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If you have diabetes, you may think it’s healthier to choose a diet drink or an artificial sweetener. Diet drinks and artificial sweeteners pose many health risks to people with diabetes. Let’s take a look at the latest research. A study found that drinking only four or more cans of a diet soft drink per week more than doubles your risk of proliferative diabetic retinopathy PDR. PDR is an eye-related complication of diabetes. In PDR, abnormal blood vessels develop in the eye and increase your risk of vision loss and blindness. Drinking diet soda every day is associated with a 36 percent increased risk of metabolic syndrome and glucose intolerance. These conditions make your body less effective at releasing and responding to insulin. Like many people with diabetes, you may believe that artificial sweeteners can’t raise your blood sugar. But some studies have shown that the artificial sweetener aspartame actually increases blood sugar and insulin levels at similar rates to regular sugar. More research is needed to look at whether other artificial sweeteners have the same effect.