Sylvetsky AC, Chandran A, Talegawkar SA, et al. - Researchers tested the assumption that higher baseline intake of low-calorie sweetened beverage (LCSB) and increased intake of LCSB over 2 years of follow-up are correlated with poorer dietary intake and higher cardiometabolic risk factors among youth registered in the Treatment Option for Type 2 Diabetes in Adolescents and Youth (TODAY) study. Four hundred seventy-six children and adolescents (10-17 years, mean body mass index 34.9 ± 7.8 kg/m²), who were participants in the multicenter (n = 15) TODAY study were included. No associations between LCSB intake and baseline cardiometabolic risk factors were found. Change in consumption of LCSB between baseline and follow-up was not correlated with change in energy intake or cardiometabolic risk factors. In youth with type 2 diabetes, LCSB consumption was associated with higher energy intake, with the highest energy intakes recorded in high LCSB consumers. Those who decreased consumption of LCSB tended to show greater increases in sugar intake during follow-up, but further studies are required to better understand this pattern.