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  • Writer's pictureDr. Jennie Ding

What's The Healthiest Sweetener For Diabetics?

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Managing diabetes means paying close attention to what you eat, especially when it comes to sweets. Many believe that artificial sweeteners are a safe way to enjoy sugary treats without the high blood sugar spikes.

Yet, with so many options on the market, picking the healthiest can be overwhelming. This article cuts through the confusion, offering clear insights into which sweeteners are best for those managing diabetes.

As a Lifestyle Medicine Physician with experience in reversing diabetes and pre-diabetes, I bring firsthand knowledge to this discussion. Trained at Harvard Medical School and certified by the College of Family Physicians of Canada, my approach combines nutrition coaching with lifestyle changes aimed at controlling blood sugar effectively.

Finding the right balance between enjoying sweet flavors and maintaining health is possible—let's explore how.

Key Takeaways

  • Stevia, erythritol, and monk fruit sweeteners are the best for diabetics because they don't raise blood sugar.

  • Artificial sweeteners like aspartame and sucralose can change insulin response, so use them carefully.

  • Yacon syrup and date sugar are natural options but still affect blood sugar, so have them in small amounts.

  • Reading food labels helps avoid hidden sugars that can spike blood sugar levels in diabetics.

  • Balance eating sweets with healthy foods to manage diabetes better.

an assortment of artificial sweeteners on grocery store aisle

Understanding Diabetes and Sugar Consumption

Diabetes means your body has trouble with sugar in your blood. Eating too much sugar can make diabetes worse. For people trying to control their weight and blood sugar, knowing about sweeteners is key.

Sugar makes blood sugar levels go up fast, which isn't good for diabetics. They need to watch out for what they eat and drink.

Artificial sweeteners don't raise blood sugar like regular sugar does. This sounds great for people who have diabetes or are watching their weight. But not all artificial sweeteners are the same.

Some can still affect your health in other ways.

The American Diabetes Association recommends using low calorie sweeteners carefully as part of a diet that watches carbs.

Overview of Artificial Sweeteners

Artificial sweeteners are like sugar but with fewer calories. They can help people manage their weight and blood sugar.


Aspartame is a low-calorie sweetener used in many diet sodas and sugar-free foods. People with diabetes often pick it to control their blood sugar levels. Yet, they should use it carefully.

Studies show that aspartame might change how insulin works in the body and affect blood glucose.

This sweetener is found in Diet Coke, sugar substitutes, and other food products labeled "sugar-free." Since aspartame has few calories, it can help with weight control. But diabetics need to watch how much they use because of its possible effects on insulin response and glucose intolerance.

Sucralose (Splenda)

Sucralose, also known as Splenda, is a popular choice for those looking to cut down on sugar without sacrificing sweet taste. It's made in a lab by changing the structure of sugar molecules so the body doesn't absorb them, leading to no calories added to your diet.

This makes it an attractive option for people who are managing their weight or have concerns like obesity and type 2 diabetes. But there's more to it than just being calorie-free.

Studies suggest that sucralose might not be all good news. It has been linked with changes in blood glucose levels and insulin response—a major concern for diabetics aiming for stable blood sugar control.

Plus, if you're reaching for that diet soda thinking you're making a healthier choice because it contains sucralose, think again. Research indicates that these choices could lead to outcomes similar to those seen with other artificial sweeteners—raising questions about their safety and effects on health over time.

Choosing sweeteners is about more than just cutting calories—it's crucial to consider their impact on your overall health.

Stevia, a natural sweetener, comes from the Stevia rebaudiana plant. It's a zero-calorie option that won't raise your blood sugar levels, making it perfect for people with diabetes.

Unlike other sweeteners, stevia is safe for those looking to control their weight or manage blood sugar.

Some folks might notice a slight bitter taste after using stevia. Despite this, its benefits make it a popular choice among health-conscious individuals. Plus, being calorie-free means you can enjoy the sweetness without worrying about adding extra pounds or messing up your diet plans.

Erythritol is a sweet choice for diabetics (corny joke - I know but I can't help it). It's like sugar but with very few calories. This means it won't make your blood sugar go up. Since it has about 70% of the sweetness of regular sugar, you can use it to cut down on how much real sugar you eat.

Plus, erythritol gets into your blood before getting to the large intestine. This cuts down on stomach trouble that other sweeteners might cause.

Another plus is that erythritol won't harm your teeth and may even help keep them healthy. With only 6% of the calories found in sugar, it's great for anyone watching their calorie intake or trying to lose weight.

Now, let's talk about Monk fruit sweetener....

