Can This Natural Sweetener Lower Blood Sugar?


No-calorie sweeteners come with consequences, but this one may be different

Allulose is one
of the few lowcalories sweeteners
without serious
side effects, unless
you overeat it. (Andriy Blokhin/Shutterstock)

Allulose is one of the few lowcalories sweeteners without serious side effects, unless you overeat it.

Many people have a sweet tooth. For some, it can become an addiction, fueled by a food industry that continually creates an abundance of highly palatable, inexpensive, ultra-processed foods. As some companies cash in on a market for lab-created, low-calorie sweeteners, one natural sweetener may help curb your sweet tooth without raising your blood sugar.

In fact, it may have the opposite effect.

While manufacturers seek out “perfectly engineered food,” the incidence of obesity and obesity-related health conditions has skyrocketed. Type 2 diabetes is one of the obesity-related conditions that have a significant impact on many of your bodily systems.

People with diabetes have a higher risk of also having heart disease, stroke, glaucoma, kidney disease, and high blood pressure. It follows that if you could lower diabetes and obesity rates, you could reduce rates of these other conditions. That could save many people’s lives, given that heart disease, stroke, diabetes, and kidney disease are all in the top eight causes of death in the United States.

The obesity epidemic is one of the most important global public health challenges. Obesity was linked to 4.7 million premature deaths worldwide in 2017, and according to the National Diabetes Statistics Report, 34.2 million people, or 10.5 percent of the U.S. population, have diabetes. By using this sweetener, you may reduce your risk of insulin resistance, a primary symptom of diabetes.

Not All Sugar Is Created Equally

Sugar is a carbohydrate found in fruits and vegetables and added to food products. Added sugars are usually sucrose (table sugar) and high-fructose corn syrup. Evidence shows that no matter what type of sugar you’re consuming, it has a significant effect on your metabolism, even in the healthiest people. But while the sugars occurring in fruit come with nutrients we need and fiber that dulls blood sugar spikes, added sugars in processed foods pose several health risks.

Sugar hides under as many as 61 different names in 74 percent of processed food products, and while there are countless studies demonstrating the psychological and physiological consequences of sugar, this dangerous additive remains ubiquitous.

In one 12-week study, researchers found that men who ate 650 calories a day in sugar had higher levels of fat in their blood and liver. Lead researcher Bruce Griffin, Ph.D., from the University of Surrey, commented on the results saying, “Our findings provide new evidence that consuming high amounts of sugar can alter your fat metabolism in ways that could increase your risk of cardiovascular disease.”

Sugar can also affect your brain, mood, and behavior. Several studies have found an association between a rising intake of sugar and an increase in rates of depression.

Sugar stimulates the release of dopamine, a neurotransmitter associated with focus and motivation. Dopamine plays a role in many important metabolic pathways, many of which affect your mood. That’s why sugar feels so good and why manufacturers use it to drive your behavior. But, like other addictive drugs, sugar is unhealthy.

Allulose Natural Sweetener Has Unique Action on Blood Sugar

One natural sweetener option is Astrea Allulose. Although the market in Japan is significant, it’s a relatively little-known alternative sweetener in the West. Allulose is found in small quantities in some fruits such as figs, jackfruit, and raisins and was given a generally-regarded-as-safe (GRAS) food designation by the FDA.

Allulose is a monosaccharide sugar that differs from fructose only at one of the carbon atoms. This one change makes a world of difference in the way the molecule acts in the body. It’s functionally a carbohydrate and mostly absorbed in the small intestines. However, the majority of allulose is excreted by the kidneys before it’s metabolized.

This means that most of the calories you consume from allulose are excreted through your kidneys before being metabolized. It was only recently that the FDA differentiated allulose from sucrose or high-fructose corn syrup on nutrition labels. Before this, anytime it was added to a processed food, it was simply listed as an added sugar.

Therefore, there was little incentive to include allulose in products. Since allulose has 95 percent fewer calories than sucrose, the FDA allowed manufacturers to exclude it from the total and added sugar counts on nutrition labels.

