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One of the first things to go when “fixing” a diet is that of sugary, calorie-dense beverages,
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especially the ones we all know and love.
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Sodas, pops, soft drinks or however you call it, no doubt these drinks have a bad track
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record, to say the least.
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However, removing soda from one's diet is much easier said than done.
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We just enjoy the taste of sugar too much.
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To combat this, some health advocates have proposed the use of diet sodas as an alternative.
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But are these no-calorie derivatives truly better?
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Or, might they actually be worse?
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Let's find out.
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Undoubtedly, the problem with sodas is its sugar content, commonly in the form of high
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fructose corn syrup.
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Overconsumption of these sugars in general can lead to a myriad of issues such as insulin
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resistance, type 2 diabetes, hypertension, weight gain, and obesity.
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But the key word here is “overconsumption.”
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Moderate consumption of sugars actually won't do much harm.
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After all, we use sugar for energy.
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But, the problem today is the fact that SO MANY of our foods contain added sugars, not
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just soft drinks.
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Overconsumption is much more easily achieved than ever before.
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One soda can itself contains roughly 40 grams, or 10 teaspoons worth of sugar.
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Just drinking two soda cans per day results in 320 calories all from just sugar.
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To deal with at least some of this, in comes artificial sweeteners.
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Sodas typically use the artificial sweeteners aspartame and acesulfame potassium, aka ace-k.
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Both are substantially sweeter than sugar itself (180x asp 200x acek) while containing
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zero calories.
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Unfortunately, it's been purported that diet sodas have its own set of issues and
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aren't good for you either.
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But when we look at the actual evidence, we often come to a different finding.
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A key criticism of diet soda is its impact on insulin.
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Since diet sodas are sweet just like sugar, the belief is that it can also elicit an insulin
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response.
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However, since it lacks actual sugar, there is nothing for the secreted insulin to metabolize.
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This purportedly can lead to insulin resistance.
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Insulin resistance can in fact lead to the dreaded type 2 diabetes.
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A glaring issue if it were to be true.
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Fortunately, we have multiple research evidence, and evidence as recent as July of 2018, showing
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that artificial sweeteners do not, in fact, elicit an insulin response.
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It seems that insulin secretion is not closely tied to taste of sweetness, but rather the
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properties pertaining to sugar itself.
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In the case of diabetes, one systematic review of 17 related studies did preliminarily find
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an increased risk with diet soda.
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In fact, they reported that regular soda led to an 18% increased risk of type 2 diabetes
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per serving while diet sodas had a higher, 25% increased risk per serving.
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But there were more adjustments made to control for any residual confounding and potential
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biases in the studies.
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After further adjustment, the associated risk of type 2 diabetes for regular soda reduced
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by 26% while diet soda's association reduced by a substantial 96%!
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Essentially, the data does not definitively show an association between diet soda and
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type 2 diabetes.
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But the concerns didn't stop there.
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There have been research showing other health risk associations with diet soda, such as
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increased blood pressure, gut dysfunction, metabolic syndrome, cancer and increased risk
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of stroke.
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It's important to understand, though, that these are only associations and not evidence
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of a direct causal link to any health risks and diet soda.
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Many studies, especially ones on cancer and gut dysfunction, only found issues in rat
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studies where the rats were consuming artificial sweeteners at amounts multiple times greater
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than humans would ever consume.
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Human trials typically show no issue.
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Also, a potential explanation for these associations is reverse causality.
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Instead of diet soda being the issue, it might be that unhealthy subjects are more likely
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to drink diet soda in attempt to reduce their sugar intake.
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This explains the higher incidences of many of these health risks with diet soda consumption.
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And we do have data showing that people consuming diet soda tend to weigh more and have higher
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BMI levels at baseline compared to those who do not drink any soda.
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Even then, to reiterate, there are no causal links, only association.
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With all this being said, which one is better?
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Regular or diet soda?
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As of now, the data points to diet soda being better for you than regular soda overall.
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The reduction in the added sugars can have a profound effect, especially for those that
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struggle with excessive sugar consumption.
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It's still important to have a decent overall diet and a healthy lifestyle in general.
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Just because you drink diet soda now doesn't mean you have the freedom to eat more elsewhere
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than when you were drinking regular soda.
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Like everything in nutrition, moderation is key.
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It just so seems that diet soda has a greater threshold.
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So, as long as you get the rest of your lifestyle in order, feel free to enjoy any of your carbonated
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concoction from time to time.
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And while you're at it, let me know what you think about the soda battle in the comments
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below.
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Thumbs up the video if you enjoyed it and share it with your soda-loving friends.
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As always, thank you for watching and GET YOUR PROTEIN!