RDN – Divabetic

Recently we received this question about sweeteners from Linda in Rochester NY, a member of the Divabetic community, who is living with type 2 diabetes on Divabetic’s FB page.

Linda writes “Splenda (sucralose) is my sweetener of choice, tasting the most like sugar. I’ve been told it raises blood sugar. I’ve also heard that stevia does not affect blood glucose levels, but it has a nasty after taste to me. Splenda has a stevia product out that’s not bad, but expensive. Your thoughts?”

We contacted our good friend, a Diabetes Late Nite podcast guest, Registered Dietitian Nutritionist, Certified Diabetes Educator and Best-Selling Author Jill Weisenberger MS, RDN, CDE, FAND, who consulted to Splenda about two years ago on a small project. Currently, Jill is a consultant to the Calorie Control Council, a trade organization for non-nutritive and low calorie sweeteners like sucarlose and stevia. Below are Jill’s answers and advice regarding Linda’s questions.

Q: Can Splenda raise blood sugars?

Jill Weisenberger MS, RDN, CDE, FAND(JW): Splenda is a brand. It’s not a specific product. I assume that you mean sucralose, as this was the original Splenda sweetener.

There is no reason to think that a compound that is essentially without carbohydrate (like sucralose) could directly affect blood sugar. A teaspoon of sucralose provides less than a gram of carbohydrate. A teaspoon of sugar provides 4 grams, and a teaspoon of honey provides about 5 grams of carbohydrate. From a blood sugar standpoint, sucralose is the better choice.

Q: Can Stevia raise blood sugars?

JW: As with other non-nutriitive sweeteners (NNS), it cannot directly affect blood sugar levels.

Q: Can you recommend any Stevia products that have little to no after taste?

Some newer stevia products use the extract Reb D instead of Reb A. I find that Reb D tastes better, but taste is an individualized thing. Splenda Naturals is a stevia sweetener made with Reb D. If you hunt around in the supermarkets, you might find others as well.

Q: What sugar substitutes do you recommend?

JW: I have no real preference. I am not fearful of low calorie and non-nutritive sweeteners. Many of the scary headlines are misleading or based on studies that provide only a small picture of the full health landscape. Other headlines are downright false. That being said, I don’t think anyone needs artificial or NNS. We can adjust our tastes to learn to enjoy foods without added sweetness or we can use very small amounts of regular sugar. I use very little of any type of added sweetener, but I use a wide variety of types – both natural and artificial, both with calories and carbs and without. But since I use very little, I know that it affects me minimally.

Q: Can you share a few tips about using sugar substitutes for people living with type 2 diabetes?

JW: If anyone is truly fearful but wants to continue using sweeteners, I recommend using a variety, so no one sweetener is consumed in large amounts. The category of NNS is quite large, and each compound is metabolized differently. Keep in mind that the dose makes the poison. Small amounts of NNS are not considered harmful. But even water when consumed in very large amounts can cause death.

Jill Weisenberger’s comprehensive guide, ‘Prediabetes: A Complete Guide: Your Lifestyle Reset to Stop Prediabetes and Other Chronic Illnesses’ will lead you through dozens of concrete steps you can take to reduce the risk of developing type 2 diabetes and other lifestyle-related chronic diseases. Taking an individualized approach to your lifestyle “reset,” this book will allow you to choose your own path to wellness, help you gain a greater sense of wellbeing, boost your confidence in your abilities to maintain a healthful lifestyle, and potentially even help you reverse prediabetes and avoid type 2 diabetes and other chronic illnesses. You’ll be feeling better than you have in years! Inside, you will learn to:

Identify your risks for developing type 2 diabetes

Set personalized and meaningful behavioral goals

Identify and build on your motivation for a lifestyle reset

Create positive new habits

Change eating habits for weight loss and greater insulin sensitivity

Choose wholesome foods in the supermarket and when away from home

Tweak your favorite recipes

Reduce sedentary time

Start or improve upon an exercise plan

Reduce emotional eating

Organize and track your progress with tools included in the book

Much more

Jill Weisenberger, MS, RDN, CDE, CHWC, FAND is a great resource for all things nutrition, food and diabetes. Whether she’s speaking, writing, chatting on social media, appearing on TV or working with individuals, her candid and energetic approach appeals to busy people, and her sound nutrition and fitness advice gets results. In fact, her appreciation for science and ability to translate science into actionable information earned her a place in US News & World Report’s 10 Dietitian’s You Need to Follow on Social Media.

LISTEN NOW: Diabetes Late Nite podcast featuring music by Patti Austin. We’re talking about healthy strategies to help you deal with the “FOOD POLICE” with guests: Poet Lorraine Brooks, Jill Weisenberger MS, RDN, CDE, CHWC, FAND, Chris Pickering co-founder of ‘The Betes Bros, Patricia Addie-Gentle RN, CDE, and Mama Rose Marie.

Mr. Divabetic is celebrating World Diabetes Day with musical inspiration from Aretha Franklin on Diabetes Late Nite scheduled for Wednesday, November 14, 6 -7:30 PM, EST. Guests include Poet Lorraine Brooks, Dr. Wendy Satin Rapaport, Diabetes Strong‘s owner Christel Oerum, Beautyphonics CEO and “Beneath The Makeup”Author Suzanne Perez, Mama Rose Marie and the Charlie’s Angels of Outreach. Throughout the podcast we will be playing music from Aretha Franklin’s ‘Aretha Franklin Sings the Great Diva Classics’ courtesy of SONY Music.

Diabetes Late Nite is a fast-paced, full-filled hour of diabetes education and wellness advice that encourages listeners to “laugh a little, learn a lot.” Enjoy over 175 free podcasts available on demand anytime, anywhere on blogtalkradio.com and i-Tunes!

