What We Have Here Is A Failure To Communicate

The results of this past election proved once again that the Democrats had a golden opportunity to capitalize on the failings of the Trump Presidency but, fell short of a nation wide mandate. A mandate to seize the gauntlet of the progressive movement that Senator Sanders through down a little over four years ago. The opportunities were there from the very beginning even before this pandemic struck. In their failing to educate the public of the consequences of continued Congressional gridlock, conservatism, and what National Economic Reform’s Ten Articles of Confederation would do led to the results that are playing out today.. More Congressional gridlock, more conservatism and more suffering of millions of Americans are the direct consequences of the Democrats failure to communicate and educate the public. Educate the public that a progressive agenda is necessary to pull the United States out of this Pandemic, and restore this nations health and vitality.

It was the DNC’s intent in this election to only focus on the Trump Administration. They failed to grasp the urgency of the times. They also failed to communicate with the public about the dire conditions millions have been and still are facing even before the Pandemic. The billions of dollars funneled into campaign coffers should have been used to educate the voting public that creating a unified coalition would bring sweeping reforms that are so desperately needed. The reality of what transpired in a year and a half of political campaigning those billions of dollars only created more animosity and division polarizing one extreme over another.

One can remember back in 1992 Ross Perot used his own funds to go on national TV to educate the public on the dire ramifications of not addressing our national debt. That same approach should have been used during this election cycle. By using the medium of television to communicate and educate the public is the most effective way in communicating and educating the public. Had the Biden campaign and the DNC used their resources in this way the results we ae seeing today would have not created the potential for more gridlock in our government. The opportunity was there to educate the public of safety protocols during the siege of this pandemic and how National Economic Reform’s Ten Articles of Confederation provides the necessary progressive reforms that will propel the United States out of the abyss of debt and restore our economy. Restoring our economy so that every American will have the means and the availability of financial and economic security.

The failure of the Democratic party since 2016 has been recruiting a Presidential Candidate who many felt was questionable and more conservative signals that the results of today has not met with the desired results the Democratic party wanted. Then again? By not fully communicating and not educating the public on the merits of a unified progressive platform has left the United States transfixed in our greatest divides since the Civil War. This writers support of Senator Bernie Sanders is well documented. Since 2015 he has laid the groundwork for progressive reforms. He also has the foundations on which these reforms can deliver the goods as they say. But, what did the DNC do, they purposely went out of their way to engineer a candidate who was more in tune with the status-quo of the DNC. They failed to communicate to the public in educating all of us on the ways our lives would be better served with a progressive agenda that was the benchmark of Senators Sanders Presidential campaign and his Our Revolution movement. And this is way there is still really no progress in creating a less toxic environment in Washington and around the country.

Best in Class Finance Functions For Police Forces

Background

Police funding has risen by £4.8 billion and 77 per cent (39 per cent in real terms) since 1997. However the days where forces have enjoyed such levels of funding are over.

Chief Constables and senior management recognize that the annual cycle of looking for efficiencies year-on-year is not sustainable, and will not address the cash shortfall in years to come.
Facing slower funding growth and real cash deficits in their budgets, the Police Service must adopt innovative strategies which generate the productivity and efficiency gains needed to deliver high quality policing to the public.

The step-change in performance required to meet this challenge will only be achieved if the police service fully embraces effective resource management and makes efficient and productive use of its technology, partnerships and people.

The finance function has an essential role to play in addressing these challenges and supporting Forces’ objectives economically and efficiently.

Challenge

Police Forces tend to nurture a divisional and departmental culture rather than a corporate one, with individual procurement activities that do not exploit economies of scale. This is in part the result of over a decade of devolving functions from the center to the.divisions.

In order to reduce costs, improve efficiency and mitigate against the threat of “top down” mandatory, centrally-driven initiatives, Police Forces need to set up a corporate back office and induce behavioral change. This change must involve compliance with a corporate culture rather than a series of silos running through the organization.

Developing a Best in Class Finance Function

Traditionally finance functions within Police Forces have focused on transactional processing with only limited support for management information and business decision support. With a renewed focus on efficiencies, there is now a pressing need for finance departments to transform in order to add greater value to the force but with minimal costs.

1) Aligning to Force Strategy

As Police Forces need finance to function, it is imperative that finance and operations are closely aligned. This collaboration can be very powerful and help deliver significant improvements to a Force, but in order to achieve this model, there are many barriers to overcome. Finance Directors must look at whether their Force is ready for this collaboration, but more importantly, they must consider whether the Force itself can survive without it.

