Should I eat sugar substitutes if I have diabetes?

There are several things you should know about sugar substitutes if you have diabetes. While the calorie-free sweeteners, such as sucralose (Splenda), aspartame (Equal or NutraSweet), saccharin (Sweet 'N Low), Acesulfame K (Sunett or Sweet One), and stevia (TruVia and PureVia), don't raise blood sugar or contribute extra calories to your diet, they do have other issues, like safety. All the sweeteners mentioned above are approved by the Food and Drug Administration (FDA), the U.S. government's agency that handles food safety issues (except stevia).

But a major consumer watchdog organization, the Center for Science in the Public Interest (CSPI), has given the nod only to sucralose (Splenda), saying the research isn't clear enough on the safety of the others at this point. Sugar substitutes are certainly marketed as weight-loss aids, but the research into their effectiveness is mixed. A few studies indicate that switching to diet drinks can help you drop some pounds.

But still, diet soda drinkers are typically heavier than the general population. That could be because they were overweight to begin with and turned to diet sodas to help them shed pounds. Or, as some researchers have suggested, because they taste sweeter than sugar, artificial sweeteners train your taste buds to prefer very sweet foods.

This, in turn, drives you to eat more sweets -- and calories. And of course, there's that little rationalization you may do with yourself: "Well, I saved calories on diet soda so I can have an extra slice of pizza.

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