One of our Divabetic community members, Deb L.., who is living with type 2 diabetes, recently contacted us through Facebook with questions about added sugars. We contacted our good friend, a past Diabetes Late Nite podcast guest, Registered Dietitian Nutritionist, Certified Diabetes Educator and Best-Selling Author Jill Weisenberger MS, RDN, CDE, FAND for answers and advice regarding Deb’s questions.

Q: Is the amount of sugar in packaged products and recipes increasing?

Jill Weisenberger (JW): I’m not aware that this is true. In fact, I think there’s been a big push in the last few years to reduce the amount of added sugar is packaged goods. And manufacturers are responding. My own observation is that manufacturers provide a variety of options for different consumer likes and dislikes, so some products are created simply for taste and others are developed health goals in mind as well as taste.

One new thing that’s confusing is that some food labels show the amount of added sugar and some show the amount of total sugar. That’s because not all manufacturers have yet adopted the newest guidelines to include a line to show how much sugar has been added to a product. I never worry about the amount of sugar naturally in foods like fruits, vegetables, milk and yogurt. It’s the added sugars that I pass close attention to.

Often people with diabetes focus too much on sugar when the total amount of carbohydrate is really what’s important. It’s not only the sugar portion that affects blood sugar. For example, a cup of milk has 12 grams of carbohydrate, and all 12 are sugar (lactose). A cup of brown rice has 1 gram of sugar, but 45 grams of carbohydrate. In this case, the cup of brown rice with a mere 1 gram of sugar will raise blood sugar levels far more than a cup of milk with 12 grams of sugar.

Q: I like to read recipes and I’m horrified by the amount of sugar in them. I’ve looked in vain for a Sloppy Joe recipe that isn’t sweet. All of the ones I’ve read and I’ve read plenty call for (too sweet) ketchup plus additional brown sugar. Even dessert recipes seem to be increasing the amounts of sugar in them.

Jill Weisenberger (JW): The good news when you’re preparing your own recipes is that you can tweak them to meet your needs. Often you can reduce sugar by 1/4 to 1/2. In some recipes, you can omit it or swap it for a non-nutritiive sweetener of choice. However, if you’re baking, you’re going to get very white cookies or cakes without having at least a little sugar. It’s needed for the browning.

Q: Can you provide a Sloppy Joe recipe and/or a low sugar alternative?

Jill Weisenberger (JW): You can point out that while lentils are a source of carbohydrate, they – like other legumes – are full of the type fiber that’s good for blood sugar control. While there is a tablespoon of brown sugar in the recipe, that amounts to about 1 gram of added sugar per sandwich. If she is concerned aobut the total amount of carbohydrate (40 g, but 7 are fiber), she can remove the top bun to save 60 calories and about 12 grams of carbohydrate.

Lentil Sloppy Joes Recipe: A Healthy, Delicious take on an Old Favorite

Jill Weisenberger (JW): I usually eat this open faced to save about 60 calories. And for my friends and clients with diabetes, leaving half the bun trims 15 grams of carbohydrate. If the length of this ingredients list gives you pause, take the very, very easy route. Simply mix prepared lentils with a can of your favorite sloppy joe sauce. It won’t be the same, but it will allow you to try out this concept.

Ingredients

1 tablespoon canola or olive oil

1 large yellow onion, chopped (about 2 cups)

1 large carrot, chopped (about ⅓ cup)

1 orange bell pepper, chopped (about 1 cup)

2 garlic cloves, chopped or crushed

1 teaspoon cumin

1 teaspoon chili powder

2 tablespoon tomato paste

3 cups vegetable broth

24.5-ounce box of strained tomatoes (or 24-ounces canned tomato sauce)

1 tablespoon sriracha sauce

1 tablespoon Dijon mustard

1 tablespoon brown sugar

1 cup green lentils, rinsed and sorted

12 small whole-grain rolls, toasted (look for rolls about 120 calories)

Instructions

In a large pot or Dutch oven, heat the oil over medium heat. Sauté the onions, carrots and bell pepper until softened, about 5 minutes.

Add the garlic, cumin, chili powder and tomato paste. Mix well.

Add the vegetable broth, strained tomatoes or tomato sauce, sriracha sauce, Dijon mustard and brown sugar. Mix well. Add the lentils.

Increase the heat to a boil. With the lid ajar, reduce the heat and simmer until the lentils are tender, about 45 minutes. Stir occasionally to prevent sticking.

Serve in a toasted bun.

Notes

I use a lot of tomato paste in my recipes because I really like the full-bodied, meaty flavor it provides. Look for it in a tube, so it lasts a long time in your refrigerator after opening. Feel free to substitute any other color bell pepper for the orange or red pepper specified.

Nutrition Information

Serving size: rounded ½ cup, 1 roll Calories: 235 Fat: 3g Saturated fat: <1g Trans fat: 0g Carbohydrates: 40g Sodium: 470mg Fiber: 7g Protein: 11g Cholesterol: 0mg

Jill Weisenberger’s comprehensive guide, ‘Prediabetes: A Complete Guide’ will lead you through dozens of concrete steps you can take to reduce the risk of developing type 2 diabetes and other lifestyle-related chronic diseases. Taking an individualized approach to your lifestyle “reset,” this book will allow you to choose your own path to wellness, help you gain a greater sense of wellbeing, boost your confidence in your abilities to maintain a healthful lifestyle, and potentially even help you reverse prediabetes and avoid type 2 diabetes and other chronic illnesses. You’ll be feeling better than you have in years! Inside, you will learn to: