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Is Stevia or Erythritol Better for Keto? A Complete Guide

5 min read

While both stevia and erythritol are considered zero-calorie sweeteners, a 2023 study published in Nature Medicine revealed a link between high erythritol levels and an increased risk of cardiovascular events. This has led many to question: is stevia or erythritol better for keto?

Quick Summary

This guide examines the pros and cons of stevia and erythritol for the keto diet, evaluating their origins, taste, glycemic impact, and potential side effects to help you decide on the best sugar substitute.

Key Points

  • Glycemic Impact: Both stevia and erythritol have a glycemic index of zero and do not spike blood sugar, making them ideal for the keto diet.

  • Taste Difference: Stevia is intensely sweet but can have a bitter aftertaste, while erythritol has a clean, milder, sugar-like taste with a cooling sensation.

  • Baking vs. Beverages: Erythritol's bulk and texture make it superior for baking, whereas stevia is better for adding sweetness to drinks.

  • Health Concerns: Erythritol is associated with digestive issues in high doses and has faced recent cardiovascular risk concerns, while stevia has a long-standing safety record.

  • Ideal Choice: The best sweetener depends on personal preference and use case; moderation and considering blends can help mitigate potential drawbacks for both.

  • Consider Blends: Many products combine stevia and erythritol to balance sweetness and eliminate aftertaste.

In This Article

The choice between stevia and erythritol is a common dilemma for those on a ketogenic diet. Both offer the sought-after benefit of zero or minimal calories and no impact on blood sugar, but they differ significantly in their origins, taste profiles, culinary uses, and potential health considerations. Understanding these nuances is key to selecting the right sweetener for your needs while adhering to a low-carb lifestyle.

Understanding the Sweeteners

What is Stevia?

Stevia is a natural, zero-calorie sweetener derived from the leaves of the Stevia rebaudiana plant, native to South America. The sweet-tasting compounds, called steviol glycosides, are extracted and refined to create the products found on grocery store shelves, such as PureVia or SweetLeaf.

  • Sweetness: Stevia is incredibly potent, typically 200–300 times sweeter than table sugar, meaning only a tiny amount is needed.
  • Taste: Its taste has a slower onset than sugar, and some people find it has a distinct, sometimes bitter, licorice-like aftertaste, especially in higher concentrations.
  • Health Impact: Stevia has a glycemic index of zero and does not raise blood sugar or insulin levels. It is generally recognized as safe (GRAS) by the FDA, and there is a long history of safe use.

What is Erythritol?

Erythritol is a sugar alcohol (a polyol) found naturally in small amounts in some fruits like grapes and melons, as well as in fermented foods. Commercial erythritol is produced by fermenting glucose, typically from corn starch, with yeast.

  • Sweetness: It is about 60–80% as sweet as table sugar.
  • Taste: Many people prefer its clean, sugar-like taste. It has a mild cooling sensation on the tongue, which can be pleasant or off-putting depending on the individual.
  • Health Impact: Like stevia, erythritol has a glycemic index of zero and does not cause blood sugar or insulin spikes, making it excellent for keto. It's also beneficial for dental health, as oral bacteria cannot metabolize it.

Side-by-Side Comparison: Stevia vs. Erythritol for Keto

Feature Stevia Erythritol
Origin Derived from the leaves of the Stevia rebaudiana plant. Sugar alcohol derived from fermenting glucose (e.g., from corn).
Sweetness Very intense (200–300x sweeter than sugar). Moderate (60–80% as sweet as sugar).
Glycemic Impact Zero. Does not affect blood sugar or insulin. Zero. Does not affect blood sugar or insulin.
Taste Profile Can have a bitter or licorice-like aftertaste for some users. Clean, sugar-like taste with a mild cooling effect.
Best Uses Ideal for sweetening beverages (coffee, tea) where small amounts are effective. Excellent for baking and recipes that require sugar's bulk and texture.
Digestive Side Effects Generally well-tolerated. Some blends containing sugar alcohols may cause bloating or gas. Can cause digestive issues like bloating, gas, and diarrhea if consumed in large quantities.
Recent Health Concerns Minimal and generally considered safe based on a long history of use. A 2023 study linked high circulating erythritol to increased risk of cardiovascular events, though more research is needed.

