Sugar-Free Candy and Diabetes: What You Need to Know

Is Sugar-Free Candy Okay for People With Diabetes?

Is Sugar-Free Candy Okay for People With Diabetes?
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While sugar itself doesn’t directly cause diabetes, it can make blood sugar management more difficult. But does sugar-free candy have the same effect on blood sugar as the traditional stuff? And how does it affect weight? The answers to these common diabetes questions aren’t so straightforward.

“Generally speaking, sugar-free candy will have less of an effect on blood glucose than its sugar-containing counterpart,” says Jo-Anne M. Rizzotto, RDN, CDCES, a certified diabetes care and education specialist and a registered dietitian-nutritionist in Boston.

That said, “Sugar-free does not mean calorie-free or carbohydrate-free,” she says. “While sugar-free candy is made with artificial sweeteners, and those sweeteners have fewer calories and carbohydrates, when eaten in certain amounts they still may have an impact on glucose levels and can sabotage one’s weight loss efforts.”

What Exactly Is in Sugar-Free Candy?

“The major difference between regular and sugar-free candy is the kind of sweetener used,” says Anna Taylor, RD, who is affiliated with Cleveland Clinic’s Center for Human Nutrition in Ohio. Taylor says there’s typically no significant difference in the fat or protein content of sugar-free candy.

You may find a couple of different types of sugar substitutes in sugar-free candies: artificial sweeteners and sugar alcohols. These sweeteners don’t contain any calories, and the U.S. Food and Drug Administration (FDA) considers them “food additives.”

Artificial sugar-free sweeteners include saccharin, aspartame, and sucralose.

 Examples of sugar alcohols, which are also sugar-free, include xylitol, erythritol, sorbitol, and maltitol.

 Most sugar alcohols end in “-itol,” Taylor says.

“You’ll see sugar alcohol content listed in grams on the nutrition facts label, under the total carbohydrates section,” Taylor says. “In addition, you will see the type of sugar alcohol the product contains on the ingredients list.”

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What Studies Say About Sugar-Free Candy and Blood Sugar

High-sugar foods are often high in calories and can spike blood glucose levels, which is a problem for effective diabetes management. So, many people turn to sugar-free candies for a touch of sweetness without the potential health effects.

Sugar-free candy itself hasn’t been studied extensively, but the artificial sweeteners it contains has. Unlike foods with added sugars, artificial sweeteners do not immediately spike blood glucose levels. Sugar-free options may have fewer calories than their counterparts, too, which can be helpful for weight management. Excess weight is a risk factor for diabetes.

But artificial sweeteners are very sweet — 200 to 2,000 times sweeter than their sugar counterparts.

If you eat too many of these foods it may affect your taste perception. People who consume a lot of artificially sweetened foods from a young age may develop an insensitivity to sweetness.

 This can mean that less-sweet foods, like fruits or vegetables, may become less appealing over time.

Artificial sweeteners may affect how your body responds to sweet foods chemically. Sucralose and saccharin, for instance, can activate sweet taste receptors, which may increase glucose absorption. They may also affect the makeup of the gut microbiota, causing inflammation, weakening the body’s glucose response, and reducing insulin sensitivity.

Like any sweet treat, sugar‑free candies are best enjoyed in moderation. Both sugar‑sweetened and artificially sweetened options come with trade‑offs, so it’s worth being mindful of how often they show up in your diet.

Why Sugar-Free Candy May Be a Good Choice for People With Diabetes

Experts agree that sugar-free candy is a better choice than candy made with regular sugar for people with diabetes. “Having the option of sugar-free candy to satisfy a sweet tooth without causing a spike in blood glucose can be very helpful, in addition to reducing one’s daily sugar consumption and posing less of a risk to dental health,” Rizzotto says.

Another possible benefit? Sugar-free candy often, though not always, contains fewer total carbohydrates and fewer calories than regular candy, Taylor says.

That said, it’s important to keep portion sizes in mind. If the candy contains sugar alcohols, it still has the potential to affect your blood sugar levels, Taylor says. That’s because sugar alcohols have carbohydrates, too, just fewer than regular sugar. Plus, if you ingest too many sugar alcohols, you may experience uncomfortable gastrointestinal symptoms such as bloating, gas, and diarrhea.

“It’s also easy to consume more candy with the justification that it is sugar-free, potentially causing you to eat more calories and more carbohydrates than if you were just eating the regular candy made with sugar,” Rizzotto says. “Always read the nutrition facts label to see how many calories, carbohydrates, and sugar alcohols, if any, the candy contains.”

