• Corpus ID: 13077851

Canadian Diabetes Association National Nutrition Committee Technical Review: Non-nutritive Intense Sweeteners in Diabetes Management

@inproceedings{Gougeon2004CanadianDA,
  title={Canadian Diabetes Association National Nutrition Committee Technical Review: Non-nutritive Intense Sweeteners in Diabetes Management},
  author={R{\'e}jeanne Gougeon and Mark Spidel and Kristy Lee and Catherine J. Field},
  year={2004}
}
The current Canadian Diabetes Association Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada state that up to 10% of daily calories can be derived from sugars. However, individuals with diabetes may also be relying on alternative, low-calorie sweetening agents (providing little or no calories along with sweet taste) to control carbohydrate intake, blood glucose, weight and dental health. Most low-calorie sweeteners, sometimes called intense or artificial… 

Tables from this paper

Nutrition Therapy Diabetes Canada Clinical Practice Guidelines Expert Committee
TLDR
A variety of dietary patterns and specific foods have been shown to be of benefit in people with type 1 and type 2 diabetes, and people with diabetes should be encouraged to choose the dietary pattern that best aligns with their values, preferences and treatment goals.
APPROVAL OF LOW-CALORIE SWEETENERS IN CANADA
A number of sugar substitutes are available in Canada with uses ranging from table-top sweeteners to low calorie foods and beverages. Sweeteners are often used alone or in combination with other
Associations of Coffee, Diet Drinks, and Non-Nutritive Sweetener Use with Depression among Populations in Eastern Canada
TLDR
It is concluded that heavy coffee drinking and non-nutritive sweetener use were associated with depression among populations in Atlantic Canada.
Authorised EU health claims for intense sweeteners and sugar replacers
TLDR
Table-top sweeteners and foods and drinks formulated with sugar replacers increase consumer choice by providing the potential to reduce calories and to enhance nutritional and health benefits, which is important given the increasing prevalence of non-communicable diseases in the EU.
A systematic review on the effect of sweeteners on glycemic response and clinically relevant outcomes
TLDR
A systematic review and network meta-analysis of the comparative effectiveness of sweetener additives using Bayesian techniques found that non-caloric sweeteners reduced energy intake compared to the sucrose groups by approximately 250-500 kcal/day.
Dietitian perceptions of low-calorie sweeteners.
TLDR
Dietitians' perceptions about sweeteners are uncertain, ambivalent and divergent, sometimes explicitly being linked to fears about adverse health effects and clear and authoritative guidance is required on scientific evidence around sweeteners as well as the ways in which they can be used in dietetic practice.
Aspartame: Should Individuals with Type II Diabetes be Taking it?
TLDR
More research is required that provides evidence and raise concerns that aspartame may exacerbate prevalence of pathological physiology in the already stressed physiology of T2D, and add to the global burden of disease.
Non-caloric sweeteners: specific characteristics and safety assessment.
TLDR
The purpose of this article is to provide a better understanding of the safety assessment process of non-caloric sweeteners prior to their approval, which includes determining the non-observed adverse effect level and the acceptable daily intake.
Differential Effects of Chronic Low Calorie Sweetener Consumption on Body Weight, Glycemia, and Ingestive Behavior
TLDR
These trials demonstrate that all LCS contribute negligible energy but should not be aggregated because of their differing effects on body weight, and support the view that LCS are problematic for the management of glycemia.
Non-caloric sweeteners: specific characteristics
  • Medicine
  • 2018
TLDR
The purpose of this article is to provide a better understanding of the safety assessment process of non-caloric sweeteners prior to their approval, which includes determining the non-observed adverse effect level and the acceptable daily intake.
...
...

References

SHOWING 1-10 OF 121 REFERENCES
Calculation of the intake of three intense sweeteners in young insulin-dependent diabetics.
  • I. Garnier-Sagne, J. Leblanc, P. Verger
  • Medicine
    Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association
  • 2001
Estimated intake of the artificial sweeteners acesulfame-K, aspartame, cyclamate and saccharin in a group of Swedish diabetics.
TLDR
A Swedish study on the estimated intake of the artificial sweeteners acesulfame-K, aspartame, cyclamate and saccharin by children and adult male and female diabetics of various ages, although exposure is probably relatively evenly distributed among all sweeteners, except for cyclamate containing table sweeteners.
Sucrose compared with artificial sweeteners: different effects on ad libitum food intake and body weight after 10 wk of supplementation in overweight subjects.
TLDR
Overweight subjects who consumed fairly large amounts of sucrose (28% of energy), mostly as beverages, had increased energy intake, body weight, fat mass, and blood pressure after 10 wk, and these effects were not observed in a similar group of subjects who consume artificial sweeteners.
Metabolic effects of adding sucrose and aspartame to the diet of subjects with noninsulin-dependent diabetes mellitus.
TLDR
Sucrose added as an integral part of the diabetic diet does not adversely affect metabolic control in well-controlled NIDDM subjects and aspartame is an acceptable sugar substitute for diabetic individuals but no specific advantage over sucrose was demonstrated.
Tagatose, the new GRAS sweetener and health product.
  • G. V. Levin
  • Biology, Medicine
    Journal of medicinal food
  • 2002
TLDR
The results, buttressed by the references cited, support the efficacy of the various applications disclosed for tagatose and suggest its synergism with high-intensity sweeteners also makes it useful in sodas.
Potential intake of intense sweeteners in Brazil.
TLDR
Table-top sweeteners were the major source of sweeteners, followed by soft drinks, and diabetics in general had a much higher intake within the studied population.
Effect of drinking soda sweetened with aspartame or high-fructose corn syrup on food intake and body weight.
TLDR
Drinking large volumes of APM-sweetened soda, in contrast to drinking HFCS-sweetening soda, reduces sugar intake and thus may facilitate the control of calorie intake and body weight.
An independent analysis of the National Cancer Institute study on non-nutritive sweeteners and bladder cancer.
TLDR
It is concluded that the data provided little evidence that non-nutritive sweeteners increase risk for bladder cancer among subgroups of users, and that definitive evidence on this question is beyond the reach of conventional research.
...
...