas, with weight gain. Weight gain increases insulin resistance, which leads to an increase in blood sugar level. However, this finding has not been confirmed in other studies. Nonetheless, I would caution you against drinking a "great deal" of soda. First, excessive intake of diet soda might edge out of your diet nutritious alternatives like whole juices, fresh fruits, and other healthy foods that contain essential vitamins and minerals. Second, there is a limit to the acceptable daily intake (ADI) of artificial sweeteners that you should not exceed. The ADI depends on the type of sweetener — 5 mg/kg/day for Splenda (sucralose) on the lower end, and 50 mg/kg/day for aspartame on the higher end. This can represent somewhere between 6 to 18 12-ounce cans of diet soda for a person weighing about 150 pounds, or 68 kg. Also, remember that other low-calorie or no-calorie food products that you may be eating also contain artificial sweeteners. While you may not reach the level of intake that is considered unsafe, as it is 100 times more than the above limits, all the effects of artificial sweeteners in people with diabetes have not been studied enough to be considered completely safe. Some diet sodas also contain caffeine. Sodas such as Diet Mountain Dew contain up to 55 mg of caffeine in a can, and the majority of diet sodas have about 40 mg of caffeine. Just to give you a comparison, a cup of espresso contains abou Continue reading >>
The Best And Worst Drinks For Diabetics
Drinks for Diabetics iStock When you have diabetes, choosing the right drink isn’t always simple. And recent studies may only add to the confusion. Is coffee helpful or harmful to insulin resistance? Does zero-calorie diet soda cause weight gain? We reviewed the research and then asked three top registered dietitians, who are also certified diabetes educators, what they tell their clients about seven everyday drinks. Here’s what to know before you sip. Drink More: Water iStock Could a few refreshing glasses of water assist with blood sugar control? A recent study in the journal Diabetes Care suggests so: The researchers found that people who drank 16 ounces or less of water a day (two cups’ worth) were 30 percent more likely to have high blood sugar than those who drank more than that daily. The connection seems to be a hormone called vasopressin, which helps the body regulate hydration. Vasopressin levels increase when a person is dehydrated, which prompts the liver to produce more blood sugar. How much: Experts recommend six to nine 8-ounce glasses of water per day for women and slightly more for men. You’ll get some of this precious fluid from fruit and vegetables and other fluids, but not all of it. “If you’re not in the water habit, have a glass before each meal,” recommends Constance Brown-Riggs, MSEd, RD, CDE, CDN, a spokesperson for the Academy of Nutrition and Dietetics and author of The African American Guide to Living Well with Diabetes. “After a few weeks, add a glass at meals too.” Drink More: Milk iStock Moo juice isn’t just a kids’ drink. It provides the calcium, magnesium, potassium, and vitamin D your body needs for many essential functions. Plus, research shows it may also boost weight loss. In one study of 322 people trying to sl Continue reading >>
Do Diet Sodas Cause Diabetes?
I’m confused by news that drinks containing artificial sweeteners can lead to diabetes. I know you advise against the use of artificial sweeteners, but does this study mean that we should drink “regular” instead of diet sodas? You will be much better off not drinking any sodas at all. The results of the study connecting artificial sweeteners with metabolic syndrome, a collection of conditions that together dramatically increase the risk of heart disease, stroke and diabetes, by no means vindicate sugar. Instead, they suggest that artificial sweeteners are as bad for health as too much sugar. The study, from Israel, showed that artificial sweeteners altered the collection of bacteria (known as the microbiome) in the digestive tract in a way that caused blood glucose levels to rise higher than expected and to fall more slowly than they otherwise would. This finding may solve the longstanding mystery of why drinking artificially sweetened diet sodas doesn’t lead to weight loss. It also strongly suggests that the use of artificial sweeteners has been contributing to the worldwide obesity epidemic and rising rates of type 2 diabetes. To arrive at their conclusions, the Israeli researchers gave 10-week old mice water sweetened with saccharin, sucralose or aspartame, plain water, or sugar-sweetened water. After one week, the mice that received the artificially sweetened water had developed glucose intolerance, the first step on the path to metabolic syndrome and type 2 diabetes. With glucose intolerance, the body cannot easily handle large amounts of sugar. The researchers next gave the mice antibiotics, which killed the bacteria in the animals’ digestive systems. The glucose intolerance disappeared, supporting the hypothesis that this condition is caused by a change Continue reading >>
How Does Diet Soda Affect Diabetes?
