Elizabeth Hanna says she was fired by the American Diabetes Association after refusing to approve recipes heaped with the additive made by a major donor

Elizabeth Hanna had a simple job: help people with diabetes figure out what to eat. Anyone with common sense knows this should probably not entail foods that might increase people’s risk of getting diabetes. But that’s not necessarily the thinking at the American Diabetes Association (ADA), the world’s leading diabetes research and patient advocacy group, which also receives millions of dollars from sponsors in the pharmaceutical, food and agricultural industries.

According to a lawsuit Hanna recently filed against the ADA, the organization – which endorses recipes and food plans on its website and on the websites of “partner” food brands – tried to get her to greenlight recipes that she believed flew in the face of the ADA’s mission. These included recipes like a “cucumber and onion salad” made with a third of a cup of Splenda granulated artificial sweetener, “autumnal sheet-pan veggies” with a quarter cup of Splenda monk fruit sweetener and a “cranberry almond spinach salad” with a quarter cup of Splenda monkfruit sweetener.

Guess which company gave more than $1m to the ADA in 2022? Splenda.

  • FiniteBanjo@lemmy.today
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    7 months ago

    For those confused about why Splenda is problematic, it has less than a third of the calories as Cane Sugar. So when you add a lot of it to a recipe it can be as bad as adding some sugar.

    I’m sure Elizabeth Hanna approved some use cases for Splenda, but 1/3 of a cup for a cucumber salad is silly.

      • FiniteBanjo@lemmy.today
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        7 months ago

        Splenda is a low calories sweetener, the only reason a small package can say Zero Calories is just because of archaic FDA rule that some ingredients don’t have to be listed below 5 Grams which works as a sort of loophole for very small servings to not list things. There are 96 Calories and 24 carbs per Cup of Splenda.

        • aidan@lemmy.world
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          7 months ago

          Isn’t the whole point, at least for aspertame and other sweetners- I don’t know about Splenda; that they have a much stronger flavor so you use nowhere near as much

          • FiniteBanjo@lemmy.today
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            7 months ago

            No. Sweetness does not come from calories, it comes from the shape of the molecule as it touches the taste buds. Zero Calorie sweeteners do exist. Splenda is not one of them.

            People who shy away from sweets more often have a biological issue with high caloric content, such as diabetes or otherwise chronic weight gain caused by a type of Thyroid disorder. Some people simply prefer to stay at their current weight and avoid the health complications that come with high calories.

            • aidan@lemmy.world
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              7 months ago

              No. Sweetness does not come from calories,

              Agreed.

              That wasn’t my point. My point was that where you would use a cup of sugar you’d use less Splenda than that, because it is sweeter. It is also lower calorie. Those are two compounding effects.

              • FiniteBanjo@lemmy.today
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                7 months ago

                I answered your question, that’s not the point of using low or zero calorie sweeteners because volume has absolutely no correlation to calories or sweetness. Using less or more cups is meaningless in a discussion of their nutritional value.

                • aidan@lemmy.world
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                  7 months ago

                  It was poor rhetorical phrasing meant to emphasize it’s much sweeter than sugar, yes I know the point is also that they’re low calorie.

                  Using less or more cups is meaningless in a discussion of their nutritional value.

                  Well that’s not entirely true, extremely high doses of aspartame at least in rats was associated with cancer.

    • tabris@lemmy.world
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      7 months ago

      Adding sugar or sweetener to a salad is absolutely insane to me. I think the most sweetness I’ve ever added to a salad is fresh lemon juice in the dressing, but actual sugar/sweetener?

      • morhp@lemmynsfw.com
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        7 months ago

        A little bit, like a teaspoon of sugar or honey is quite common and can complement an acidic or salty flavour. But a third of a cup is insane unless you’re cooking for an army.

  • lost_tortie@lemmy.world
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    7 months ago

    These included recipes like a “cucumber and onion salad” made with a third of a cup of Splenda granulated artificial sweetener, “autumnal sheet-pan veggies” with a quarter cup of Splenda monk fruit sweetener and a “cranberry almond spinach salad” with a quarter cup of Splenda monkfruit sweetener.

    • stoly@lemmy.world
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      7 months ago

      This really feels like those awful receipe books that companies put out in the 1950s and 1960s. Like Jello salads and such. This used to be a pretty common thing and it’s a bit surprising to see it appear again.

    • InquisitiveApathy@lemm.ee
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      7 months ago

      It’s not uncommon for a dressing to have sugar in it I guess. I’ll put maybe a teaspoon of sugar in a homemade vinaigrette sometimes, but that’s all. A third of a cup sounds disgusting.

      • qupada@kbin.social
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        7 months ago

        I was about to say. A third of a cup is more than the ENTIRE VOLUME OF DRESSING I’d consider putting in a salad… that would serve four people.

