People with diabetes can include small amounts of sugar as part of a healthy eating plan. Alternative sweeteners are not necessary for people with diabetes, but some people may still choose these to add sweetness without adding sugar and kilojoules. Read more in our fact sheet. Alternative sweeteners fact sheet Alternative sweeteners are sugar substitutes. They are not necessary for people with diabetes, but some people may still choose these to add sweetness without adding sugar and kilojoules. Download now