Finance requires a clear vision that centers around its role as a balanced business partner. However to achieve this vision a huge effort is required from the bottom up to understand the significant complexity in underlying systems and processes and to devise a way forward that can work for that particular organization.

The success of any change management program is dependent on its execution. Change is difficult and costly to execute correctly, and often, Police Forces lack the relevant experience to achieve such change. Although finance directors are required to hold appropriate professional qualifications (as opposed to being former police officers as was the case a few years ago) many have progressed within the Public Sector with limited opportunities for learning from and interaction with best in class methodologies. In addition cultural issues around self-preservation can present barriers to change.

Whilst it is relatively easy to get the message of finance transformation across, securing commitment to embark on bold change can be tough. Business cases often lack the quality required to drive through change and even where they are of exceptional quality senior police officers often lack the commercial awareness to trust them.

2) Supporting Force Decisions

Many Finance Directors are keen to develop their finance functions. The challenge they face is convincing the rest of the Force that the finance function can add value – by devoting more time and effort to financial analysis and providing senior management with the tools to understand the financial implications of major strategic decisions.

Maintaining Financial Controls and Managing Risk

Sarbanes Oxley, International Financial Reporting Standards (IFRS), Basel II and Individual Capital Assessments (ICA) have all put financial controls and reporting under the spotlight in the private sector. This in turn is increasing the spotlight on financial controls in the public sector.

A ‘Best in Class’ Police Force finance function will not just have the minimum controls to meet the regulatory requirements but will evaluate how the legislation and regulations that the finance function are required to comply with, can be leveraged to provide value to the organization. Providing strategic information that will enable the force to meet its objectives is a key task for a leading finance function.

3) Value to the Force

The drive for development over the last decade or so, has moved decision making to the Divisions and has led to an increase in costs in the finance function. Through utilizing a number of initiatives in a program of transformation, a Force can leverage up to 40% of savings on the cost of finance together with improving the responsiveness of finance teams and the quality of financial information. These initiatives include:

Centralization

By centralizing the finance function, a Police Force can create centers of excellence where industry best practice can be developed and shared. This will not only re-empower the department, creating greater independence and objectivity in assessing projects and performance, but also lead to more consistent management information and a higher degree of control. A Police Force can also develop a business partner group to act as strategic liaisons to departments and divisions. The business partners would, for example, advise on how the departmental and divisional commanders can meet the budget in future months instead of merely advising that the budget has been missed for the previous month.

With the mundane number crunching being performed in a shared service center, finance professionals will find they now have time to act as business partners to divisions and departments and focus on the strategic issues.

The cultural impact on the departments and divisional commanders should not be underestimated. Commanders will be concerned that:

o Their budgets will be centralized
o Workloads would increase
o There will be limited access to finance individuals
o There will not be on site support

However, if the centralized shared service center is designed appropriately none of the above should apply. In fact from centralization under a best practice model, leaders should accrue the following benefits:

o Strategic advice provided by business partners
o Increased flexibility
o Improved management information
o Faster transactions
o Reduced number of unresolved queries
o Greater clarity on service and cost of provision
o Forum for finance to be strategically aligned to the needs of the Force

A Force that moves from a de-centralized to a centralized system should try and ensure that the finance function does not lose touch with the Chief Constable and Divisional Commanders. Forces need to have a robust business case for finance transformation combined with a governance structure that spans operational, tactical and strategic requirements. There is a risk that potential benefits of implementing such a change may not be realized if the program is not carefully managed. Investment is needed to create a successful centralized finance function. Typically the future potential benefits of greater visibility and control, consistent processes, standardized management information, economies of scale, long-term cost savings and an empowered group of proud finance professionals, should outweigh those initial costs.

To reduce the commercial, operational and capability risks, the finance functions can be completely outsourced or partially outsourced to third parties. This will provide guaranteed cost benefits and may provide the opportunity to leverage relationships with vendors that provide best practice processes.

Process Efficiencies

Typically for Police Forces the focus on development has developed a silo based culture with disparate processes. As a result significant opportunities exist for standardization and simplification of processes which provide scalability, reduce manual effort and deliver business benefit. From simply rationalizing processes, a force can typically accrue a 40% reduction in the number of processes. An example of this is the use of electronic bank statements instead of using the manual bank statement for bank reconciliation and accounts receivable processes. This would save considerable effort that is involved in analyzing the data, moving the data onto different spreadsheet and inputting the data into the financial systems.

