**7. Non-nutritive sweeteners**

Lowered calorie sweeteners permitted by the Food and Drug Administration (FDA) include sugar alcohols (erythritol, sorbitol, mannitol, xylitol, isomalt, lactitol, and hydrogenated starch hydrolysates) and tagatose. They deliver a lower glycemic response and contain, on average, 2 calories per gram. Sugar alcohols produce a decreased postprandial glucose response than sucrose or glucose and have lower accessible energy but need to be used with carefulness in TIDM children since they can lead to osmotic diarrhea. Sugar alcohols are partly absorbed, hence only half of the Saccharide from sugar alcohols contributes to total saccharide intake [5]. FDA approved sweeteners list is listed in **Table 12**.

