With so many sugar alternatives out there, it can be confusing to know what the best low carb sweeteners are. Some natural sweeteners may seem like healthy options, like dates, agave syrup, honey and maple syrup, but they’re just another form of pure sugar. So, when you’re cutting down on carbs, what do you replace sugar with when you want a little sweet treat?  

We suggest primarily using stevia, erythritol and xylitol as the best alternative natural sweeteners, just as the Diet Doctor recommends. These sweeteners are all natural, low carb and low calorie, and they don’t have a significant impact on blood sugar levels or insulin response. 

Here’s our weigh up of the sweeteners out there, and some analysis of why you should avoid some of them.

Stevia

Stevia takes the cake when it comes to the best natural sweetener. It’s completely natural, has zero carbs so it doesn’t raise blood sugar levels, and has no calories which is great if you’re watching your weight. Steviol glycosides are extracted from the stevia plant, which you can get in its pure form as liquid drops or a fine green or white powder, or mixed in with a sugar alcohol like erythritol to form granules that look just like white sugar.

Stevia has been used for hundreds of years, and the consensus is that it is safe. It’s around 300 times sweeter than sugar, so you only need a little bit. Even though it’s sweet, it has a different taste to sugar, which is why it’s used in small quantities and is often combined with a sugar alcohol such as erythritol.

You can find stevia in Natvia which contains a blend of stevia and erythritol, in Well Naturally No Added Sugar Chocolate, in the Zevia soft drink, and our Low Carb Icing Mix which is a mix of stevia, erythritol and xylitol.

Erythritol

Erythritol is a sugar alcohol (biochemically called a polyol) that is low calorie and low carb. But, unlike the name suggests, it isn’t a sugar or an alcohol. It looks just like sugar, but it is only partially digested and absorbed by the body, and once it’s absorbed the body doesn’t use it. It occurs naturally in many plants, and commercially it is commonly produced from corn. 

While some people report boating or poor digestion after consuming sugar alcohols such as erythritol, some studies have shown erythritol can be good for preventing cavities. It’s about 70% as sweet as table sugar, and you can get it in granular form on its own or mixed with stevia which makes it taste sweeter, such as Natvia, and we also use it in our Low Carb Icing Mix. It’s great for baking with and has a very similar taste to sugar, so it works well sprinkled on low carb pancakes or mixed in with cocoa to make a hot chocolate.

Xylitol

Also a sugar alcohol, xylitol is naturally found in lots of different fruits and vegetables, and is commercially produced from corn or the birch tree. It’s low carb (but not no carb), and it also has more calories than other sugar alcohols such as erythritol. But, it contains less calories than regular sugar, even though it’s just as sweet as sugar (xylitol contains 2.5 calories per gram compared to 4 calories per gram for table sugar). It is still very low GI and low carb, so it still has a minimal impact on blood sugar and insulin levels. Studies have also shown xylitol can help prevent cavities.

Only 50% is absorbed in the small intestine and the other half is fermented by bacteria in the large intestine. Because of this, it may cause some digestive issues like bloating when consumed in large amounts. Xylitol is safe for humans, but it is toxic for cats and dogs, so be careful to keep xylitol far away from pets. 

Monkfruit

Monkfruit is a melon-shaped fruit native to south-east Asia, also called Luo Han Guo. It was traditionally used by Buddhist monks (which is where it gets its name from). It has zero calories, which great if you’re watching your weight, and zero carbs, which is good if you’re diabetic. I have spotted it at the local Woolies as Raw Earth Stevia & Monk Fruit Natural Sweetener. It is a good option, but does have a slightly fruity taste and can be more expensive because it’s harder to source. 

Why maltitol isn’t the best

Maltitol is a sugar alcohol, but it isn’t the best option compared to the others. Firstly, it has more calories than most sugar alcohols (about two-thirds of the calories in sugar, which is quite a lot for a low carb sweetener). Secondly, because it is partially absorbed in the small intestine, it can raise blood sugar levels, which isn’t ideal for people with diabetes. The other part which isn’t absorbed is fermented in the large intestine, which can cause bloating in some people. 

It’s less expensive than other sugar alcohols, which is probably why it is commonly used in commercial low carb bars like Atkins bars and Aussie Bodies Protein Bars. However, these bars might still be a good low carb option for you, especially if you’re trying to get off the Snickers and Mars bars. I occasionally have one of these when I’m craving a chocolate bar (when dark chocolate just won’t do!)