Organizations that possess a silo operating model tend to have significant inefficiencies and duplication in their processes, for example in HR and Payroll. This is largely due to the teams involved meeting their own goals but not aligning to the corporate objectives of an organization. Police Forces have a number of independent teams that are reliant on one another for data with finance in departments, divisions and headquarters sending and receiving information from each other as well as from the rest of the Force. The silo model leads to ineffective data being received by the teams that then have to carry out additional work to obtain the information required.

Whilst the argument for development has been well made in the context of moving decision making closer to operational service delivery, the added cost in terms of resources, duplication and misaligned processes has rarely featured in the debate. In the current financial climate these costs need to be recognized.

Culture

Within transactional processes, a leading finance function will set up targets for staff members on a daily basis. This target setting is an element of the metric based culture that leading finance functions develop. If the appropriate metrics of productivity and quality are applied and when these targets are challenging but not impossible, this is proven to result in improvements to productivity and quality.

A ‘Best in Class’ finance function in Police Forces will have a service focused culture, with the primary objectives of providing a high level of satisfaction for its customers (departments, divisions, employees & suppliers). A ‘Best in Class’ finance function will measure customer satisfaction on a timely basis through a metric based approach. This will be combined with a team wide focus on process improvement, with process owners, that will not necessarily be the team leads, owning force-wide improvement to each of the finance processes.

Organizational Improvements

Organizational structures within Police Forces are typically made up of supervisors leading teams of one to four team members. Through centralizing and consolidating the finance function, an opportunity exists to increase the span of control to best practice levels of 6 to 8 team members to one team lead / supervisor. By adjusting the organizational structure and increasing the span of control, Police Forces can accrue significant cashable benefit from a reduction in the number of team leads and team leads can accrue better management experience from managing larger teams.

Technology Enabled Improvements

There are a significant number of technology improvements that a Police Force could implement to help develop a ‘Best in Class’ finance function.

These include:

A) Scanning and workflow

Through adopting a scanning and workflow solution to replace manual processes, improved visibility, transparency and efficiencies can be reaped.

B) Call logging, tracking and workflow tool

Police Forces generally have a number of individuals responding to internal and supplier queries. These queries are neither logged nor tracked. The consequence of this is dual:

o Queries consume considerable effort within a particular finance team. There is a high risk of duplicated effort from the lack of logging of queries. For example, a query could be responded to for 30 minutes by person A in the finance team. Due to this query not being logged, if the individual that raised the query called up again and spoke to a different person then just for one additional question, this could take up to 20 minutes to ensure that the background was appropriately explained.

o Queries can have numerous interfaces with the business. An unresolved query can be responded against by up to four separate teams with considerable delay in providing a clear answer for the supplier.

The implementation of a call logging, tracking and workflow tool to document, measure and close internal and supplier queries combined with the set up of a central queries team, would significantly reduce the effort involved in responding to queries within the finance departments and divisions, as well as within the actual divisions and departments, and procurement.

C) Database solution

Throughout finance departments there are a significant number of spreadsheets utilized prior to input into the financial system. There is a tendency to transfer information manually from one spreadsheet to another to meet the needs of different teams.

Replacing the spreadsheets with a database solution would rationalize the number of inputs and lead to effort savings for the front line Police Officers as well as Police Staff.

D) Customize reports

In obtaining management information from the financial systems, police staff run a series of reports, import these into excel, use lookups to match the data and implement pivots to illustrate the data as required. There is significant manual effort that is involved in carrying out this work. Through customizing reports the outputs from the financial system can be set up to provide the data in the formats required through the click of a button. This would have the benefit of reduced effort and improved motivation for team members that previously carried out these mundane tasks.

In designing, procuring and implementing new technology enabling tools, a Police Force will face a number of challenges including investment approval; IT capacity; capability; and procurement.

These challenges can be mitigated through partnering with a third party service company with whom the investment can be shared, the skills can be provided and the procurement cycle can be minimized.

Conclusion

It is clear that cultural, process and technology change is required if police forces are to deliver both sustainable efficiencies and high quality services. In an environment where for the first time forces face real cash deficits and face having to reduce police officer and support staff numbers whilst maintaining current performance levels the current finance delivery models requires new thinking.

While there a number of barriers to be overcome in achieving a best in class finance function, it won’t be long before such a decision becomes mandatory. Those who are ahead of the curve will inevitably find themselves in a stronger position.

