Are Sugar Alternatives Truly Healthy? Here’s what Dietician Avni Says

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The war against our regular table sugar is nothing new. There is an overload of information regarding why white sugar is a “silent killer” and makes things worse for diabetes patients. India is known as the diabetes capital of the world. Based on reports, India has around 77 million diabetics, just behind China, with over 116 million diabetics.

Things about sugar substitutes

Avni Kaul says diabetes is not solely about sugar, it is one of the chronic inflammation disorders. To call any product diabetic-friendly since it does not have sugar but actually has a certain chemical, which is going to lead to inflammation, is a paradox.

The market is making people fatter and fatter with several unscientific things, which are zero calories, and zero sugar. Everyone has got the whole paradigm wrong. Actually, the elements that are added to make a product sugar-free are mainly chemicals.

Consuming sugar has become an unchangeable habit in the modern world. Healthy substitutes to include are raisins, figs, dried fruits, fruits, and jaggery.

Balance is the essence of a healthy life

But maintaining a balance is key to a healthy life. Even natural sweeteners need to be consumed in moderation. One needs to avoid substitute sweeteners, such as Aspartame, Sucralose, and corn syrup.

Unnatural ingredients cause concern. As far as food is concerned, it is the entry of non-food products into food, which is the biggest cause of concern.

But there are separate views too

It has been seen that there is a lobbying named anti-chemical lobby and a natural food-only lobby. One needs to move away from the chemical phobia. Everything is a chemical; we are all made of chemicals.

If one can say dihydrogen monoxide, it will sound like scary stuff. But dihydrogen monoxide is H20, which we know as water. Moving sugar completely is not a viable option. Rather than telling diabetes patients to eliminate sugar and filling them with unnecessary guilt and restriction, one can offer them viable alternatives.

Everything natural is not mandatorily the best. Jaggery is solely a sugar in a different form. It is like saying ice is better than vapour.

Jaggery is marginally better compared to sugar in terms of its iron content. “But to get your daily need of iron from jaggery by itself, you’ll have to eat a kilo of jaggery per day, which is quite bad to do.

Diabetics need to consume foods having a lower glycemic index and slowly release the sugar into the bloodstream. One must fill themselves up with high-fibre foods and have these sugary foods in small treats.

The only thing that one should watch out for is that if they are consuming sugar alcohols then you need to be sure you are not consuming them in large amounts. Some examples of sugar alcohols include Malitol and xylitol, which are actively used in modern-day ice creams and chocolates.

Those are not digested in the same manner as regular sugar. Bacteria inside your intestines digest these sugar alcohols. So, if you consume too much of them, this bacteria fails to manage the load, and you can get flatulence and abdominal discomfort. Health should not be a problem, regular healthy whole grains, diversity in your diet and timed meals will help you keep healthy. In this blog, India’s eminent Dietician for diabetics Avni Kaul has shared her views regarding sugar alternatives.

Important Disclaimer & Medical Policy

This content is for informational and educational purposes only. It does not constitute medical or dietary advice. Please consult Dietician Avni Kaul or a qualified healthcare professional before making any changes to your diet or nutrition plan.

Picture of  Written by Avni Kaul

Written by Avni Kaul

I am Avni Kaul, a nutritionist & Best Dietitian In Delhi with a B.Sc. and M.Sc. in Food and Nutrition from the University of Delhi, and 12 years of experience, including my work at Max Hospital’s Endocrinology Department as a Dietitian and Diabetes Educator. In 2018, I started my clinic, Nutri Activania in Saket, New Delhi, specializing in women’s health, including pre-conception, pregnancy nutrition, postpartum recovery, and hormonal conditions like PCOS, fertility, menopause, and endometriosis.

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In March 2025, I had a scare with a sudden spike in my sugar levels. That was my wake-up call—I knew it was time to take my health seriously. I wasn’t looking for a quick fix but a long-term, sustainable lifestyle change. That’s when a close friend introduced me to Avni and NutriActivania. I reached out to Avni, and we discussed my goals and what I hoped to achieve. She and her team immediately put together a plan tailored specifically for me. The best part was how flexible it was—no drastic cuts, no extreme measures. Instead, they focused on equipping me with the skills and habits I needed to make lasting lifestyle changes. They listened to what worked for me, especially in terms of food preferences, and built a plan around my life rather than expecting me to adjust to theirs. That level of customization is what made it easy for me to stay committed. Each week, they share a personalised food plan and always check in before finalizing it. Avni has been incredibly supportive—always available to answer questions and consistently encouraging me to stay on track. Over the last seven months, I have lost 9 kgs. My sugar levels are back to normal, my cholesterol has dropped, and most importantly, I feel healthier. I eat better, and I am far more mindful about what I consume. I truly believe they’ve given me the tools to make better choices and have been instrumental in helping me reshape my lifestyle. Thank you, Avni and team. Thank you for being part of my journey and for helping shape it in the best way possible.
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