Sign in

or Register now

MyDiabetesCentral.com

See all of our health sites at www.HealthCentral.com
Wednesday, November, 25, 2009
  • Font size
Shedding Light on the Co-morbidities of DiabetesThe Complications of Having Rheumatoid Arthritis and Diabetes

The Trouble with Diet Soda

David Mendosa
David Mendosa
Close
Medical Journalist Living with Diabetes and Author of Fitness and Photography for Fun, www.mendosa.com/fitnessblog

After earning a B.A. with honors from the University of California,...

David Mendosa

Monday, November 05, 2007
View All of David Mendosa's Posts
Most of us probably assume that if your only beverage choices were diet or regular soda, the diet variety would be better. After all, drinks made with non-nutritive sweeteners do give us fewer calories.But recent studies indicate that drinking diet soda can lead to our gaining weight. They can raise ...
  1. The Trouble with The Trouble With Diet Soda
    Jennifer
    Sunday, November 04, 2007 at 08:42 PM

    David,

     

    All of these studies seem to have giant holes. Of course I haven't read them, only what you've condensed here.  

     

    My questions:  

     

    "Participants in an eight-year study at the University of Texas Health Science Center, San Antonio, who drank several cans of diet soda every day were more likely to become overweight or obese than those who drank several regular sodas. "

     

    Okay, are they saying that these were thin people who began to drink diet sodas and became fat?  Or could it be that people who are fat, or on their way to being fat drink diet sodas in an attempt (usually failing) to lose weight?  Fat people are conditioned to drink diet sodas instead of regular.  

     

    "Another study, this one in the Annals of Epidemiology last year, found that adults with diabetes who drank one or more drinks of diet soda per day had A1C levels was 0.7 percent higher than  those who drank none."

     

    So, were the diet soda and the non-diet soda drinking folks eating and exercising the same?  Was drinkng diet soda the ONLY variable?   If not, maybe folks who don't drink soda also have other "healthier" behaviors.

     

    “The caramel content of both regular and diet drinks may be a potential source of advanced glycation end products, which may promote insulin resistance and can be proinflammatory.”

     

    The Grapefruit Diet Shasta sitting in front of me has no caramel... nor does it have aspartame.

     

    "When David Pierce and his associates at the University of Alberta studied the eating habits of young rats, the found that the rats tended to eat too much when they ate diet foods."

     

    What kind of diet foods?  Low fat?  Sugar Free?  Are the rats bodies just trying to make up for the calorie deficit?

     

    I'm not the biggest soda drinker... perhaps a can or two a day.  Mostly non-caffienated. 

     

    I just have to take all these studies with a shaker of salt.  It seems if I just wait a week there will be another study with conflicting results.

    Reply
    re: The Trouble with The Trouble With Diet Soda
    David Mendosa
    Sunday, November 04, 2007 at 09:06 PM

    Dear Jennifer,

     

    Thanks for you comments. Please note that I did provide links to the studies (or their abstracts) so you can check out all the detail that they provided and I had to leave out. 

    Reply
    re: The Trouble with The Trouble With Diet Soda
    Julius Ortiz
    Friday, June 19, 2009 at 07:33 PM

    I have recently had my blood sugar increase, it is now over 250.  I have been drinking diet sodas  thinking it would not raise my blood sugar.  I was mistaken, it is the soda and the bread that has raised my sugar levels...so in the next week I will give up the sodas and the sweetner and will let you know the results...Jay

    Reply
  2. Untitled Comment
    Monica Cohee
    Tuesday, November 06, 2007 at 10:14 AM

    I think the biggest problem with people drinking diet sodas is the fact they THINK they can eat more because they are saving calories by drinking diet sodas. It all boils down to moderation even on diet sodas.

     

    I do drink a diet soda ever so often but my primary beverage is water with lemon and filtered when possible. And I drink unsweetend tea with stevia or splenda.

     

    When I was younger I did drink more of them. I have never been a regular soda drinker as these are way too sweet for my taste.