In one animal study, researchers found that allulose contributes a fraction of 1 percent of the energy (calories) of sucrose.

The researchers called the energy value “effectively zero” and suggested that this “rare sugar providing zero energy … may be useful in sweeteners for obese people as an aid for weight reduction.”

In addition to contributing little to no calories, allulose elicits a physiological response in the body that may lower your blood glucose and reduce abdominal fat and fat accumulation around the liver. This may reduce the rising number of people who have nonalcoholic fatty liver disease (NAFLD). Allulose can also decrease insulin resistance and reduce the potential risk for Type 2 diabetes.

Natural Compound May Reduce Glucose With Few Side Effects

In an analysis of 40 human trials, allulose demonstrated the ability to significantly reduce after-meal insulin response, which the researchers believe leads “to modest improvements on postprandial glucose and insulin regulation.”

Another study engaged 30 people who didn’t have diabetes. They were given a loading dose of sucrose and then randomized to receive 2.5, 5, 7.5, or 10 grams of allulose. Plasma glucose and insulin levels were measured at 30, 60, 90, and 120 minutes after ingestion. The researchers found that in a dose-dependent manner, allulose reduced plasma glucose and insulin levels.

In other words, allulose not only contributes very little to caloric intake or blood glucose, but also may help to improve insulin regulation. While there aren’t yet allulose-specific human studies regarding safety, animal studies have not found toxicity even at high doses.

In one nonrandomized controlled trial using 30 healthy individuals within a normal body mass index range, researchers discovered that individuals experienced gastrointestinal (GI) symptoms when the dose reached 0.4 grams per kilogram of body weight (g/kg*BW). Gastrointestinal tolerance testing didn’t indicate severe diarrhea or other symptoms until the dose read 0.5 g/kg*BW.

This means a person who weighs 160 pounds could eat 29 grams of allulose in one serving, which is equivalent to 7.25 teaspoons of sugar, without experiencing GI symptoms. For reference, a can of coke has about 9.75 teaspoons of sugar.

While there is no immediate toxic effect on the body, evidence suggests that consistent use may affect the weight of your kidneys and liver, the two organs through which the natural sweetener passes. In a study published in 2019, researchers noted that using allulose can prevent obesity, but continuous consumption may increase the weight of the liver and kidneys “without apparent pathological and functional abnormalities.”

The study investigated the potential that these parameters could change after the participant no longer consumed allulose. Using an animal model, the researchers fed allulose for four weeks and then a controlled diet without allulose for another 10 weeks. At the end of four weeks, the weights of the liver and kidney were higher, but the difference disappeared after the animals were no longer fed allulose.

High-Fructose Corn Syrup Is Worse Than White Sugar

High-fructose corn syrup (HFCS), aka corn sugar, is another common form of sugar found in processed foods. While it’s often cited interchangeably with fructose, HFCS and fructose are not the same. Fructose is a simple sweetener found naturally in many fruits and vegetables. HFCS, on the other hand, is artificially produced from corn, through a process that involves first turning it into corn starch and then back into a mixture of fructose and glucose.

But whether it’s simple fructose or HFCS, there is evidence to show this type of sugar causes greater damage than simple glucose or table sugar. This is because fructose doesn’t act like glucose in your body.

In one study, a group of postmenopausal overweight or obese women consumed fructose beverages with their meals for 10 weeks. The data showed that this practice increased fasting glucose and reduced insulin response. The researchers concluded that the “present results suggest that long-term consumption of diets high in fructose could lead to an increased risk of CVD [cardiovascular disease].”

Unfortunately, because HFCS is cheaper and 20 percent sweeter than regular table sugar, it’s used by many food and beverage manufacturers. Numerous studies have shown, however, that not only can it contribute to impaired glucose tolerance, cardiovascular disease, and diabetes, but also HFCS can disrupt your sense of hunger and satiety.