Diabetic Nutrition – Meal Planning In Action

Diabetic nutrition, diet, and weight control are the foundation of diabetes management. The most objective in dietary and nutritional management of diabetes is control of total caloric intake to maintain a reasonable body weight and stabilize the blood glucose level. Success of this alone is often with reversal of hyperglycemia in type 2 diabetes. However, achieving this goal is not always easy. Because nutritional agreement of diabetes is so complex and a registered dietitian who understands diabetes management has major responsibility for this aspect of therapeutic plan. Nutritional management of diabetic patient includes the following goals stated by American Diabetes association, Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications, 2002:
Provide all the essential food constituents like vitamins and Minerals needed for optimal nutrition.

Meeting Energy needs

Maintaining reasonable weight

Avoidance of huge daily fluctuations of blood glucose level, with blood glucose level close to normal as is safe and practical to reduce risk or prevent the possibility of complications

Decrease serum lipid levels to reduce the risk of macro-vascular complication

For those diabetic people who require insulin to help control blood glucose levels, maintaining as much consistency as possible in the amount of calories, and carbohydrates ingested at the different meal time is essential. Additionally, precision in the approximate time intervals between meals with the addition of snacks as necessary helps in preventing the hypoglycemic reaction and maintaining the overall glucose control.For obese with type 2 diabetes, weight loss is the key treatment. Obesity associated with an increase resistance of insulin is also a main factor in developing type 2 diabetes. Some obese who requires insulin or oral anti diabetic agents to control blood glucose levels may be able to reduce or eliminate the need for medication through weight loss. A weight loss as small as 10% of total weight may significantly improve blood glucose. In other instances wherein one is not taking insulin, consistent meal content or timing is not as critical. Rather, decreasing the overall caloric intake assume most importance. However, meals should not be skipped. Pacing food intake throughout the day places more manageable demands on the pancreas.Long-term adherence to meal plan is one of the most challenging aspects of diabetes management. For the obese, it may be more realistic to restrict calories only moderately. For those who have lost weight, maintaining the weight loss may be difficult. To help diabetic people incorporate new dietary habits into lifestyle, diet education, behavioral therapy, group support and ongoing nutrition counseling are encouraged.Diabetic Nutrition Meal Plan
Diabetic Meal plan must consider one’s own food preferences, lifestyle, usual eating times, ethnic and cultural background. For those who are under intensive insulin therapy, there may be greater flexibility in timing and content of meals by allowing adjustments in insulin dosage for changes in the eating and exercise habits. Advances in insulin management permit greater flexibility schedules than previously possible. This in contrast to the older concept of maintaining a constant dose of insulin and requiring the a diabetic person to adjust his schedule to the actions and duration of the insulin.The first step about meal planning is thorough review of a diet history to identify eating habits and lifestyle. A careful assessment of weight loss, gain or maintenance should also be undertaken. In most circumstances, those with type 2 diabetes requires weight reduction.Diabetic meal Planning [The Making]In teaching about meal planning, you must coordinate with a registered dietitian and if possible he must use educational tools, materials and approaches so you can fully grasp the idea of your nutritional requirements. Your initial education approaches the significance of consistent eating habits, the relationship between the food and insulin and the provision of an individualized meal plan. Then in-depth follow-up sessions which focuses on management skills, such as eating at the restaurants, reading food labels and adjusting the meal plan for exercise, illness and special occasion. An instance like there is an aspect of meal planning such as the food exchange system which may be difficult to learn or understand. You may ask him every meeting for clarification or might as well, leave him a message. Just remember that the food system provides a new way of thinking about the food rather than a new way of eating. Simplification as much as possible grants a good understanding during the teaching session and provides an opportunity to assess doubts and a need for repeat activities and information.Caloric Requirements
