Research Summary
Analyzed using Evidence Intelligence™

Replacing Sucrose with Sucralose Shows Little Effect on Glycemia

Last updated September 12, 2026

Key finding

There was a small but significant reduction in BW (−0.5 kg [95% CI −1.0, −0.1]; p = 0.02)

This study evaluated the impact of substituting sucrose with sucralose in coffee/tea on glycemic control in individuals with type 2 diabetes. It found significant reductions in body weight, BMI, and waist circumference.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the impact of substituting sucrose with sucralose in coffee/tea on glycemic control in individuals with type 2 diabetes. It found significant reductions in body weight, BMI, and waist circumference.

Clinical relevance

These findings suggest that dietary modifications, such as using sucralose instead of sucrose, could be beneficial for weight management in people with type 2 diabetes. While glycemic control remained stable, the reduction in body weight and waist circumference may lead to improved overall health and reduced risk of diabetes-related complications.

Keep in mind

The study did not observe changes in HbA1c levels. Results may not be generalizable to all populations with diabetes. The sample size and duration of the study were not specified.

Published in

Journal Reference

Publication details and source links for this paper.

Viswanathan M, Valangaiman SM, Kuzhandaivelu A, et al. Effect of Replacing Sucrose with Sucralose in Coffee/Tea on Glycemic Control in Type 2 Diabetes: A Randomized Controlled Trial. Diabetes Therapy. 2024;15(9):2061-2077. doi:10.1007/s13300-024-01622-6

Main Effects

Body weight decreased by −0.5 kg (p = 0.02).

BMI decreased by −0.2 kg/m² (p = 0.03).

Waist circumference decreased by −0.8 cm (p = 0.002).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Sucralose substitution in coffee/tea and BMI, Body weight, Carbohydrate intake, and 6 more.

Primary intervention

Sucralose substitution in coffee/tea

Primary outcomes

  • BMI
  • Body weight
  • Carbohydrate intake

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

9
Evidence pairs
9
Relationships
5
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

5

Related topics

9

Evidence pairs

1765

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Weight Loss

matched_outcome

Related evidence

Evidence topic

Body Composition

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Sucralose substitution in coffee/tea → BMI

Sucralose substitution in coffee/tea → BMI

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Body weight

Sucralose substitution in coffee/tea → Body weight

Sucralose substitution in coffee/tea → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change in Visceral Adiposity Index

Sucralose substitution in coffee/tea → Change in Visceral Adiposity Index

Sucralose substitution in coffee/tea → Change in Visceral Adiposity Index

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Glycemia risk index

Sucralose substitution in coffee/tea → Glycemia risk index

Sucralose substitution in coffee/tea → Glycemia risk index

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Sucralose substitution in coffee/tea → HbA1c

Sucralose substitution in coffee/tea → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

lipid accumulation product

Sucralose substitution in coffee/tea → lipid accumulation product

Sucralose substitution in coffee/tea → lipid accumulation product

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

UPF percentage contribution to total energy intake at follow-up

Sucralose substitution in coffee/tea → UPF percentage contribution to total energy intake at follow-up

Sucralose substitution in coffee/tea → UPF percentage contribution to total energy intake at follow-up

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Waist circumference

Sucralose substitution in coffee/tea → Waist circumference

Sucralose substitution in coffee/tea → Waist circumference

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Carbohydrate intake

Sucralose substitution in coffee/tea → Carbohydrate intake

Sucralose substitution in coffee/tea → Carbohydrate intake

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

Evidence Suggest

  • Significant weight loss of −0.5 kg was observed (p = 0.02).
  • Waist circumference reduced by −0.8 cm (p = 0.002).
  • Improvements in dietary intake metrics were noted (p < 0.0001).
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals seeking to manage weight through dietary changes.
keep in mind

Keep in Mind

  • The study's findings are limited to the specific population studied.
  • Long-term effects of sucralose substitution were not evaluated.
  • Further research is needed to explore the implications for glycemic control.
between the lines

Between the Lines

  • The study did not observe changes in HbA1c levels.
  • Results may not be generalizable to all populations with diabetes.
  • The sample size and duration of the study were not specified.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Sucralose substitution in coffee/tea and Body Mass Index, Sucralose substitution in coffee/tea and Body Weight.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Sucralose substitution in coffee/tea affect BMI?

Emerging Evidence

Sucralose substitution in coffee/tea appears to affect BMI.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Sucralose substitution in coffee/tea affect body weight?

Emerging Evidence

Sucralose substitution in coffee/tea appears to affect body weight.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Sucralose substitution in coffee/tea improve carbohydrate intake?

Emerging Evidence

Sucralose substitution in coffee/tea appears to improve carbohydrate intake.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Carbohydrate intake

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Sucralose substitution in coffee/tea improve change in visceral adiposity index?

Emerging Evidence

Sucralose substitution in coffee/tea appears to improve change in visceral adiposity index.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in Visceral Adiposity Index

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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