<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>kazinator</author><text>&amp;gt; &lt;i&gt;artificial sweeteners caused the body to raise its blood sugar because the drink is perceived to be sweet&lt;/i&gt;&lt;p&gt;This is subtly different from the effects claimed by the study, namely that blood sugar can change simply due to the test subject believing that a drink has high sugar content.&lt;p&gt;Substances other than sugar can affect the sugar balance.&lt;p&gt;This is why dogs can die from hypoglycemic shock if they consume xylitol. Their body is fooled into thinking its sugar, and the insulin response then evacuates the actual sugar from their bloodstream.</text><parent_chain><item><author>1123581321</author><text>I&amp;#x27;m type 1. I used to believe artificial sweeteners caused the body to raise its blood sugar because the drink is perceived to be sweet, but when I got a CGM I was able to verify that they do not. I&amp;#x27;d be interested in a switched label test with CGMs and T1s because a potential insulin response would be absent.&lt;p&gt;I realize this study is qualified (type 2, preprandial &amp;lt; 200mgdl, lab setting, fake labels, short term) and laud the potential connection between stress and elevated fasting glucose (seems similar to the connection between sleep and elevated glucose.) I&amp;#x27;ve read the study and am just adding a personal anecdote to the thread.</text></item></parent_chain></comment><story><title>Glucose metabolism responds to perceived sugar intake more than actual intake</title><url>https://www.nature.com/articles/s41598-020-72501-w?mc_cid=2b33d59ff8&amp;mc_eid=e358e73db6</url></story>
<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>arleny</author><text>I could be wrong, but it seems like there&amp;#x27;s a distinction between perceived sugar (amount of sugar in drink) as mentioned in the study and perceived sweetness (how sweet the drink tastes) which is what you&amp;#x27;re referring to.</text><parent_chain><item><author>1123581321</author><text>I&amp;#x27;m type 1. I used to believe artificial sweeteners caused the body to raise its blood sugar because the drink is perceived to be sweet, but when I got a CGM I was able to verify that they do not. I&amp;#x27;d be interested in a switched label test with CGMs and T1s because a potential insulin response would be absent.&lt;p&gt;I realize this study is qualified (type 2, preprandial &amp;lt; 200mgdl, lab setting, fake labels, short term) and laud the potential connection between stress and elevated fasting glucose (seems similar to the connection between sleep and elevated glucose.) I&amp;#x27;ve read the study and am just adding a personal anecdote to the thread.</text></item></parent_chain></comment><story><title>Glucose metabolism responds to perceived sugar intake more than actual intake</title><url>https://www.nature.com/articles/s41598-020-72501-w?mc_cid=2b33d59ff8&amp;mc_eid=e358e73db6</url></story>