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Aim to consume less added sugar

  • Excessive amounts may cause:
    • Nutritional imbalances
    • Increased appetite and cravings
    • Mood disturbances and fatigue
    • Inflammation
    • Insulin resistance
    • Elevated triglycerides
    • Non-alcoholic fatty liver disease

Guidelines vs. Reality

Tips for consuming less added sugar

  • Start by drinking less of these:
    • Soft drinks
    • Fruit drinks
    • Sport and energy drinks
    • Sweetened coffee and tea
  • Try these instead:
    • Infused water (try fruit or tea bags)
    • Add a splash of juice to water
    • Flavored sparkling water (try Spindrift or Ciao)
    • Plain sparkling water or club soda
    • Coffee with milk
    • Unsweet tea (or at least ½ & ½)
  • Be a savvy shopper:
    • Compare brands of similar products for added sugar amounts.
    • Certain products will always have some amount of added sugar - do the best you can.
    • “No added sugar” is not the same as “No added sweeteners.”
  • b
    • Plain instant oats (add your own flavor)
    • Plain yogurt (add your own flavor)
    • Unsweetened cereals (add fruit)
    • Unflavored protein powders
    • Make your own baked goods
    • Make your own salad dressing

A few more thoughts:

  • Consume added sugar in ways you’ll enjoy it most (you’d probably rather have it in a piece of chocolate than spaghetti sauce).
  • Value quality over quantity (sure, you can eat a whole pint of Halo Top, but maybe you would enjoy a small bowl of real ice cream more).
  • Give yourself permission to enjoy some added sugar - being too restrictive can backfire and cause overconsumption.
  • Be patient - your taste buds will adjust to less sweetness over time!

Sugar Substitutes

Types of sugar substitutes

  • Non-nutritive sweeteners: Created synthetically and contain no calories or sugar. The following are FDA-approved:
    • Aspartame (Equal, Nutrasweet)*
    • Sucralose (Splenda)*
    • Saccharin (Sweet N’ Low)*
    • Acesulfame Potassium (Sweet One, Sunett)
    • Neotame (Newtame)
    • Advantame (Advantame)
  • Sugar alcohols: Created synthetically and generally have about half as many calories as sugar. May cause gastrointestinal distress. The FDA designates them as GRAS (Generally Regarded As Safe).
    • Erythritol
    • Isomalt
    • Lactitol
    • Maltitol
    • Sorbitol
    • Xylitol
  • Novel Sweeteners: Derived from natural sources and are not significant sources of calories or sugar. The FDA designates them as GRAS (Generally Regarded As Safe).
    • Allulose
    • Monk fruit
    • Steviol glycosides (Truvia, PureVia)
    • Tagatose

Safety Considerations

  • Children should avoid long-term use of sugar substitutes due to unknown effects.
  • For various reasons, some sugar substitutes do not have an “acceptable daily intake” established. These include sugar alcohols, allulose, monk fruit and tagatose.
  • Safety information about these sweeteners continues to evolve as more long-term research is conducted.

Efficacy Considerations

  • In 2018, a systematic review of 56 studies concluded that:
    • there were no clear differences in health outcomes between those who used sugar substitutes and those who did not.
    • there were no clear health benefits to consuming sugar substitutes, but potential harms could not be excluded.
    • the quality of research on this topic is low.
  • In 2023, the World Health Organization advised against using sugar substitutes to reduce body weight and lower the risk of diet-related diseases.
  • The current trend of research on sugar substitutes includes examining the metabolic impact of these sweeteners, as well their effect on the gut microbiome.

The Bottom Line

  • Focus on lowering intake of both added sugars and sugar substitutes, so that you minimize your overall cravings for sweetness.
  • A product that contains sugar substitutes is not automatically “healthy.” Consider the overall nutrient-density of that food or beverage before consuming.
  • Stay mindful of how sugar substitutes may impact your mindset and behaviors (i.e. “I had a Diet coke with dinner so now I can have dessert!”)