Considerations for the Keto Diet

Flavor and Aftertaste

The main deciding factor for many is taste. If you are sensitive to the bitter aftertaste of stevia, erythritol might be more palatable for everyday use, especially in large amounts. However, many stevia-erythritol blends are available that combine the intense sweetness of stevia with the clean taste and bulk of erythritol to mask any off-notes.

Culinary Applications

For sweetening a cup of coffee or tea, a few drops of liquid stevia or a tiny packet of powder is sufficient. For baking, however, where the physical bulk and texture properties of sugar are necessary, erythritol is often the superior choice. It provides volume and a similar texture to sugar, whereas stevia alone would require additional bulking agents.

Health Implications

While both sweeteners are keto-friendly due to their zero glycemic impact, recent cardiovascular concerns surrounding erythritol are a notable development. The 2023 study found that individuals with high levels of erythritol in their blood had a higher risk of heart attack, stroke, and blood clots. It's crucial to understand that this was an association, not a proven causal link, and the study did not control for dietary intake of erythritol. Many experts still consider moderate consumption safe for most individuals, but those with pre-existing cardiovascular risk factors may want to exercise more caution. Stevia, with its longer history of widespread use and safety data, remains a very safe option, though some research is mixed on its effect on the gut microbiome.

Pros and Cons at a Glance

Stevia

  • Pros: Zero calories, natural origin, zero glycemic impact, well-established safety record.
  • Cons: May have a bitter aftertaste, less suitable for baking due to lack of bulk.

Erythritol

  • Pros: Clean taste profile, bulking properties make it great for baking, zero glycemic impact.
  • Cons: Potential for digestive issues in larger quantities, recent cardiovascular health concerns.

Making the Right Choice for Your Keto Journey

Ultimately, the best choice depends on your personal preferences and health profile. For most people, incorporating either sweetener in moderation is a valid strategy. If you primarily use sweeteners in beverages or are concerned about the recent erythritol study, stevia is a reliable, time-tested option. If you do a lot of keto baking and prefer a taste and texture closer to sugar, erythritol might be the better fit, but consider your overall consumption and health status. Blends of the two can also offer a great compromise. As always, consult a healthcare provider for personalized dietary advice, especially if you have an underlying health condition.

For further reading on the comparison, Healthline offers a helpful article: Stevia vs. Erythritol: Nutrients, Benefits, Downsides.

Conclusion

Both stevia and erythritol are effective zero-glycemic sweeteners for the keto diet, but they offer different advantages. Stevia is a potent, calorie-free option with a long history of safe use, though it can have a bitter aftertaste. Erythritol provides a clean, sugar-like taste and bulk for baking but is linked to potential digestive issues and recent cardiovascular concerns that warrant caution, especially for high consumption. The ideal choice is a personal decision based on taste, intended use, and individual health considerations, and for many, moderation or using a blend is the most sensible approach.

Frequently Asked Questions

No, both pure stevia and erythritol have a zero glycemic index and do not cause a blood sugar or insulin response. Therefore, they will not kick you out of ketosis.

Erythritol is generally better for baking because its bulk and texture are more similar to sugar, allowing for better results in recipes. Stevia, being very potent, does not provide the necessary volume.

The bitter taste is caused by certain compounds within the stevia plant. The intensity depends on the concentration and purity of the extract. Many high-purity extracts minimize this, and some blends help mask the flavor.

The most common side effects of erythritol are digestive, including bloating, gas, and diarrhea, especially when consumed in large quantities. This is due to it being only partially absorbed by the body.

A 2023 study found an association between high circulating levels of erythritol and an increased risk of cardiovascular events, such as heart attack and stroke. However, this is an observational finding and more research is needed to understand the long-term effects of dietary consumption.

Yes, many commercially available products combine stevia and erythritol. This is a common strategy to mask any bitter aftertaste from stevia and achieve a more balanced, sugar-like flavor profile.

Since both sweeteners do not raise blood sugar or insulin levels, they are generally considered safe for people with diabetes. However, always check product labels for added ingredients and consult a doctor.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.