Regarding diabetes, in one global analysis of 43 countries, researchers found that in areas where HFCS was highly available, the prevalence of diabetes was 20 percent higher. The results suggested that increased consumption of HFCS increased the risk of Type 2 diabetes, which was independent of obesity.

In another study, men and women were given a 24-ounce beverage sweetened with either HFCS or sucrose. Blood and urine samples were collected over six hours, and a variety of metabolic biomarkers were measured. The researchers found that HFCS led to significantly different acute metabolic effects compared to sucrose.

Initially, experts thought fructose would be a better choice because it has a low glycemic index. However, only the liver can metabolize fructose. And, as mentioned, consuming fructose also increases your appetite, which ultimately contributes to obesity, diabetes, and NAFLD.

The Toxic Effects of Artificial Sweeteners

Many sweeteners have side effects, and those from artificial sweeteners are more toxic than others. Research in 2008 revealed that sucralose, also known as Splenda, reduces your gut bacteria by 50 percent and increases the pH level in your intestines. A study from 2018 found that sucralose is metabolized and accumulates in fat cells.

Research published in 2016 from the Ramazzini Institute linked Splenda to leukemia. Not long after this study was published in a peer-reviewed journal, the company hired a public relations firm to dull the impact of those findings. By 2017, the market for Splenda reached $697.4 million worldwide and was projected to increase 3 percent through 2025. Most of it was sold in North America and Asia-Pacific.

It was originally hoped that artificial sweeteners would help curb cravings for sweets in people who have diabetes. Yet in one small study using healthy participants, researchers found that it took only two weeks for the noncaloric artificial sweeteners to trigger adverse effects on blood sugar levels.

A 2017 study concluded that these sweeteners actually exaggerated post-meal glucose absorption in users, “which could predispose them to developing Type 2 diabetes.”

Artificial sweeteners may also increase your risk of weight gain, obesity, metabolic syndrome, and other related problems such as Type 2 diabetes by inducing “metabolic derangements,” according to a report published in the journal Trends in Endocrinology and Metabolism.

Further research found that the artificial sweetener aspartame (NutraSweet) is associated with greater glucose intolerance in people with obesity. These are only some of the side effects of artificial sweeteners, which increase your risk of challenging health conditions and are not a safe alternative to table sugar.

Complete Guide to Diabetes-Friendly Sugar Substitutes


Photo by Adobe Stock Photo

Today, it is easier than ever to cook and bake with sugar substitutes thanks to the wide variety of products available.

It wasn’t so long ago that most available sugar substitutes had strong off-flavors or, even worse, unfortunate gastrointestinal effects. (Check out the hilarious and horrifying review comments on this Amazon listing for the maltitol syrup-sweetened sugar-free gummy bears to see why the fear is very real.)

Nowadays there are so many options that it’s tough to know where to begin. How do they impact blood glucose? Are they easy on one’s stomach?

Some of these sweeteners have been widely available for decades, and others have gained popularity only recently.

A note: we have excluded popular sugar alternatives like agave syrup and coconut sugar. These may or may not be healthier than pure sugar, but they definitely have an identical blood sugar impact. This article will concentrate on sweeteners that do not provoke a blood sugar increase, and are therefore of special interest for people managing diabetes. That said, some of the sweeteners on this list are more diabetes-friendly than others, depending on what your personal needs are.

Check them out:

The New Sugar Substitutes

If you’re new to low-carb, you might not be aware of how many good new options there are for sugar alternatives.

Allulose: 

Allulose may be our favorite zero-carb sweetener. The reasons are simple:

  1. Of every alternative sweetener we’ve tried, it tastes the best, which is to say that it tastes the most like true sugar. There is no aftertaste, no chemical flavor, no strange mouthfeel issues.
  2. It appears to have zero impact on blood sugar.

The science backs us up. In a 2018 study, allulose was actually found to slightly reduce the blood sugar of people with type 2 diabetes.

Allulose is not as sweet as sugar, but it works extremely well in baking recipes, and can even be turned into caramel.

