
- With Mayo Clinic endocrinologist
Maria Collazo-Clavell, M.D.
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Maria Collazo-Clavell, M.D.
Maria Collazo-Clavell, M.D.
Dr. Maria Collazo-Clavell is board certified in internal medicine, endocrinology, diabetes and metabolism. She's a consultant in the Division of Endocrinology, Diabetes, Metabolism & Nutrition at Mayo Clinic and an associate professor at College of Medicine, Mayo Clinic.
The Aibonito, Puerto Rico, native has been with Mayo Clinic since 1994.
She's a member of the American Association of Clinical Endocrinologists, the American College of Endocrinology, the American Diabetes Association and The Endocrine Society.
Dr. Collazo-Clavell is medical editor of diabetes content on Mayo's health information website and for "Mayo Clinic The Essential Diabetes Book." Her clinical interests include management of type 1 and type 2 diabetes, obesity and nutritional disorders.
Risk factors (1)
- Diabetes: Does alcohol and tobacco use increase my risk?
Symptoms (1)
- The dawn phenomenon: What can you do?
Complications (1)
- Diabetes: How do I help protect my liver?
Treatments and drugs (5)
- Avandia safety concerns: What should I do?
- Diabetes management: Does aspirin therapy prevent heart problems?
- Blood glucose monitors: What factors affect accuracy?
- see all in Treatments and drugs
Lifestyle and home remedies (11)
- Diabetes: Are electric blankets off-limits?
- Vegetarian diet: Can it help me control my diabetes?
- Air pollution and exercise: Is outdoor exercise risky?
- see all in Lifestyle and home remedies
Alternative medicine (1)
- Diabetes treatment: Can cinnamon lower blood sugar?
Question
Artificial sweeteners: Any effect on blood sugar?
Can I use artificial sweeteners if I have diabetes?
Answer
from Maria Collazo-Clavell, M.D.
You can use most artificial sweeteners if you have diabetes, including:
- Saccharin (Sweet'N Low)
- Aspartame (NutraSweet, Equal)
- Acesulfame potassium (Sunett)
- Sucralose (Splenda)
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.
Artificial sweeteners don't affect your blood sugar level. In fact, most artificial sweeteners are considered "free foods" because they don't count as a carbohydrate, a fat or any other diabetes exchange. Remember, however, other ingredients in foods containing artificial sweeteners can still affect your blood sugar level.
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 cause diarrhea.
Next questionGlycemic index diet: A helpful tool for diabetes?
- Ludwig DS. Artificially sweetened beverages: Cause for concern. Journal of the American Medical Association. 2009;302:2477.
- Other sweetening options. American Diabetes Association. http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/other-sweetening-options.html. Accessed July 8, 2010.
- Sweeteners and desserts. American Diabetes Association. http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/sweeteners-and-desserts.html. Accessed July 8, 2010.
- Sugar alcohols. American Diabetes Association. http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/sugar-alcohols.html. Accessed July 8, 2010.
- Ma J, et al. Effect of the artificial sweetener, sucralose, on gastric emptying and incretin hormone release in healthy subjects. American Journal of Physiology Gastrointestinal and Liver Physiology. 2009:296:735.

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