Diabetes Diet

Which sweetener is the safest and safest?

All white sugar substitutes can be divided into synthetic and natural substances. The first preparations are made from various chemical compounds, the second - from components of natural origin.

The main difference between sweeteners is the energy value. In artificial supplements usually zero calories, they are fully evacuated from the body. Natural take part in metabolic processes, have varying degrees of calories.

At the same time, natural substances become a good alternative to sugar, do not cause a rapid release of the hormone insulin into the bloodstream. Intensive substitutes for abrasive can be sweeter than sugar, which contributes to their use in small quantities. Below is a classification of sweeteners.


This sweetener is found in large quantities in honey, some vegetables and fruits. Compared to sugar, the sweetness of fructose is 1.2-1.8 times higher, and the caloric content is about the same. Thanks to the sweetness of the substitute will need to take less than the refined sugar.

In small quantities, fructose may be present in the diabetic's diet, since it has a low glycemic index of 19 points. The product does not provoke sharp jumps in glycemia, aggravation of the symptoms of diabetes.

You can often hear that fructose causes an increase in body weight. Studies show that the sweetener replaces the remaining carbohydrates, but no more affects the weight indicators and the concentration of triglycerides. Consumption of large amounts of fructose, glucose or empty carbohydrates causes an equivalent increase in lipids in the liver. An excess of fructose reduces the hormone resistance to insulin.

Per day, a diabetic is allowed to consume no more than 30-45 grams of sugar substitute, while respecting normal motor activity. The dignity of fructose in absolute harmlessness to health, it:

  1. suitable for patients of any age;
  2. well emphasizes the taste of products;
  3. does not cause allergic reactions.

The ability to replace refined sugar with fructose should be negotiated by a diabetic in each particular case.

The endocrinologist will advise other sweetener options for some patients with impaired carbohydrate metabolism.

Sorbitol, Erythritol

Another excellent natural and safe white sugar substitute is sorbitol. It is obtained from mountain ash, apples, apricots and other types of fruit. Sorbitol is not a carbohydrate, it is attributed to hexatomic alcohols. Insulin is not required for the substance to be properly absorbed.

The sweetener is half less sweet than white sugar, the caloric content of the product is 2.4 kilocalories per gram. During the day, a patient with diabetes is allowed to consume a maximum of 15 g of sorbitol, the maximum amount is 40 g.

Erythritis will also be beneficial. The peculiarity of the product is the laxative effect on the body (only with excessive consumption). The sweetener crystals dissolve perfectly in liquid, are odorless and look very similar to sugar.

What are the main properties of erythritol:

  1. calorie supplement is small, equal to zero;
  2. the substance does not provoke the development of caries;
  3. the level of sweetness is about 70% sweeter than refined sugar.

This distinguishes it very favorably from sorbitol, which has undesirable effects. Erythritol is more and more often combined with stevia, since it helps to improve the specific flavor of honey grass.


Stevia entered the top sugar substitutes, it is recommended for use in the Dukan diet, helps to lose weight. The product is the most innocuous, it is added to pastries, drinks and desserts. The sugar substitute is not afraid of exposure to high temperatures; when heated, it does not lose its beneficial properties and sweetness.

The disadvantage of stevioside becomes bitterness, but the responsible manufacturers have learned to deal with this nuance. Per day the permissible amount of the substance is 4 mg per kilogram of diabetic weight.

The glycemic index of stevia is zero, so the extract of honey grass is beneficial in violation of carbohydrate metabolism. There is no information about the toxicity of the sugar substitute, there are no contraindications for use, except for individual intolerance.

Foreign doctors contraindications to receiving stevia is called the period of pregnancy and breastfeeding.

It is necessary to take into account that the use of stevia is prohibited along with a number of drugs. Among them, you must specify:

  • pills to lower blood sugar levels;
  • antihypertensive drugs;
  • drugs for the normalization of lithium.

It happens that stevioside causes undesirable effects, it can be a headache, muscle discomfort, dizziness.

Sucralose, Aspartame

Sucralose is the latest development, it is considered one of the safest sweeteners. The taste of food supplement is 600 times sweeter than refined sugar, while it has no calories, no effect on the level of glycemia occurs.

The main advantage of sucralose is the taste, most similar to the taste of regular sugar. The additive is used for cooking, it can be heated or frozen. The substance is a premium, passed numerous tests on animals and people, pregnant women.

The sweetener is approved for use by all world health organizations, the permissible daily amount is 15 mg / kg of weight. The body absorbs about 15%, after a day the substance is completely excreted from the body.

Aspartame has become no less popular synthetic sugar substitute, it:

  1. 200 times sweeter than sugar;
  2. has a minimum caloric content;
  3. does not contain extraneous tastes.

