Physicians often recommend switching to diet soda when providing dietary counseling for type 2 diabetes. However, while consumption of sugar-sweetened beverages SSBs has a decidedly negative impact on glycemic control, the effect of artificially sweetened beverages ASBs is less clear. As the effectiveness of substituting ASBs for SSBs for weight loss and improvement of glucose control in type 2 diabetics has been called into debate, the obvious question arises: could these compounds have the opposite of their intended effect and actually negatively influence blood sugar control? Relatively few high powered randomized controlled studies have been done to study this. Hence, the most reliable articles tend to be meta-analyses. According to a meta-analysis by Christopher Gardener et al, the body of evidence for the direct effects of ASBs on glycemic control is severely limited. The studies that directly compare NNS to sugars are limited by low sample size and other potential confounders.
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