        Maybe a teaspoon of sugar to balance the acidic flavours in the dressing. Maybe.

        Looking at that recipe, it reads like “quick pickles” which are normally made with a hot mixture of white vinegar and sugar (and admittedly quite a lot of sugar), but in those the critical step is you drain the pickled vegetables before serving, so the actual amount of sugar retained by the food is still relatively low. No mention of draining before serving here though, so perhaps it is just artificially-sweetened cucumber and vinegar soup? Blergh.

    • Rubanski@lemm.ee
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      7 months ago

      A pinch of sugar helps countering acidic flavors from eg tomatoes. It rounds the flavor. ⅓ cup is insanity tho

  • thesilverpig@lemmy.world
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    7 months ago

    I’m on keto so I use the occasional stevia or monk-fruit sweetener when I’m craving something sweet, and the fact that she was fired for not approving those recipes make the sweeteners feel much more suss. And they were already kind of suss to begin with, so like… what are they not telling us ?

    • ivanafterall@kbin.social
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      7 months ago

      I’m mostly amazed at the amount! I’m in the same boat as you. I very rarely use it, but when I do, I use like a few granules in my hand because it’s so sweet.

  • RobotToaster@mander.xyz
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    7 months ago

    It seems the WHO guidelines are not without controversy, they relied on observational studies that are extremely vulnerable to reverse causation. The few RCTs that have been done indicate that sweeteners work just fine, but the WHO thought they weren’t long enough.

    https://www.hsph.harvard.edu/nutritionsource/2023/06/06/who-guidelines-non-sugar-sweeteners/

    https://www.bmj.com/content/383/bmj-2023-075293

    Although, that aside, those recipes sound disgusting.

    • ericbomb@lemmy.world
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      7 months ago

      almost gags after tasting them

      “Uhh yeah guys. Totally tastes great, but those pesky who guidelines…”

  • jpreston2005@lemmy.world
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    7 months ago

    Splenda does not increase risk of diabetes. It’s not unhealthy. This article is nonsense. My favorite salad dressing uses a quarter cup of splenda, it’s fine.

    Some study done a while ago said that eating things that are sweet, but with no caloric value, make you crave other caloricly dense sweet things, which can lead to an increase in diabetes risk. The key ingredient to that increase, is eating sugary things, not eating splenda.

    This is stupid.

        • homicidalrobot@lemm.ee
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          7 months ago

          The “study you read a while ago” evolved into the one in the article when you were gently challenged? Dude that’s crazy.

          • jpreston2005@lemmy.world
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            7 months ago

            Here’s the research you didn’t read. It was published in 2022, hence “I read it a while ago”

            They showed a correlation with a change in gut microbiota that’s not as significant of a change as when eating just sugar.

            hence, this is stupid. Don’t want adult onset diabetes? don’t overeat a bunch of sugar. Using splenda to help reduce the amount of sugar you eat on a daily basis, will cause a change in your gut micrbiota associated with increased serum insulin levels in response to glucose loads. But when compared to just eating sugar instead? Well, Splenda is better.

            would you like me to keep reading things for you, or you think you can take it from here, champ?

            • homicidalrobot@lemm.ee
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              7 months ago

              You didn’t read the article or its’ study. You linked a related (but not closely) article you hadn’t read before and just searched. The article is not claiming that splenda causes diabetes, nor is the study, but it is pointing to conditioning the pallette for sweetness increasing the risk of diabetes. It’s cute you tried to be condescending but maybe actually take the time to read the content if you’ve got time to try and be an asshole.

  • liquidparasyte@pawb.social
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    7 months ago

    Conspiracy aside, who the fuck would put a quarter cup of sugar-anything in a ‘healthy’ vegetable dish? Why is there added sugar* at all??

    • fireweed@lemmy.world
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      7 months ago

      The salads I kind of understand because sweet dressing is a thing, but sweetened roasted veggies? 🤢

      • whoisearth@lemmy.ca
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        7 months ago

        C’mon that’s bullshit. 1/3 a cup of Splenda in a salad? If I said 1/3 a cup of sugar? Jesus Christ what are these recipes?! Lol

        • OftenWrong@startrek.website
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          7 months ago

          I don’t know how familiar you are with salad dressing but you don’t usually pour the entire batch of dressing on one salad lol

          • whoisearth@lemmy.ca
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            7 months ago

            Counter point. I am not aware of any salad dressings that call for a 1/3 of a cup of sugar in a 400ml bottle.

            • OftenWrong@startrek.website
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              7 months ago

              Not being aware something doesn’t mean it doesn’t exist. Sounds gross to me but I wouldn’t even be mildly surprised if it existed

              • whoisearth@lemmy.ca
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                7 months ago

                True however you can make the argument that most people don’t pour a whole bottle of salad dressing on their salad but dimes to dollars there are people out there that do.