     

     

     

    Reply
    re: Untitled Comment
    Anita
    Tuesday, November 06, 2007 at 11:11 PM
    This is an interesting comment in that I seldom drink a diet soda just to enjoy the soda - I always drink it while I am eating something.  So, if I go get a diet soda out of the fridge, I am getting something to eat at the same time.  I tend to eat until the diet soda is gone; whereas, if I am drinking water or unsweetened tea, I quit eating sooner.  And, now that I realize this, I guess I need to use this info on myself and work it in my favor.
    Reply
    One more thought
    Monica Cohee
    Wednesday, November 07, 2007 at 08:05 AM
    I forgot one thought.  I do flavored seltzer water or just plain.  I love the treat and the fizzie.  Perrie' is also a good one but cost a little more.  Big Smile
    Reply
  3. Untitled Comment
    haypops
    Tuesday, November 06, 2007 at 11:42 AM
    Diet Orange, like the citrus flavored drinks another poster mentioned, has no caramel color.  Diet Creme flavored soda does.  Years ago I switched from diet colas to 7-up etc. because of the phosphorous content. My microalbumin decreased from 1800ug/mg creat. to less than 100.  There may have been other factors responsible but I can't identify any.  Diet citrus and orange drinks seem a reasonable compromise for those adddicted to diet soda.
    Reply
  4. Many types of Diet Soda
    joel spencer
    Friday, November 30, 2007 at 01:42 AM
    i have only been diagnosed as a Type 2 for a couple of months. i was never a huge soda fan - but i have now discovered Sprite Zero. This leads me to point out that not all diet soda is "sweetened" with the same agent. therefore, the type of diet soda you drink MUST have a direct correlation on your hba1c. if a diet drink (such as "4C Totally Light) says it has zero carbs then how can it effect your hba1c? does the study mention which diet drink was used or was the choice left to the user? -- Joel
    Reply
    re: Many types of Diet Soda
    David Mendosa
    Friday, November 30, 2007 at 09:21 AM

    Dear Joel,

     

    Yes, there are many types of non-nutritive sweeteners. But the soft drink industry primarily uses aspartame (brand name NutraSweet) in its diet drinks, and undoubtedly the studies focused on these.

     

    I did address your question about how zero carbs can affect your A1C in the article with two theories that the researchers hold:

     

    How could these non-nutritive sweeteners possibly be associated with weight gain and the metabolic syndrome? The authors of the Circulation study led by Ravi Dhingra, MD, an instructor in medicine at Harvard Medical School, think that the high level of sweetness “may lead to conditioning for a greater preference for intake of sweetened items.”

    That’s controversial. But an even more disturbing mechanism that the authors propose is that, “The caramel content of both regular and diet drinks may be a potential source of advanced glycation end products, which may promote insulin resistance and can be proinflammatory.” 

    Reply
  5. Diet drinks
    Anonymous
    Monday, January 19, 2009 at 12:13 PM

    Where can I find a diet drink that does NOT have aspartame as an ingredient?

    Reply
    re: Diet drinks
    David Mendosa
    Monday, January 19, 2009 at 08:47 PM

    Since I don't drink sodas, I don't know for sure. But if I were you, I would start by going to your nearest Whole Foods or Vitamin Cottage or other nearby natural foods store and check the Nutrition Facts labels.

     

    Best regards,

     

    David

    Reply
    re: Diet drinks
    Anonymous
    Wednesday, April 15, 2009 at 11:53 PM

    coke zero

    Reply
    re: re: Diet drinks
    David Mendosa
    Thursday, April 16, 2009 at 10:44 AM

    Sorry, but Coke Zero has aspartame in it except if you are in Spain or Hong Kong. See: http://en.wikipedia.org/wiki/Coca-Cola_Zero

     

    David

    Reply
    re: Diet drinks
    Cheryl
    Monday, May 11, 2009 at 04:05 PM

    Diet Orange Crush is sweetened with Splenda as well as Diet Rite (you can get this in tangerine, rasperry as well as Cola.

    Reply
    re: Diet drinks
    Anonymous
    Monday, November 16, 2009 at 06:07 AM

    Waist Watcher brand diet soda uses splenda to sweeten it's soda. The soda is very good and fairly cheap for the 2 liter bottle. About a dollar a bottle.

    Reply
  6. How to still enjoy the fizz?
    George
    Thursday, March 26, 2009 at 07:42 PM

    I have Type II Diabetes for years, I am a huge diet soda drinker because I have never seen any serious study counter it although many freinds have warned me about it and I have heard what I thought were urban myths that it was bad, hurt my HB1C numbers and blood sugar levels.  I have not been greatly successful at maintaining my blood sugar even when eating right.   Well, this stuff with the aspartame and caramel have me concerned enough to quit finally, I should have tested out the water, tea or sparking water but you know us addictive types.  Diet soda had been a way for me to justify an occasional sugary sweet.

