Investigating the use and awareness of artificial sweeteners among diabetic patients in Bangladesh

PLoS One. 2023 Dec 13;18(12):e0295272. doi: 10.1371/journal.pone.0295272. eCollection 2023.

Abstract

Background: As with many countries around the world, the incidence of diabetes in Bangladesh is increasing significantly. Whilst there is controversy in the field regarding the health impact of artificial sweeteners in Western communities, the link between sweetener consumption and awareness in Bangladesh has not been established.

Methods: In the present study, 260 diabetic patients completed a questionnaire survey to investigate the use and awareness of sweeteners and how this links to demographics and potential co-morbidities.

Results: Findings show that daily artificial sweetener consumption is significantly associated with hypertension but not other co-morbidities such as kidney disease or obesity. We further demonstrate that there is limited checking of artificial sweeteners in food or drink products by participants. the rurality of diabetic participants was found to significantly correlates with lower awareness of any health impact of artificial sweeteners.

Conclusions: The findings from this study demonstrate that there is a need to increase the awareness of artificial sweetener use in diabetic patients in Bangladesh. Combined with a more robust understanding of the health impact of artificial sweeteners, these findings suggest that there is potential to improve outcomes for diabetic patients by improving this awareness.

MeSH terms

  • Bangladesh / epidemiology
  • Diabetes Mellitus* / chemically induced
  • Diabetes Mellitus* / epidemiology
  • Humans
  • Obesity / epidemiology
  • Surveys and Questionnaires
  • Sweetening Agents* / adverse effects

Substances

  • Sweetening Agents

Grants and funding

The author(s) received no specific funding for this work.