Caloric requirements or your calorie-controlled diets are planned by means of calculating your energy needs (individual energy needs that varies in every person) and your caloric necessity based on your age, gender height and weight. Activity element is factored in to provide actual number of calories required for maintenance.In the Diabetic Exchange List compiled by American Dietetic Association and American Diabetic association 2008, the appropriate amount of calorie controlled diets are depicted but you must approach a registered dietitian to closely assess you with your current eating habits and achieve realistic and individualized goals. This is so important because practically, developing a meal plan should be based on individual’s usual eating habits and lifestyle to effectively control the glucose level as well as the weight loss maintenance. The priority for a young patient with type 1 diabetes, for example, should be a diet with enough calories to maintain normal growth and development. Initially, the target aim may provide a higher calorie to regain lost of weight.Here is a reliable and simple Food Exchange List For Diabetic Meal Planning I got from Diabetes Teaching Center at University of California, San Francisco via Google.Please Take note of all these and believe that there’s no harm in trying!Diabetic Nutrition Caloric Distribution
Diabetic nutrition in your diabetic Meal Plan also focuses on the percentage of calories that come from carbohydrates, proteins and fats. In general, carbohydrates have the greatest effect on blood glucose levels because they are more quickly digested and converted than other foods.CarbohydratesThe American Diabetes Association recommends that for all levels of caloric intake, 50% to 60% of calories should be derived from carbohydrates, 20% to 30% from fats and remaining 10% to 20% from protein. Carbohydrates are consisted of sugar and starch. Most of the carbohydrates that are generally consumed came from starch, fruits and milk. Vegetable has also some carbohydrate. All carbohydrates should be eaten in moderation to prevent postprandial high glucose level. Foods high in carbohydrates such as sucrose are not totally eliminated from the diet but should be taken up in moderation up to 10% total calories only because these foods are typically high in fats and lack in vitamins, minerals and fibers.Carbohydrate counting method is very important because it makes you conscious about your approximate amount of serving. The more carbohydrates you ingested, the more your blood glucose goes up. It is also a tool use in diabetic management because carbohydrates are the main nutrients in the food that influence the blood glucose level. This technique provides flexibility in food choices, can be less complicated and allows more accurate management with multiple daily insulin injections. When developing a diabetic meal plan using carbohydrate counting, all food sources should be considered. Once digested, 100% of your carbohydrate intake are converted to glucose. Around 50% of protein foods (meat,fish and poultry) are also converted to glucose. The amount of carbohydrates in foods is measured in GRAMS so you have to know which foods contain carbohydrates,learn to estimate the number of grams of carbohydrates in each food you eat and sum up all the grams of carbohydrates from every food you eat in order to get your total intake in a day. Examples of common food that contains carbohydrates; potatoes, legumes (e.g peas), corn, grains, dairy products (e.g milk and yogurt), snack foods and sweets (e.g cakes, cookies, deserts), and Juices (soft drinks, fruit drinks, energy drinks with sugar).Lets say, you aim 50% of your total calories must come from carbohydrates. One gram of carbohydrates is about 4 calories. So, divide the number of calories you want to get from carbohydrates by 4 to get the number of grams. Example, you aspire to eat 2000 calories a day and get 50% of calories from carbohydrates.Computation:
0.50 x 2000 calories = 1000 calories