Regarding the safety of this product, there are numerous debates, as reviews show, some diabetics are even afraid of using aspartame. However, negative statements about the substance are unfounded.

The only thing to fear is the heating of the substitute and boiling, because at high temperatures it decomposes, loses its taste.

On the label, supplements always indicate the recommended amount that can be consumed during the day.


Patients with diabetes and healthy people who want to lose weight should replace the refined compound with isomalt. Food supplement has a positive effect on cholesterol, the digestive system.

On the shelves of shops and in the pharmacy, you can see the natural or synthetic isomalt. Moreover, the product has differences in components, intensity of taste. The benefit for diabetics is that isomalt is made on the basis of sucrose.

Glycemia indicators with regular use of this white sugar substitute do not change, since it is absorbed into the bloodstream rather slowly. This fact contributes to the mass of positive reviews of patients and physicians. The only exception will be non-compliance with the dosage prescribed by the doctor.

If you use the substance in its pure form, its amount is calculated strictly up to each gram. It is categorically impossible to increase the dose, as well as reduce. Only under this condition can we get the maximum benefit.

The carbohydrates present in the sweetener are not absorbed by the intestines, are fully evacuated from the body of the patient along with the urine.

Saccharin, Cyclamate, Acesulfame K

Saccharin has a bitter taste, which is 450 times sweeter than refined sugar. Diabetics are allowed to use no more than 5 mg / kg of the weight of saccharin. All the shocking information about the sugar substitute has long been outdated, they are based on experiments conducted in the middle of the last century on laboratory rats.

On the basis of saccharin, sweetener sucracite is made. High doses of saccharin are harmful. Therefore, a diabetic should monitor their diet.

Chemical sodium cyclamate also has no calories, sweetness is 30 times higher than white sugar. The product can be used for cooking, per day it can be consumed about 11 mg per kilogram of weight of a diabetic. Cyclamate is usually combined with saccharin, which increases the taste indicators of the food additive.

Another synthetic sweetener Acesulfame K is 20 times sweeter than sugar, it is not absorbed by the body, is evacuated with the urine unchanged. Sugar analogue is allowed to heat, cook with it, it is low-calorie. It is safe to consume 15 mg per kg of patient weight per day.

Sladys, Fitparad

In the domestic market, the substitute from the Sladis brand became quite a popular product; it became popular with diabetics due to a number of advantages. The benefit lies in the positive impact on the functioning of the organs of the digestive system, the intestines and especially the pancreas.

Regular use of Sladis instead of sugar strengthens the immune defense, supports adequate functioning of the liver and kidneys. It contains a number of minerals, vitamins. A sweetener often helps a diabetic reduce the amount of the hormone insulin needed, other drugs against the disease, hyperglycemia, pancreatitis.

The greatest benefit is low calorie content, with prolonged intake, the glucose level does not increase, the patient’s well-being does not deteriorate. The advantage of food supplement is a pleasant price, since the product is produced in Russia.

At an affordable price, the sweetener is not inferior to imported counterparts. In the rating of drugs of this group, Sladis occupies a leading position, only Fitpard is a strong competitor.

Pharmacies sell Fitpard sweetener, it is a mixture of several sugar substitutes. The structure includes:

  1. erythritol;
  2. sucralose;
  3. stevioside;
  4. rosehip extract.

The dietary supplement is well tolerated by the body, only some patients do not rule out a side reaction. For example, sometimes there are skin rashes, migraines, swelling, spasms, diarrhea, impaired urine discharge.

These symptoms can occur solely from the use of sucracite, but this is more rare than normal. In general, Fitparad is useful, does not cause harm, saturates the body with vitamins and helps keep sugar performance at an acceptable level.

Nutritional value is 3 kilocalories for every hundred grams of product, which is several times lower than that of white sugar.

Good or bad?

From all of the above, we can conclude that modern high-quality sugar substitutes are not at all terrible, as it sometimes seems. Usually articles about the dangers of food additives in this group are based on unverified information and insufficient scientific evidence.

The benefits of using a range of sweeteners are repeatedly described in medical sources. The main recommendation when using absolutely any substitute is the obligatory observance of the recommended dosages.

In our country and in the territory of the former Soviet Union, the use of sugar substitutes is relatively low than in other states. Many patients are simply afraid to feel all the negative effects of the additive, which actually does not exist.

You can buy pills or sweetener powder in the pharmacy, diabetic departments of supermarkets, the Internet. It cannot be said that the choice of such products is large, but the diabetic will always find the ideal option for himself.

About sugar substitutes described in the video in this article.