Study Of Drinks With Artificial Sweeteners in People With Type 2 Diabetes

Exclusion Criteria

• •Type 1 diabetes or suspected type 1 diabetes (lean with polyuria, polydipsia, and weight loss with little response to metformin)
• •"Secondary" diabetes due to specific causes (e.g. monogenic syndromes, pancreatic surgery, and pancreatitis)
• •Diabetic Ketoacidosis hospitalization within last 6 months
• •Severe/major hypoglycemia in the last 3 months-severe/major hypoglycemia is defined as a hypoglycemic event in which patient requires assistance of another person to manage the episode
• •Glucocorticoid use (prednisone 2.5 mg/d or more or its equivalent)
• •History of intolerance or allergy to diet beverages or AS or phenylketonuria
• •Any condition that is known to affect the validity of the glycemic measures (Hba1c)
• •Major cardiovascular disease event or surgery within past 6 months
• •Gastrointestinal disease
• •Renal or liver disease
• •Current treatment for cancer
• •Those with major surgery planned or history of bariatric surgery
• •Antibiotic treatment (\> 6 days) within past 6 months
• •Currently pregnant (via self-report) or planning to become pregnant during study period; \<1 year postpartum and breast feeding
• •Current participation in another interventional clinical trial
• •Previous randomization in this study,
• •Heavy alcohol consumption (on average \>2 drinks/day for women and \>3 drinks/day for men)
• •Habitual consumer of SSB ≥ 1 serving / day (8 oz.)
• •Does not drink diet beverages
• •BMI \< 20.0 kg/m2