They just need to monitor their intake of it and read labels. I have no intestinal reactions to maltitol but have no fingered it as a culprit in surprise morning high numbers. I was watching for a link to the hives reaction. It will be interesting to see if it completely subsides after more time being malitol-free. What you need to know to cut back on your sugar intake:
It occurs in nature, chicory leaves contain a small amount, and as such it is sometime described as a natural sweetener. It has a higher glycemic index than most other sugar alcohols and so is not as useful for diabetics though still safe if consumed in moderation. It is very often uses in processed foods as a sugar substitute. For example 'sugar free' chocolate is often sweetened with Maltitol. This can be somewhat misleading as it is still a fairly high glycemic and high calorie sweetener.
It is used in medicine, as an ingredient in moisturizers, and it helps keep processed foods moist. It is less hygroscopic than sugar, meaning it absorbs less moisture from the atmosphere. This makes it useful as a coating in hard candies and chewing gums with hard coatings. Not many for the consumer, more for food producers. It has fewer calories than sugar. This makes it somewhat suitable as part of a diabetic diet. Like all sugar alcohols it is not metabolized by bacteria in the mouth and so it does not contribute to tooth decay.
As with most sugar alcohols it has a slightly laxative effect but only if consumed in relatively large quantities. No official guideline is issued. Good advice would seem to be 50g or less. It is made from Maltose that is derived from wheat and corn.
The Maltose is produced by using enzymatic hydrolysis of the starch. This is then subjected to catalytic hydrogenation, and finally filtration.
So it can hardy qualify as a natural product! It is not generally sold to the consumer. Sugar was about million tonnes This would give it about 0. This is considered to be one of the more common negative side effects of maltitol, but it is not considered to be a severe side effect in adults, notes the European Journal of Clinical Nutrition.
The International Journal of Food Sciences and Nutrition also notes that this side effect is present but not considered serious in children who consume maltitol. This negative side effect will continue as long as maltitol is being eaten, as the European Journal of Clinical Nutrition notes that the body's digestive system does not adapt to the artificial sweetener.
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