Monk fruit sweetener comes from a fruit also known as luo han guo. This sweetener has zero calories and no carbs, making it great for blood sugar control. The FDA says it's safe for everyone to use, including kids and pregnant people.

Monk fruit sweetener is a game-changer for people watching their weight or managing diabetes.

Because it doesn't raise your blood sugar, monk fruit sweetener is perfect for diabetics. It fits well into diets focused on maintaining steady glucose levels. Plus, anyone looking to cut down on added sugars but still enjoy sweetness might find monk fruit an ideal choice.


Want more nutrition tips?


multiple jars with different colored sugars

Pros and Cons of Artificial Sweeteners

Artificial sweeteners can lower calorie intake but might not be perfect for everyone. They help manage blood sugar but could change how our gut works.

Impact on blood sugar levels

Sweeteners like Aspartame, Maltitol, Sucralose, Xylitol, and Acesulfame-K can cause spikes in insulin levels. This might lead to weight gain. They also make you want more sweet foods.

On the other hand, Allulose, Monk fruit extract, Stevia (pure form), and Erythritol are better choices for diabetics. They do not raise glucose or insulin levels in your body.

Using less sugar-sweetened snacks and drinks with artificial options may not help as much as we thought before. Especially if you have a lot of them. The American Diabetes Association says it's okay to use low calorie sweeteners sometimes.

Just make sure they're part of a varied diet that watches carb intake.

Effects on insulin response

Some artificial sweeteners might push your insulin up. Think of insulin as a key that opens cells so sugar can get in. If you have too much insulin, your body can get mixed signals.

Sweeteners like aspartame and sucralose could make more insulin come out even when you don't need it.

Your body's reaction to these sweeteners is tricky. It thinks real sugar is coming in, so it gets ready by making more insulin. But because there's no actual sugar, this can mess with blood sugar control over time.

For people watching their weight or trying to handle diabetes, knowing which sweeteners don’t cause an unwanted insulin dance is crucial.

Influence on gut health comes next...

Influence on gut health

Artificial sweeteners might change our gut health. They can make the types and amounts of tiny life forms in our guts different than normal. This can lead to some stomach issues and might even make us more likely to get metabolic disorders.

Studies are still looking at how these sweeteners impact our digestive systems, but they have found that they might not be great for us.

These changes in gut health could also play a part in insulin resistance and diabetes risk. Next, let's look at which artificial sweeteners are better for people with diabetes.


Curious what's in your gut? How healthy is it?

(10% off with the code: JEN10)


woman shopping in grocery store looking at label on a jar of food

The Healthiest Artificial Sweeteners for Diabetics

Picking the right sweetener is key for diabetics. It's all about finding options that don't spike your blood sugar.

  1. Stevia - This plant-based choice comes from the Stevia rebaudiana plant, making it a natural pick. It has zero calories and doesn't raise blood sugar levels, which is great for diabetics looking to manage their intake. Plus, it's much sweeter than regular sugar, so you use less.

  2. Erythritol - Found naturally in fruits, erythritol is a sugar alcohol with almost no calories. It barely affects blood sugar or insulin levels, making it diabetic-friendly. Its sweetness is close to that of table sugar, offering a familiar taste without the health risks.

  3. Monk Fruit Sweetener - Extracted from monk fruit, this sweetener is another zero-calorie option. It doesn't impact your blood glucose levels and has been used for centuries in traditional medicine as a safe way to sweeten food without the negative effects on health.

  4. Tagatose - Not as well-known but worth considering, tagatose is similar to fructose but with lower calories. It has minimal effect on glucose control, making it suitable for people monitoring their blood sugar closely.

Each of these sweeteners offers a way to enjoy sweetness without harming your health if you have diabetes. Next up: Let's explore how natural sweeteners stack up for diabetics.

Natural Sweeteners and Their Effects on Diabetics

Natural sweeteners can seem like a safe bet for diabetics. Yet, their effects on blood sugar and health need careful thought.

Yacon syrup comes from the yacon plant's roots. It is rich in fructans, which are good for health but can cause trouble for some people's stomachs. Studies show taking four teaspoons daily can help you lose weight and reduce your waist size after 120 days.

This makes it a smart choice for those looking to control their blood sugar and manage their weight—important factors in staying healthy as we get older.

But, be careful not to overdo it; too much yacon syrup might lead to severe digestive issues. People with irritable bowel syndrome (IBS) should also approach with caution since high-FODMAP foods like yacon can make symptoms worse.

For anyone considering adding this sweetener into their diet, testing it in small amounts first is wise to see how your body reacts before making it a regular part of your meal plan.

