I have used artificial sweeteners for years now, ever since they became widely available, sprinkling them on my breakfast grapefruit quite generously and although I have often read warnings against them, I have largely ignored them as I don't like the taste, especially of Stevia/Truvia. That was until I read the following : https://www.diabetes.co.uk/forum/threads/artificial-sweeteners-are-they-all-bad.159561/. I have been warned about my rising HbA1c but it stubbornly seems to remain the same every 6 months. Is it possible that using Canderel and similar artificial sweeteners could have a connection to my rising HbA1c [45 m/mol at the last count]. I'm 76 and eat pretty well I think, always cooking from scratch, and am not in the least overweight. I love to start the day with grapefruit and really don't want to stop; I am careful with carbs but cannot say that I am too precious about them either, but I do have a love of dairy, the full fat sort. I feel that if I put myself onto an ultra low calorie diet I may have some result but doubt whether I could sustain that for long. I don't count calories but am careful with what I eat. I do however wonder if I should give up the sweetener.