Monk Fruit:

Monkfruit powder is another sugar alternative that we can recommend highly. It’s extremely popular in the keto community, especially when sold under the brand name Lakanto. The Lakanto company sells monk fruit sugar in multiple varieties, including brown sugar, granulated white sugar, powdered white sugar, and has a range of products, from maple sugar and chocolate sauce to brownie mixes.

Monk fruit comes from the lo han guo fruit, found in China. It does not impact blood glucose and does not seem to cause gastrointestinal symptoms in users. It’s much sweeter than sugar, so a little goes a long way. Low-carb bakers love the way it behaves in recipes.

Users should be aware that monk fruit products often contain a smaller amount of erythritol, for an improved flavor profile and usability.

Erythritol:

You’ll find this under many brands, most notably as Swerve. You can find granular, powdered, and brown sugar versions of erythritol, often formulated so as to offer a 1:1 replacement for sugar, making it easy to use for baking. Many popular low-carb or sugar-free recipes use Swerve.

Erythritol is a sugar alcohol. It is almost completely calorie-free and has no known impact on blood sugar.

PubChem states erythritol is two times as sweet as sucrose. While most people seem to tolerate it well, there are some reports of eaters experiencing gas or bloating, so it may be smart to watch how much you include in your diet.

Stevia:

Stevia is a newly popular alternative sweetener. You can find it in grocery stores as SweetLeaf, Pyure, Stevia in the Raw, and several other brands. Derived from the leaves of a plant native to South America, stevia is an all-natural sweetener that is several hundred times sweeter than sugar, according to the FDA. It is calorie-free and won’t raise blood sugar.

Stevia is divisive because many tasters find that it has a bitter aftertaste. Many low-carb eaters absolutely love it, though. If you’re buying low-sugar packaged foods that use stevia, be sure to check the ingredients, because it’s often combined with sugar.

There are actually different types of stevia, and one of our staff members strongly prefers a type called “Reb A,” which is made from only a certain extra-delicious part of the plant. If you’ve tried stevia and haven’t liked it, it might be worth looking for the Reb A variety.

Xylitol:

Xylitol is another sugar alcohol: it’s about as sweet as sucrose but lower in calories. It does raise blood glucose a little bit, which may make it a less optimal choice than its cousin erythritol. PubChem explains that xylitol is a five-carbon sugar alcohol that can be found naturally in many fruits and vegetables.

This sugar alcohol may cause gastrointestinal distress in some individuals at a certain threshold intake. It may be possible that once the body acclimates to the sweetener, more can be consumed with no unwanted side effects.

Xylitol is often found in candy and sugar-free gum because it inhibits the growth of bacteria in the mouth.

Beware: xylitol is extremely toxic to dogs, so probably not ideal for a pet owner.

Traditional Sugar Substitutes

You’re probably already familiar with the flavor of these – most of them have been ubiquitous for decades. In our opinion, the alternative sugars below are more likely to have strange flavors and chemically aftertastes, and they’re also less likely to be useful in low-carb baking recipes. But many people love them! And they also probably won’t raise your blood sugar.

Aspartame:

Found on the market as NutraSweet and Equal. According to the American Cancer Society, it is about 200 times sweeter than sugar and is not for those with phenylketonuria disease. It’s also calorie-free and does not raise blood sugar but is not recommended for use in cooking or baking.

Maltitol:

Maltitol is a sugar alcohol commonly used as a way to make foods “sugar-free.” It doesn’t make foods “carbohydrate-free” however, as it still affects blood glucose somewhat. An analysis on PubChem references a study that found that Malitol has 38% the blood sugar impact of pure sugar, and that it was absorbed more slowly. However, beware: this chemical is known to provoke gastrointestinal problems.

Saccharin:

Sold as Sweet and Low, Sweet Twin, Sweet’N Low, and Necta Sweet. According to the FDA, saccharin was discovered in 1879. It is 200-700 times sweeter than sugar and is not as popular as it used to be, due to its bitter aftertaste and difficulty for use in baking.