Many of us who enjoy fizzy drinks select diet soda as a healthier option than the normal soda. Even if we have with diabetes, we feel that diet soda has less sugar and is therefore not harmful to us. Sadly, that’s not entirely true. Let’s find out how does diet soda affect diabetics. Pros of Drinking Diet Soda with Diabetes: Diet soda contains artificial sweeteners, which are also referred to as non-nutritive sweeteners (NNS) or non-caloric sweeteners. They have a higher intensity of sweetness per gram than caloric sweeteners like sucrose. Popular artificial sweeteners like aspartame, acesulfame-K, neotame, saccharin, and sucralose are regulated as food additives by the US Food and Drug Administration (USFDA). Aspartame and saccharin, commonly found in diet sodas, are both FDA reviewed and approved. Besides FDA, most sweeteners used in diet sodas are approved by World Health Organization (WHO) and/ or Food Safety and Standards Authority of India (FSSAI). The American Diabetes Association (ADA) lists diet soda as safe for diabetics to consume. Diet soda is typically sweetened with one of five artificial sweeteners. These sweeteners do not contain calories (or have less than 20 calories), and the ADA reports that they do not cause a blood glucose reaction. Furthermore, carbohydrate content in diet soda is less (less than 5 gm) when compared to that of regular soda. Also, the calorie content in diet soda is less than that of regular soda. Risks Of Diet Soda For Diabetics According to Mayo Clinic, a nonprofit medical practice and medical research group based in Rochester, Minnesota, while the artificial sweeteners may not raise blood sugar, the caffeine in it might. A 2004 study at Duke University showed that caffeine consumption can increase blood sugar levels by up to Continue reading >>
Can Diabetics Drink Diet Coke Or Diet Pepsi?
I’m disappointed in the quality of the other answers thus far, so I’m going to give you some useful advice here. Yes, in general, diabetics can consume diet soft drinks without a risk to raising their blood sugar. There are a few caveats to this, however, and you should keep this in mind: In some countries, “diet soda” is actually low-sugar soda. That is, it’s made with less sugar, not zero sugar. This kind of diet soda will definitely raise your blood sugar, so be careful. Know what you’re putting into your body. Many diet sodas contain caffeine, and caffeine has been found to elevate blood sugar levels in a certain percentage of the population. I’m one of the lucky ones, so I can drink all the caffeine I want to. But you might be one of the unlucky ones. The best thing to do is test before and after drinking a diet soda and determine for yourself what happens to your body. If you drink “fountain drinks” in restaurants, be aware of the fact that sometimes the employees attach the fountain spigot to the wrong bottle of syrup. You’ll think you’re getting diet soda, but you might get the genuine article. With practice, you’ll be able to taste the difference, but sometimes you won’t know for sure. In that case, you can usually tell by dipping your finger in the soda. Real soda will become sticky on your finger when it dries. Diet soda will not. Artificial sweeteners are still sugars! They are sugars that are a couple of orders of magnitude sweeter than table sugar, so a lower quantity of sweeteners results in an equivalent level of “sweetness.” What this means is that if you consume a large amount of diet soda all at once (like a liter or more), your blood sugar will still probably rise because there are carbs in artificial sweeteners. If you Continue reading >>
Best And Worst Drinks For Type 2 Diabetes
1 / 8 Best and Worst Drinks for Type 2 Diabetes If you have type 2 diabetes, you know it's important to watch what you eat — and the types of drinks you consume. Drinks that are high in carbohydrates and calories can affect both your weight and your blood sugar. "Generally speaking, you want your calories and carbs to come from whole foods, not from drinks," says Nessie Ferguson, RD, CDE, a nutritionist at the Nebraska Medical Center in Omaha. The best drinks have either zero or very few calories, and deciding on a beverage isn't really difficult. "When it comes right down to it, good beverage choices for type 2 diabetes are good choices for everyone," she says. Some good drinks for type 2 diabetes include: Water Fat-free or low-fat milk Black coffee Unsweetened tea (hot or iced) Flavored water (zero calories) or seltzer But sugary soda is one of the worst types of drinks for type 2 diabetes, according to the Mayo Clinic. The problems with soda include: Empty calories. Soft drinks are very high in sugar, have zero nutritional value, and are often used in place of healthy drinks such as milk. Cavities. The high sugar combined with the acid in soda dissolves tooth enamel, which increases the risk of cavities. Weight gain. Sugary sodas have about 10 teaspoons of sugar per 12-ounce can. Boosts risk of diabetes and risk of complications for those who have diabetes. Some people with type 2 diabetes continue to drink alcohol, but you should be aware that any alcohol consumption may result in dangerously low blood sugar levels for up to 24 hours. That’s why it’s important to check your blood sugar often and get your doctor's okay before you drink alcohol. People with diabetes should only consume alcohol if their diabetes is well controlled and should always wear a medical Continue reading >>