1000 / 4 = 250 grams of carbohydrates

Take note that there are people who has lower tolerance of physical activity and there are also those who needs low-calorie diets and therefore, the carbohydrates need in every person really varies. In order to further master your caloric intake and your diet, feel free to contact a professional dietitian.In terms of estimation on the amount of carbohydrates in every serving, you can refer to Food Exchange List or here are some examples taken from the food exchange list:These Foods contain 15 grams of each serving:
Biscuit – 1 (1 1/2 inches across)

Bun (hot dog or hamburger) – 1/2 bun

Pancake (1/4 inch thick) – 1 (4 inches across)

Pita bread – 1/2 pocket ( 6 inches across)

Waffle -1 (4 inch square or 4 inches across)

Cooked barley 1/3 cup

Cooked Pasta – 1/3 cup

Cooked quinoa 1/3 cup

Cooked white or brown rice – 1/3 cup

Cassava – 1/3 cup

Corn 1/2 cup

Green Peas – 1/2 cup

Animal Crackers 8 crackers

Rice cakes, 4 inches across 2

Dried Apple 4 rings

blueberries 3/4 cup

dates 3

Fruit cocktail 1/2 cup

Mango juice 1/2 cup or 1/2 small

papaya 1 cup cubed (8oz)

Grape Juice – 1/3 cup

Although carbohydrate counting is now commonly used for blood glucose management of type 1 and type 2 diabetes, to some extent it affects the blood glucose to different degrees regardless of equivalent serving size. Thus, you have to be consciously noticing the fluctuations of your own blood glucose level and take action against any warning signs.Diabetic Food Pyramid
The Diabetic Food Pyramid is another tool use to develop meal plan. It is commonly utilize for those with type 2 diabetes who have difficulty in abiding with calorie controlled diet. The food pyramid is consist of six food groups: 1.Breads, grains and other starches; 2. Vegetable (non-starchy vegetables); 3. Fruits; 4. Milk; 5. Meat, meat substitutes and other proteins; and 6. Fats, oils and sweets. The pyramid shape was chosen to emphasize that the foods in the largest area, the base of the pyramid (Starches, fruits and vegetables) are the lowest in calories and fats and highest in fiber and should make up the basis of the diet. For those with diabetes and as well as the general population, 50% to 60% of daily caloric intake must be from these three groups. As you move up the pyramid, foods higher in fats (particularly saturated fats) are illustrated; these foods should account for a smaller percentage of daily caloric intake. The very top of the pyramid comprises of fats, oils and sweets that should be sparingly by the people with diabetes to attain weight and blood glucose control and to reduce the risk of cardiovascular disease.Fats and Diabetes
The recommendation regarding the fat content for the diabetic diet include both reducing the total percentage of calories from far sources to less than 30% of the total calorie and limiting the amount of saturated fats to 10% of total calories. Additional recommendations include limiting the total intake of dietary cholesterol to less than 30 mg/day. This approach may reduce risk factors such as elevated serum cholesterol levels, which are associated with the development of coronary heart disease, the leading cause of death and disability among people with diabetes. The meal plan may include the use of some non animal sources of protein to help reduce saturated fats and cholesterol intake. In addition, the amount of protein intake may be reduced to those who have early signs of renal disease.Fiber Has a Lowering Glucose power
The use of fiber in diabetic diets has received an increased attention as the experts study the effects on diabetes of a high carbohydrate, high fiber diet. This type of diet plays a role in lowering the total cholesterol and low-density lipoprotein cholesterol in the blood. Increasing fiber diet may also improve blood glucose and decrease the need for exogenous insulin.There are two types of dietary fibers: soluble and insoluble. Soluble fibers in foods such as legumes, oats and some fruits plays more of a role in lowering blood glucose and lipid levels than does insoluble fiber. Soluble fiber is thought to be related to the formation of a gel in the gastrointestinal tract. This gel slows stomach emptying and the movement of food in the upper digestive tract. The potential glucose lowering of the fiber may be cause by the slower rate of glucose absorption from the foods that contain soluble fibers. Insoluble fiber is found in whole grain breads and cereals and in some vegetables. This type of fiber plays more roles in increasing stool bulk and preventing constipation.One risk involving the increase of fiber intake is that it may require adjustment of insulin dosage or oral anti diabetic agents to prevent hypoglycemia. If fiber is added or increase in the meal plan, it should be done gradually and with the actual consultation with a dietitian.Misleading Labels
Food labeled as “sugarless” or “sugar-free” may still provide calories equal to the equivalent sugar-containing products if they are made with nutritive sweeteners. Hence, for weight loss, these products may not always be useful. Additionally, you must ‘not’ consider them as “free” to be eaten in unlimited quantity because they may elevate your blood sugar. Foods labeled “dietetic” are not necessarily reduced calorie foods. They may be lower in sodium or have other special dietary uses. They may still contain significant amounts of sugar or fats. Snack foods with labels like “Health Foods” may often contain carbohydrates like honey, brown sugar, and corn syrup. Additionally, these supposedly healthy snacks frequently has saturated vegetable fats, hydrogenated vegetable fats or animal fats which may be contraindicated if you have elevated blood lipids level.So read the nutritional labels carefully to count the nutrients that your food contains… Sweeteners
Using sweeteners can be acceptable for the diabetic people especially if it assists their overall dietary adherence. Moderation in the amount of sweetener used is encouraged to avoid potential adverse effect. There are two main types of sweeteners: nutritive and non-nutritive. The nutritive sweeteners contain calories and non-nutritive sweeteners have few or no calories in the amounts normally used.Nutritive sweeteners include fructose (fruit sugar), sorbitol and xylitol. They are not calorie free; they provide calorie in amounts similar to those in sucrose (table sugar). They cause less elevation in blood sugar levels than sucrose and are often in “sugar-free” foods. Sweeteners containing sorbitol may have a laxative effect. Non-nutritive sweeteners have minimal or no calories. They are used in food products and are also available for table use. They produce minimal or no elevation in glucose level. Saccharin contains no calories. Aspartame (Nutra Sweet) is package with dextrose; it contains 4 calories per packet and losses sweetness with heat. Acesulfame-K (Sunnette) is also package with dextrose; it contains 1 calorie per packet. Sucralose (Splenda) is a newer non-nutritive, high intensity sweetener that is about 600 times sweeter than sugar. The Food and Drug administration has approved it for use in baked goods, non alcoholic beverages, chewing gums, coffee, confections, frosting and frozen dairy products.