Why agave syrup, honey, maple syrup, brown sugar and rice malt syrup don’t stack up

Dates and other dried fruits are still full of sugar, and will trigger an insulin response and spike in blood sugar just as sugar does. The same goes for coconut sugar, coconut aminos, rice malt syrup and maple syrup. They’re natural, but so is sugar (which is naturally derived from sugar cane). Brown sugar and molasses are just a form of cane sugar, and will still raise blood sugar levels. Even if they’re lower GI (although rice malt syrup is high GI), or have some extra nutrition (such as molasses which contains iron, calcium, magnesium, vitamin B6, and selenium), they’re still going to impact your blood sugar levels, have an insulin response, and contribute calories.

Agave syrup is really just a fancy, expensive version of high-fructose syrup. Agave, which is the same sugar used to make tequila, is very high in fructose. There have been several debates about whether fructose is worse for your health than glucose. Whether it is or not, in the end, sugar is sugar and agave is just as unhealthy as sugar. Both glucose and fructose raise your blood sugar levels, whether the source is from agave, bees, maple trees, or sugar cane.

Sorbitol

We sometimes use Queen Sugar Free Maple Syrup on our pancakes, as it is the only commercially-available sugar free maple syrup on the market. It contains sorbitol, a sugar alcohol made from glucose, and sucralose, an artificial sweetener. While these aren’t the best sweeteners, it still may be a better option for people who want to put maple syrup on their Low Carb Protein Pancakes without drowning them in high sugar maple syrup. Peter’s No Added Sugar Ice Cream, which is also pretty good on low carb pancakes, also contains sorbitol. 

Chewing gum like Extra contains sorbitol, but there are gums sweetened with xylitol that are starting to gain popularity because of the health claims about xylitol being good for tooth health.

Artificial sweeteners such as aspartame, sucralose and saccharin 

The consensus is still out about the safety of artificial sweeteners, but they are still approved by FSANZ and the FDA and are common in low calorie foods. Aspartame is one of the most common artificial sweeteners in use today. If you’ve used an Equal in your coffee or ever had a Diet Coke, you’ve had aspartame. There are lots of claims that aspartame is bad for your health, but even though some studies have raised concern about the link to aspartame to cancer and other health concerns, the Australian Institute of Food Safety says there is nothing to worry about. Sucralose is the artificial sweetener in Splenda, and is also used in Queen Sugar Free Maple Syrup, and saccharin is in Sweet’N Low. 

What’s dextrose?

Dextrose is chemically exactly the same as glucose. It’s a simple sugar made from corn, and is common in processed foods. It’s often added as a filler, so be wary of foods containing dextrose, as they could still raise your blood sugar levels. It’s also brewers sugar used to brew beer.

What about no sweeteners?

There is a case for limiting all sweeteners, even if they don’t have a huge impact on blood sugar, as they can trigger a dopamine response which can make you crave sweets. Some studies show that consuming sweeteners like diet drinks might make it harder to lose weight. There is also some evidence to show some sweeteners may damage gut bacteria

While sweeteners such as stevia and erythritol don’t contain calories, it’s important to be mindful that you’re still adding them to foods that contain calories. You still need to consider what you’re eating with the sweetener which contributes calories. 

Sweeteners can help you stay low carb

The good thing about alternative sweeteners like stevia and sugar alcohols is they can really help you get off sugar. People find that when they transition to low carb, the cravings for sweet foods start to diminish, as you aren’t relying on topping up your glucose levels. I’ve found that switching to low carb sweeteners has helped me reduce how much sweetness I need to add to foods, and it’s really helped improve my blood sugar levels. Low carb sweeteners are a good option if you want to stay low carb, while allowing yourself to have a sweet treat every now and then without compromising your macros or impacting your blood sugar levels.

Author Profile

Kathy Skantzos
I was diagnosed with type 1 diabetes around the time I was finishing a journalism degree in my early 20s. I have followed a low carb diet for the past couple of years after the standard dietary advice of a low GI diet wasn’t working with my blood sugar levels. If I’m not cooking a low carb creation, I’m probably at a farmer’s market, doing yoga or going for a park run, attempting hip-hop dance, reading, writing or sketching! I love Aussie beaches, Italian culture, Spanish tapas and discovering new places through travelling. I like to keep on top of health news and follow what’s happening in the low carb space, so feel free to follow me on Twitter or Instagram @kathyskantzos for my latest insights.

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