     

    Anyways, I just started and we sill see.  Based on my own experience I think I may have been having those espisodes from too much aspartame and carmel every day.  Just a few days of drinking water and unsweetened tea I feel much better and my blood sugar seems better.  Heart rate feels better.  Urban myth?  Well maybe sometimes what people learn out of life experience (my freinds advice) may have large kernals of truth that science just finds out latter and that Corporations try to quell.

     

    Any help in giving healthy substitues please tell me.  Starting to love carbonated wate with lemon, but what about orange drinks and diet sprite? What about the flavored carbonated Walmart sells.  That stuff is great?  Anyways, I'll try my own research but if anyone knows, I would appreciate it.

    Reply
    re: How to still enjoy the fizz?
    David Mendosa
    Thursday, March 26, 2009 at 09:14 PM

    Dear George,

     

    I am so glad that you have successfully given up those sodas!

     

    Carbonated water with lemon is a great choice. Another one is herbal tea sweetened with Truvia. I wrote about herbal tea here at http://www.healthcentral.com/diabetes/c/17/61432/herbal-tea and Truvia at http://www.healthcentral.com/diabetes/c/17/54803/caloric-sweeteners

     

    Best regards,

     

    David

    Reply
  7. Untitled Comment
    geo v.
    Monday, June 08, 2009 at 06:39 PM

    Any non-natural substance and many natural substances should be suspect when included as a daily part of your eating habits, but I am skeptical of correlation studies. 

     

    Most people who diet are overweight.  Does that mean you can avoid being overweight by avoiding dieting? Too many studies are designed to get press attention rather than advance science. We are living in the Internet generation where instant answers are more valued than correct answers. 

     

    Is diet soda good or bad? Coffee? Green Tea? Cinnamon?  Don't know. But I do know that too many carbs, too much sugar and not enough exercise will hurt, so pardon me for focusing on those for now.

     

     

     

    Reply
  8. Untitled Comment
    steve
    Friday, August 07, 2009 at 05:18 PM

    I have been wondering for a long time why I felt 'weird' (almost like a sugar low, but mostly just shaky) after drinking diet sodas.  After searching on the internet a number of times, and coming up with nothing, I find this.  I haven't actually read the studies, but maybe there really is something to the diet soda/weird sugar low thing.  btw, I am a type 2 without medication.

    Reply
  9. Diet sodas and diabetes
    Anonymous
    Sunday, October 04, 2009 at 08:12 AM

    I can only speak to my experience -- admittedly as a newly diagnosed diabetic.

    When I was diagnosed five months ago, i weighed in at @ 305 pounds. I am 5' 11" tall, so I was pretty heavy.

    In the five months since then -- by shifting my HUGE intake of regular soda to diet and by cutting my admittedly huge intake of calories and carbs -- I have been able to LOSE 105 pounds. I have gone from a size 48 pant to now fitting comfortably into a 36.

    Diet sodas are NOT the problem. I drink several each day. I have limited my milk and my carb intake -- trying to stay at under 60 carbs per meal -- and my A1C has dropped off the table. I also now run or walk 5 to 6 miles day.

    Again, diet sodas are NOT the problem -- they and sugar-free Jello gelatin -- are my salvatioin. People who argue inane points like dumping diet soft drinks for people who in many cases have been sugar-holics their entire lives, are ridiculous. If you can't have a few things that make you happy and satisfy your need for "comfort food" why bother?

    In the great scheme of things, I would have to say that the drinking of diet sodas for diabetics is pretty low on the list of concerns. What is a bigger concern is hinted at in this same article -- diabetics repeatedly falling off the wagon and taking in regular sugary foods or foods high in carbs. Another thing is the need to get active. Whether we drink diet soda, water, sugary drinks or the nectar of the gods, we have to get off our butts and start EXERCISING! I know that is a horrible thought to many people, but it is truly the only way to address the issue and is, I believe, the REAL CAUSE of "metabolic syndrome." There is no panacea or way to eat yourself into good health -- good, old-fashioned hard work is the ONLY way to achieve good health.

     

    Terry L. Headley

    Huntington, WV

     

    Reply
    re: Diet sodas and diabetes
    David Mendosa
    Sunday, October 04, 2009 at 09:37 AM

    Dear Terry,

     

    You have really taken control of your diabetes and your life! Congratulations.

     

    I agree with your overall accessment. Sugars and starches are much more our enemy than diet sodas.

     

    Best regards,

     

    David

    Reply
  • Font size
  • Bookmark
  • Thank you for your input
  • Save
  • RSS
  • Report Abuse

Ask a Question

Get answers from our experts and community members.

View all questions (2366) >