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The Mayo Clinic concludes:

Artificial sweeteners don't affect your blood sugar level. In fact, most artificial sweeteners are considered "free foods" because they don't count as a carbohydrate, a fat or any other diabetes exchange. Remember, however, other ingredients in foods containing artificial sweeteners can still affect your blood sugar level.

Also, be cautious with sugar alcohols — including mannitol, sorbitol and xylitol. Sugar alcohols can increase your blood sugar level. And for some people, sugar alcohols cause diarrhea.

Since further refining my many years of low carb living by going Paleo (for general health and metabolism reasons), I now plan my food using organic whole foods including vegetables & fruits, grass fed or organic proteins, no grains or sugar, and healthy fats like olive and coconut oils. That means though, that I have also cut out all artificial sweeteners. I will have an occasional bar of dark chocolate, but sweet stuff is now a rare treat. Except for fruit, and only then, one serving a day. I miss my diet cocoa in the winter, but not the long list of chemicals in the ingredient list. I have never felt better in my life. Lots of energy! Low carb is the most healthy diet going. And for me, going Paleo was the added focus I needed. I take a day a month to eat off plan if I want. But I am pretty content keeping to my plan.

As for the glucose spikes caused by artificial sweeteners, I think we can all accept the Mayo Clinic's verdict... no spike.


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