I am 51 years old. For the past 24 years I am struggling with diabetes. I always used to drink coffee, tea with sugar substitute by using SUGAR FREE natural. TWO days back, one dietician told me" don't use Sugar free" because it will lead to Cancer. Is it true? Is there any pool proof research result? Shall I continue to use? Kindly advise.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. Lybrate-user, sugar substitutes like saccharine, aspartame and sucralose (splenda), all these are equally bad. The recent studies on sucralose confirm that it affects intestinal bacteria, reduces them by 50 % and leads to various problems. The earlier ones like aspartame is also not safe. Whether cancers are caused or not is a different matter, but better to avoid them. These lead to weight gain and contribute metabolic syndrome. Please make habit to avoid artficial sweeteners completely. Thanks. 

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