Use of non-nutritive sweeteners does not appear to have a significant effect on glycemic management but they can reduce overall calorie and carbohydrate intake.
There is a mixed evidence from systematic reviews and meta-analysis for non-nutritive sweeteners use with regard to weight management, with some finding benefit in weight loss while others are suggested weight gain so it is a controversial issue.
Low-calorie non-nutritive sweeteners sweetened beverages may serve as a short term replacement strategy, however people with diabetes should be encouraged to decrease both sweetened and non-nutritive sweetened beverages with an emphasis on increased water intake.
There is some research evidence which says that higher non-nutritive sweeteners beverages and sugar sweetened beverage consumption may be positively associated with development of type two diabetes.