Diet Soda Intake And Risk Of Incident Metabolic Syndrome And Type 2 Diabetes In The Multi-ethnic Study Of Atherosclerosis (mesa)
OBJECTIVE We determined associations between diet soda consumption and risk of incident metabolic syndrome, its components, and type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis. RESEARCH DESIGN AND METHODS Diet soda consumption was assessed by food frequency questionnaire at baseline (2000–2002). Incident type 2 diabetes was identified at three follow-up examinations (2002–2003, 2004–2005, and 2005–2007) as fasting glucose >126 mg/dl, self-reported type 2 diabetes, or use of diabetes medication. Metabolic syndrome (and components) was defined by National Cholesterol Education Program Adult Treatment Panel III criteria. Hazard ratios (HRs) with 95% CI for type 2 diabetes, metabolic syndrome, and metabolic syndrome components were estimated, adjusting for demographic, lifestyle, and dietary confounders. RESULTS At least daily consumption of diet soda was associated with a 36% greater relative risk of incident metabolic syndrome and a 67% greater relative risk of incident type 2 diabetes compared with nonconsumption (HR 1.36 [95% CI 1.11–1.66] for metabolic syndrome and 1.67 [1.27–2.20] for type 2 diabetes). Of metabolic syndrome components, only high waist circumference (men ≥102 cm and women ≥88 cm) and high fasting glucose (≥100 mg/dl) were prospectively associated with diet soda consumption. Associations between diet soda consumption and type 2 diabetes were independent of baseline measures of adiposity or changes in these measures, whereas associations between diet soda and metabolic syndrome were not independent of these factors. CONCLUSIONS Although these observational data cannot establish causality, consumption of diet soda at least daily was associated with significantly greater risks of select incident metabolic syndrome components Continue reading >>
Should You Ditch Diet Sodas?
The debate about which foods belong in a “healthy diet” (and which don’t) is ongoing – especially when it comes to diabetes. Are carbs the enemy? Should you cut out gluten? Should you sign up for that 21-day detox? And, one of the most controversial questions: Should you drink diet soda? While many organizations, such as the ADA and AND take a fairly neutral stance on artificial sweeteners found in diet sodas, stating that there is room for nutritive sweeteners (non-caloric, alternative sweeteners) in an otherwise healthy diet, I personally take a more conservative approach with my clients. Nutritional science is still a relatively new scientific field, relative to other bodies of scientific research, leaving a lot to still be discovered about long-term effects of many processed foods that have not even been around for a century. In general, I am an advocate for whole foods—foods that are as minimally processed as possible and provide an abundance of nutritive value to those that consume them. Within this logic, since diet sodas fall short of providing any nutritional value, they should be treated more as a novelty than a dietary staple. If you are still on the fence about consuming diet sodas regularly, here are some things to consider before picking up that sugar-free cola: Even “natural” sugar alternatives are processed Some sodas get their sweetness from more natural sources than others – but this doesn’t necessarily mean it’s good for you. Stevia, for instance, is a sugar substitute derived from the stevia plant, which has been used for over a thousand years by native tribes in South America to sweeten foods and teas. Unfortunately, the stevia that is found in your local grocery store is a cousin far removed from the traditional stevia leaf vers Continue reading >>
Can Diabetics Drink Diet Soda?
Eating for diabetes is a juggling act. There’s a lot of restrictions and guidelines! You might also have to give up some of your favorite foods and drinks. If you love fizzy drinks, you might be wondering what kind of soda diabetics can drink. Often, experts suggest diet soda.1 But is it really that safe? In moderation, diet soda is OK for diabetes. It isn’t the worst, but it isn’t the best either. Water and unsweetened tea are much better options.2 Before drinking diet soda, learn about how it affects diabetes. Advantages 1. Little To No Calories Weight control is important for everyone. But when you have diabetes, it’s even more crucial. Being overweight or obese increases the risk for complications. The added weight also makes it harder for the body to use insulin.3 Diet soda is good for diabetics because it has little to no calories. It’s all thanks to artificial sweeteners like aspartame, saccharin, and neotame.4 When used in diet soda, they replace added sugars, resulting in a low-calorie drink.5 This reduction in calories can contribute to weight loss. Of course, eating well and exercising are still important. Diet soda is just one step. If you love sugary drinks, try diet soda. It’s a great way to wean yourself off. And while it’s not the answer to weight loss, it can certainly help the cause.6 2. Glucose Management It’s vital to keep tabs on your blood glucose. After all, it defines diabetes. Controlling your blood glucose should be the main focus of your diet. A diabetic can drink diet soda because it doesn’t change glycemic response. In other words, it doesn’t raise blood glucose after a meal. These benefits are even true in people with diabetes.7 [Read: Soft Drinks Are Harmful To Diabetics] For example, a 2013 study in Archivos Latinoamer Continue reading >>