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DM: Educate on Substitution of Nutritive Sweeteners for Other
Carbohydrates
➤ The RDN should educate adults with diabetes that intake of nutritive
sweeteners, when substituted isocalorically for other carbohydrates,
will not have a significant effect on A1C or insulin levels. Research
reported no significant impact from consuming nutritive sweeteners
(such as isomaltulose and sucrose), independent of weight loss, on
A1C or insulin levels. However, mixed results were reported regarding
fasting blood glucose. (Fair, Imperative)
DM: Advise Against Excessive Intake of Nutritive Sweeteners
➤ The RDN should advise adults with diabetes against excessive intake of
nutritive sweeteners to avoid displacing nutrient-dense foods and to
avoid excessive caloric and carbohydrate intake. Higher intake of added
sugars may contribute to higher energy intake. (Fair, Imperative)
DM: Educate on Intake of FDA-Approved Non-Nutritive
Sweeteners
➤ The RDN should educate adults with diabetes that intake of FDA-
approved non-nutritive sweeteners (such as aspartame, sucralose
and stevia) within the recommended daily intake levels established
by FDA will not have a significant effect on glycemic control. Research
reports no significant impact of consuming FDA-approved non-
nutritive sweeteners [such as aspartame, stevia (steviol glycosides) and
sucralose], independent of weight loss, on A1C, fasting glucose levels or
insulin levels. (Weak, Imperative)
DM: Educate About Substitution of FDA-Approved Non-Nutritive
Sweeteners
➤ The RDN should educate adults with diabetes that substituting foods
and beverages containing FDA-approved non-nutritive sweeteners
within the recommended daily intake levels established by FDA can
reduce overall calorie and carbohydrate intake. However, other sources
of calories and carbohydrates in these foods and beverages need to
be considered. Use of non-nutritive sweeteners has the potential to
reduce overall calorie and carbohydrate intake if substituted for caloric
sweeteners without compensation by intake of additional calories from
other food sources. (Fair, Imperative)
