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Maltitol: A Sugar Alcohol

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Maltitol, a sugar alcohol derived from maltose, is frequently utilized as a low-calorie sweetener in confectionery and diabetic-friendly foods.

Medically reviewed by

Dr. Shweta Sharma

Published At March 28, 2024
Reviewed AtMarch 28, 2024

Introduction

Maltitol is primarily intended to function in the body by inducing a slower increase in blood sugar and insulin levels than the dextrorotatory glucose (d-glucose) or sucrose sugars typically found in most foods. How accurate is this claim? Read the article to discover its availability, usage, facts, drawbacks, and healthier substitutes. When considering sugar alternatives, it is essential to consult with a healthcare professional to determine the most suitable option based on individual health needs and preferences. Maltitol is recognized for its potential to mitigate spikes in blood sugar and insulin levels compared to commonly used sugars like d-glucose or sucrose. However, its effectiveness may vary depending on individual factors.

Is Maltitol a Sugar Alcohol?

Maltitol is a type of sugar alcohol, a specific carbohydrate not entirely sugar or alcohol but rather a white sugar replacement, produced through the reduction or hydrogenation of maltose sugar. It is commonly used as a sugar substitute and recommended by some nutrition experts for diabetes and prediabetes patients due to its slower impact on blood sugar and insulin levels. According to nutrition research, maltitol is incompletely digested by the human gastrointestinal system. Alongside other sugar alcohols, maltitol offers a taste similar to sugar and can effectively replace both white and brown sugar in recipes.

Commercially, maltitol is widely used in low-carbohydrate or sugar-free products like candies, nutrition bars, and sports food bars. While sugar alcohols are naturally found in certain fruits and vegetables, it is also commercially produced. Products containing maltitol or other sugar alcohols, such as erythritol, serve as sweeteners or sugar substitutes. Despite being labeled sugar-free, these products still impact blood sugar due to their sweetening properties, acting similarly to other artificial sweeteners. However, compared to white sugar, their effect on blood sugar is approximately one-quarter, making them suitable for diabetic diets according to many nutritionists.

What Are the Nutritional Facts Associated With This Product?

  • Maltitol is commonly available in different forms, whether granular, powdered, or syrup. For daily use in tea or coffee, the liquid form of maltitol is optimal, while maltitol syrup can replace high-sugar corn syrup or honey in sweet recipes. Many sports-based protein bars often contain maltitol or other sugar alcohols. It is important to note that while powdered or granular maltitol is easily found in the market as a sugar substitute, it is not an exact one-for-one replacement, typically providing sweetness equivalent to about 80 to 90 percent of sugar, with the added benefit of roughly half the calories of white or brown sugar. Consumers are advised to check the recipe and package details for proper usage, as baking with powdered or granular maltitol may not always yield ideal results.

  • Though the body may not fully absorb maltitol, it still provides roughly 2 to 3 calories per gram consumed, less than the four calories per gram found in white sugar. However, maltitol, being a carbohydrate with caloric content, can impact blood glucose similarly to other artificial sweeteners. Maltitol syrup has an overall glycemic index of 52, lower than table sugar's estimated 60, while powdered maltitol typically has a much lower glycemic index of 35. Nonetheless, it still falls on the higher end of the glycemic index range compared to other sugar alcohols and artificial sweeteners.

  • Maltitol contains fewer calories than table sugar, potentially reducing daily calorie intake to some extent. Opting for a higher calorie deficit may be beneficial for individuals who consume many sweet foods daily. However, nutrition experts globally advise reducing added sugars as the best approach to stabilizing blood sugar, promoting healthy weight loss, and reducing the risk of obesity, chronic illnesses, and cancers.

What Is the Impact of Maltitol on Oral Health?

Maltitol may offer advantages over other artificial sweeteners, whether low or high-calorie, that can impact dental health. In a research report exploring the effects of sugar alcohols on dental health, researchers observed that maltitol and xylitol products could prevent tooth enamel demineralization by stimulating increased salivary flow, contrasting with the negative impact of table sugar or artificial sweeteners. Additionally, it reduces the clinical effects of gingivitis (a common and mild form of gum disease, also called periodontal disease), as evidenced by plaque scores in individuals using xylitol or maltitol compared to conventional chewing gums. However, scientific and dental evidence remains unclear regarding their ability to prevent dental cavities. Nevertheless, this potential benefit for enhancing dental health holds promise for the future. Some dental surgeons advocating for chewing gum use to alleviate symptoms like dry mouth or to freshen breath now recommend maltitol or xylitol-sweetened gum over traditional options, as it offers similar benefits without added sugars.

What Are the Drawbacks of Maltitol Sugar?

Medical research indicates that individuals who consume higher quantities of maltitol are more likely to experience gastrointestinal issues such as flatulence, intestinal gas, and abdominal cramping. Those with existing sensitivity to gastrointestinal problems may encounter more severe symptoms like cramping and diarrhea. Most global nutritionists advise limiting daily intake of sugar alcohols to no more than 0.352 ounces to mitigate potential side effects and gastrointestinal discomfort, including diarrhea. Similarly, individuals with irritable bowel syndrome (IBS) or those following a low FODMAP (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet should avoid maltitol consumption, as it may worsen existing symptoms or gastric distress.

Conclusion

Several sugar alternatives now exist in the current market, each with its pros and cons. Most artificial sweeteners, when compared to maltitol, still provide fewer calories. Ideally, for long-term systemic health, it is advisable to avoid any type of high-calorie artificial sweetener and instead reduce added sugars or table sugar in the daily diet. The best alternatives to maltitol, recommended by nutrition experts, include erythritol sweeteners, and sucralose-based sweeteners). These alternatives not only offer potential health benefits but also enhance the taste and texture of sweet recipes, as well as beverages like tea or coffee. It is important to explore and find the sugar alternative that best suits individual dietary needs and preferences.

Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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