Tips for Eating Regular and Sugar-Free Candy When Managing Diabetes

Follow this handy guide to make sure the sweet stuff — regular or sugar-free — doesn’t mess with your blood sugar levels.

Enjoy in Moderation

If you’re looking to enjoy regular candy, consider the carbs per serving and the added sugar. Aim to consume no more than 25 grams (g) of added sugar per day if you’re a woman and no more than 36 g per day if you’re a man.

Focus on portion sizes and think of candy as an occasional treat, whether you’re choosing regular or sugar-free options, Taylor says. That way, you’ll be able to budget for treats without exceeding the recommended sugar or carb intake, she says.

Watch for Saturated Fat

When choosing a candy, “You want to look for the lowest saturated fat content and ensure that the carbohydrate content fits into your carb budget,” Taylor says. For instance, sugar-free chocolate still contains cocoa butter, which is high in saturated fat. Too much saturated fat can raise your cholesterol levels, and it should be limited to no more than about 6 percent of your total daily calories, Taylor says.

Prioritize Quality Over Quantity

Choose a treat you truly enjoy and know will be satisfying. Planning for a piece of candy you love — whether regular or sugar‑free — can help you feel satisfied without going overboard. “Savor it slowly, without letting guilt flaw the experience of enjoying the candy,” Rizzotto says.

The Takeaway

  • Sugar-free candies aren’t calorie- or carbohydrate-free. Too much of these foods can stall weight loss goals and increase blood glucose levels — the same way regular sugar does.
  • Artificial sweeteners don’t directly spike blood sugar, but studies suggest they may alter gut bacteria, affect glucose absorption, and influence insulin or incretin responses.
  • Foods with sugar alcohols can have side effects. These include gas, bloating, and diarrhea.
  • Sugar‑free candy can be a helpful option for people with diabetes, but portion sizes still matter. Whether you choose regular or sugar‑free, savor a small amount and make it fit your carb and calorie goals.

Resources We Trust

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Aspartame and Other Sweeteners in Food. U.S. Food and Drug Administration. February 27, 2025.
  2. What You Should Know About Sugar Alcohols. Cleveland Clinic. June 17, 2024.
  3. Diabetes Risk Factors. Centers for Disease Control and Prevention. May 15, 2024.
  4. How Sweet It Is: All About Sweeteners. U.S. Food and Drug Administration. June 9, 2023.
  5. Begum RK et al. Exploring the Impact of Artificial Sweeteners on Diabetes Management and Glycemic Control.  Frontiers in Nutrition. August 11, 2025.
  6. Artificial Sweeteners: Sugar-Free: But at What Cost? Harvard Health. January 29, 2020.
  7. Facts About Sugar and Sugar Substitutes. Johns Hopkins Medicine.
  8. How Much Sugar Is Too Much? The American Heart Association. September 23, 2024.
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Kara Andrew, RDN, LDN

Medical Reviewer

Kara Andrew, RDN, LDN, is the director of health promotion for Memorial Hospital in Carthage, Illinois. She is also licensed as an exercise physiologist and certified in lifestyle medicine by the American College of Lifestyle Medicine. Her experience includes corporate wellness, teaching for the American College of Sports Medicine, sports nutrition, weight management, integrative medicine, oncology support, and dialysis.

She earned her master's in exercise and nutrition science at Lipscomb University.

Andrew has served as a president and board member of the Nashville Academy of Nutrition and Dietetics. She was recently elected a co-chair of the fitness and medicine group in the American College of Lifestyle Medicine.

Stephanie Bucklin

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Stephanie Bucklin is a freelance writer based in Ann Arbor, Michigan. A graduate of Harvard University, she has written for NY Magazine, Live Science, Vice, Fox News, and other outlets. In her spare time, she also writes children’s books. She is a vegetarian and has an on-again, off-again relationship with running, which has not been improved by the addition of an adorable dog, Jasper, who prefers naps and sleeping in to any form of exercise.

Ashley Welch

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Ashley Welch has more than a decade of experience in both breaking news and long-form storytelling. She is passionate about getting to the crux of the latest scientific studies and sharing important information in an easy-to-digest way to better inform decision-making. She has written about health, science, and wellness for a variety of outlets, including Scientific American Mind, Healthline, New York Family, Oprah.com, and WebMD.

She served as the health editor for CBSNews.com for several years as a reporter, writer, and editor of daily health news articles and features. As a former staff member at Everyday Health, she covered a wide range of chronic conditions and diseases.

Welch holds a bachelor's degree from Fordham University and a master's degree from the Craig Newmark Graduate School of Journalism at the City University of New York, where she studied health and science reporting. She enjoys yoga and is an aspiring runner.