Sorbitol:

According to the PubChem Chemistry Database, “Sorbitol is a sugar alcohol found in fruits and plants with diuretic, laxative and cathartic property.” Also, it contains “one-third fewer calories and 60 % the sweetening activity of sucrose and is used as a sugar replacement in diabetes.” As you can see, sorbitol can be a laxative, and still raises blood sugar. Be aware of this when choosing sorbitol!

Sucralose:

This is most commonly known as the brand name Splenda. Sucralose is calorie-free and doesn’t raise blood sugar. It can be tricky to bake with due to how sweet it is (about 600 times sweeter than sugar).

Use What Works for You

When choosing a sugar substitute, your goal is to enjoy the flavor as much as possible while maintaining steady blood sugar levels and avoiding unpleasant side effects. Your own experience will be unique. Some people are sensitive to some of these sweeteners, and some are not, so individual results have to be prioritized. It’s also possible that you’ll have different blood sugar responses than predicted in this article. And in matters of taste, of course, there can be no disputes.

COMPLETE GUIDE TO DIABETES-FRIENDLY SUGAR SUBSTITUTES


Today, it is easier than ever to cook and bake with sugar substitutes thanks to the wide variety of products available.

It wasn’t so long ago that most available sugar substitutes had strong off-flavors or, even worse, unfortunate gastrointestinal effects. (Check out the hilarious and horrifying review comments on this Amazon listing for the maltitol syrup-sweetened sugar-free gummy bears to see why the fear is very real.)

Nowadays there are so many options that it’s tough to know where to begin. How do they impact blood glucose? Are they easy on one’s stomach?

Some of these sweeteners have been widely available for decades, and others have gained popularity only recently.

A note: we have excluded popular sugar alternatives like agave syrup and coconut sugar. These may or may not be healthier than pure sugar, but they definitely have an identical blood sugar impact. This article will concentrate on sweeteners that do not provoke a blood sugar increase, and are therefore of special interest for people managing diabetes. That said, some of the sweeteners on this list are more diabetes-friendly than others, depending on what your personal needs are.

Check them out:

The New Sugar Substitutes

If you’re new to low-carb, you might not be aware of how many good new options there are for sugar alternatives.

Allulose: 

Allulose may be our favorite zero-carb sweetener. The reasons are simple:

  1. Of every alternative sweetener we’ve tried, it tastes the best, which is to say that it tastes the most like true sugar. There is no aftertaste, no chemical flavor, no strange mouthfeel issues.
  2. It appears to have zero impact on blood sugar.

The science backs us up. In a 2018 study, allulose was actually found to slightly reduce the blood sugar of people with type 2 diabetes.

Allulose is not as sweet as sugar, but it works extremely well in baking recipes, and can even be turned into caramel.

Monk Fruit:

Monkfruit powder is another sugar alternative that we can recommend highly. It’s extremely popular in the keto community, especially when sold under the brand name Lakanto. The Lakanto company sells monk fruit sugar in multiple varieties, including brown sugar, granulated white sugar, powdered white sugar, and has a range of products, from maple sugar and chocolate sauce to brownie mixes.

Monk fruit comes from the lo han guo fruit, found in China. It does not impact blood glucose and does not seem to cause gastrointestinal symptoms in users. It’s much sweeter than sugar, so a little goes a long way. Low-carb bakers love the way it behaves in recipes.

Users should be aware that monk fruit products often contain a smaller amount of erythritol, for an improved flavor profile and usability.

Erythritol:

You’ll find this under many brands, most notably as Swerve. You can find granular, powdered, and brown sugar versions of erythritol, often formulated so as to offer a 1:1 replacement for sugar, making it easy to use for baking. Many popular low-carb or sugar-free recipes use Swerve.

Erythritol is a sugar alcohol. It is almost completely calorie-free and has no known impact on blood sugar.