Blackstrap molasses stands out as a natural sweetener. Rich in vitamins and minerals, it offers more than just sweetness to your diet. This thick syrup comes from the third boiling of sugar cane or beet juice.

It has calcium, magnesium, and potassium which help balance blood sugar levels. People looking for healthier alternatives find it useful because it's low on the glycemic index. That means it won't spike your blood sugar like regular sugar does.

Adding this to your pantry could be a step toward managing diabetes better without giving up on sweets entirely.

Next up is date sugar...

Date sugar is special because it comes from dried dates. This makes it different from most sweeteners. It has vitamins and minerals more than many fruits do. But, it also has more calories since it's dried.

The good part? Date sugar doesn't make your blood sugar spike much. It even helps lower triglyceride levels, which are fats in your blood that can cause heart problems.

It might be a healthier choice for adding sweetness without worrying too much about your blood sugar.

woman decorating a cake with icing frosting

Balancing Sweet Taste and Health: Tips for Diabetics

Finding the right balance between sweet taste and health can be tough for diabetics. Here are some tips to help you enjoy sweetness without risking your health.

  1. Choose non - caloric sweeteners wisely. Options like stevia and erythritol don't raise your blood sugar levels much. They can be a safe choice for satisfying your sweet tooth.

  2. Read labels on food packages. Look for terms like "no added sugars" or "low in calories." This helps you avoid hidden sugars that can spike your blood sugar.

  3. Use natural sweeteners in moderation. Foods like yacon syrup and date sugar have some health benefits but still affect blood sugar levels. So, use them sparingly.

  4. Balance sweets with healthy foods. When you eat something sweet, pair it with foods high in fiber or healthy fats to slow down the sugar absorption into your blood.

  5. Practice portion control. Small amounts of sweets can fit into a diabetic diet, but it's important to keep portions small to avoid high blood sugars.

  6. Stay active daily. Exercise helps manage weight and improves how your body uses insulin, making it easier to maintain stable blood sugar levels even when you indulge a little.

  7. Plan meals using tools like the Complete Nutrition Guide. This guide ensures you get all the nutrients needed for good health without excess sugars.

  8. Get creative in the kitchen – replace high - sugar ingredients with healthier options when cooking or baking at home to keep flavors high but sugars low.

  9. Drink plenty of water - staying hydrated helps control hunger and cravings for sweets, keeping you from reaching for sugary drinks or snacks.

  10. Consider talking with a dietician – they can provide personalized advice on integrating sweet tastes into your diet without harming your health.


Choosing the right sweetener can be tricky for diabetics. Artificial options like Stevia and Erythritol don't bump up blood sugar. They suit occasional treats well. Yet, natural picks like Yacon syrup also show promise without spiking glucose levels much.

Moderation is key—too much of any sweet thing isn't great. For folks keeping an eye on their blood sugar, blending smart choices and how often you indulge is vital. Stay informed, pick wisely, and enjoy sweets safely in your diet.


1. What artificial sweeteners are the healthiest for diabetics?

Diabetics can use non-nutritive sweeteners like stevia and erythritol, which don't cause insulin spikes or higher blood sugar levels.

2. Can sweeteners affect my gut health?

Yes, some artificial sweeteners may disrupt your gut bacteria balance, leading to dysbiosis -- especially if you're on a high-fat diet. It's important for diabetic patients to choose wisely.

3. Are natural sweeteners better than artificial ones?

Compared to table sugar, brown sugar, maple syrup, and other forms of natural sugar, natural sweeteners might offer benefits like lower caloric intake and less impact on glycemic control. Artificial sweeteners' effect on blood sugar and insulin can vary depending on the type of artificial sweetener. However, not all are perfect; it’s about balancing taste with health needs.

4. Will using sweeteners help me lose weight?

Replacing sugar with low-calorie or nonnutritive sweeteners could help in weight loss efforts by reducing overall caloric intake... but remember, they're just one piece of the puzzle!

5. As a diabetic, how do I choose the best sweetener?

With so many options out there, it's best to book in with a health provider with nutritional expertise or a dietician to review your nutritional status and health goals so that you can select suitable sweetener options that manage glycemic response without risking diabetic complications. If you want to discuss your questions with me, please book a free discovery call.

6. How do I pick the right sweetener for me?

Consider your body mass index, potential risks like coronary heart disease or inflammatory bowel diseases, and consult healthcare providers to find a choice that fits your lifestyle... and taste buds!

If you have more questions about sweeteners and want to discuss your health goals, please book a free discovery call with me.

Or you can attend one of my upcoming free webinars to get more tips and tricks on blood sugar control and more.



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