                Point being, aware or not common sense dictates a level of truth irrespective of it being anecdotal.

                1/3 cups of sugar is 67 grams of carbs. I will bet my life there is no salad dressing that has that many grams of carbs in the bottle. That’s more sugar than 2 cans of coke.

    • quindraco@lemm.ee
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      7 months ago

      I mean, you’re being misleading, since it’s calorie-free. Still deeply gross, but you’re not gonna make your salad worse for your diet.

  • oDDmON@lemmy.world
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    7 months ago

    But as someone who was diagnosed with type 2 diabetes three years ago, I can attest that the dietary and medicinal guidance one gets from doctors and the ADA can be worse than the condition. The result is what the former head of the World Health Organization has called “a slow-motion disaster”, that led to the deaths of 2 million people in 2019.

    As someone under the treatment of American medicine for decades, I have to agree; doctors don’t know everything.

    • stoly@lemmy.world
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      7 months ago

      They aren’t supposed to, which is why things like the ADA exist. It’s sad that there appears to have been an industry takeover of it.

  • BarrelAgedBoredom@lemm.ee
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    7 months ago

    a third cup of Splenda

    Sucralose is 600 times sweeter than sugar. Who the fuck is putting more than a spoonful of Splenda in anything?!

  • RBWells@lemmy.world
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    7 months ago

    Ack. I hate sweet salad dressing, think that just from a culinary standpoint she was right to push back on these. Training your palate to enjoy other flavors would go a long way to getting a lower sugar diet.

    I also fucking hate the taste of monkfruit and stevia, they are most foul.

    But if her argument is that the sweet tasting non caloric sweeteners directly promote diabetes, like they act like sugar, I think this has been disproven several times over.

  • tearsintherain@leminal.space
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    7 months ago

    This is another example of greed/capitalism/failure of institutions. I firmly believe this type of behavior is what leads to people losing trust in institutions and science. Why people turn to conspiracy theories and all natural anti-vaxx terrain.

    Low-carb diets work. Why does the American Diabetes Association push insulin instead? https://www.theguardian.com/commentisfree/2024/apr/17/ada-american-diabetes-association-big-pharma

    PS, from $1 to oligopolies.

          • tearsintherain@leminal.space
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            7 months ago

            Do you or someone from your family work for big pharma? Or perhaps a member of Wall St, not Main Street, and own shares. I’m not anti-insulin or science, I was vaccinated from the go when covid hit. But conflict of interest means obfuscation and self-interest when you should focus on the science and the people. Do you want to pretend big pharma wants to deliver the best at the lowest prices for people who need the drugs? I’m not so naive but u go ahead and go to bat for them.

            Reading the ADA’s publications, one would get the impression it is a grassroots organization supported by moms and pops. A banner on their website blares: “Your Support Goes Twice as Far!” Every few seconds, a pop-up announces a new small donation: “Patrick F donated $100.” “L Robert H. donated $12.” “Al S donated $20.” These small donors may not know that, in 2021, the Patients for Affordable Drugs report, found that a third “of the members of the ADA board of directors have financial ties to the pharmaceutical industry”.

            • jpreston2005@lemmy.world
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              7 months ago

              You’re confusing my intentions. I’m here to defend splenda, it’s safety, and it’s deliciousness.

              The conflict of interest between Americas regulatory bodies and it’s corporations is extremely concerning. The fact that Medical companies are allowed to advertise products still blows my mind. Those are a few of the many reasons I’m a big advocate of Universal health care. There’s a lot of shady shit, but you can take my splenda from my cold dead hands.

              • tearsintherain@leminal.space
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                7 months ago

                “You’re confusing my intentions.”

                I’m here to focus on the conflicts of interest between regulatory bodies, corporations and institutions that are meant to educate the population on things like healthcare. Yeah, it’s a huge problem, bigger than the subjective deliciousness of Splenda.

    • signalsayge@lemm.ee
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      7 months ago

      Some people don’t even make insulin on their own… they sorta have to use insulin.

      A low-carb diet is not going to miracle cure someone’s defective pancreas.

      • tearsintherain@leminal.space
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        7 months ago

        Yes, but that’s not what the piece is talking about either. We’ve gone from stick to the facts, to while I have you here, let me interest you in this product…

        There is a very real issue of not focusing on preventative measure and education and instead raking it in by way of hocking products. Conflict of interest is a real thing and not much money to be made by way of education and preventative teachings. But thats what gives openings to Joe Rogan types instead to hock their teachings.

  • tomkatt@lemmy.world
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    7 months ago

    As a type 2 diabetic myself having managed my condition well now for over a decade, there’s no other way to put this: The ADA’s guidelines and recommendations are fucking garbage. And advice I’ve received from doctors hasn’t been much better, since they’re generally following the aforementioned guidelines.