PubChem states erythritol is two times as sweet as sucrose. While most people seem to tolerate it well, there are some reports of eaters experiencing gas or bloating, so it may be smart to watch how much you include in your diet.

Stevia:

Stevia is a newly popular alternative sweetener. You can find it in grocery stores as SweetLeafPyureStevia in the Raw, and several other brands. Derived from the leaves of a plant native to South America, stevia is an all-natural sweetener that is several hundred times sweeter than sugar, according to the FDA. It is calorie-free and won’t raise blood sugar.

Stevia is divisive because many tasters find that it has a bitter aftertaste. Many low-carb eaters absolutely love it, though. If you’re buying low-sugar packaged foods that use stevia, be sure to check the ingredients, because it’s often combined with sugar.

There are actually different types of stevia, and one of our staff members strongly prefers a type called “Reb A,” which is made from only a certain extra-delicious part of the plant. If you’ve tried stevia and haven’t liked it, it might be worth looking for the Reb A variety.

Xylitol:

Xylitol is another sugar alcohol: it’s about as sweet as sucrose but lower in calories. It does raise blood glucose a little bit, which may make it a less optimal choice than its cousin erythritol. PubChem explains that xylitol is a five-carbon sugar alcohol that can be found naturally in many fruits and vegetables.

This sugar alcohol may cause gastrointestinal distress in some individuals at a certain threshold intake. It may be possible that once the body acclimates to the sweetener, more can be consumed with no unwanted side effects.

Xylitol is often found in candy and sugar-free gum because it inhibits the growth of bacteria in the mouth.

Beware: xylitol is extremely toxic to dogs, so probably not ideal for a pet owner.

Traditional Sugar Substitutes

You’re probably already familiar with the flavor of these – most of them have been ubiquitous for decades. In our opinion, the alternative sugars below are more likely to have strange flavors and chemically aftertastes, and they’re also less likely to be useful in low-carb baking recipes. But many people love them! And they also probably won’t raise your blood sugar.

Aspartame:

Found on the market as NutraSweet and Equal. According to the American Cancer Society, it is about 200 times sweeter than sugar and is not for those with phenylketonuria disease. It’s also calorie-free and does not raise blood sugar but is not recommended for use in cooking or baking.

Maltitol:

Maltitol is a sugar alcohol commonly used as a way to make foods “sugar-free.” It doesn’t make foods “carbohydrate-free” however, as it still affects blood glucose somewhat. An analysis on PubChem references a study that found that Malitol has 38% the blood sugar impact of pure sugar, and that it was absorbed more slowly. However, beware: this chemical is known to provoke gastrointestinal problems.

Saccharin:

Sold as Sweet and LowSweet TwinSweet’N Low, and Necta Sweet. According to the FDA, saccharin was discovered in 1879. It is 200-700 times sweeter than sugar and is not as popular as it used to be, due to its bitter aftertaste and difficulty for use in baking.

Sorbitol:

According to the PubChem Chemistry Database, “Sorbitol is a sugar alcohol found in fruits and plants with diuretic, laxative and cathartic property.” Also, it contains “one-third fewer calories and 60 % the sweetening activity of sucrose and is used as a sugar replacement in diabetes.” As you can see, sorbitol can be a laxative, and still raises blood sugar. Be aware of this when choosing sorbitol!

Sucralose:

This is most commonly known as the brand name Splenda. Sucralose is calorie-free and doesn’t raise blood sugar. It can be tricky to bake with due to how sweet it is (about 600 times sweeter than sugar).

Use What Works for You

When choosing a sugar substitute, your goal is to enjoy the flavor as much as possible while maintaining steady blood sugar levels and avoiding unpleasant side effects. Your own experience will be unique. Some people are sensitive to some of these sweeteners, and some are not, so individual results have to be prioritized. It’s also possible that you’ll have different blood sugar responses than predicted in this article. And in matters of taste, of course, there can be no disputes.

 sesugar alcoholssugar substituteswerve sweetenerxylitol.