Diabetes Self-Management Blog

Last week, I reviewed low-calorie sweeteners that have few, if any, calories and that have no effect on blood glucose levels. This week, I’ll take a look at another group of sweeteners called polyols, or sugar alcohols.

Sugar alcohols are types of carbohydrates that have fewer calories than sugars or starches. Sugar alcohols have a different chemical structure than sugar, and despite the name, they don’t contain alcohol. Our bodies don’t completely digest and absorb these sweeteners, so they contribute fewer calories than sugar. Most sugar alcohols contain anywhere from 1.5 to 3 calories a gram; sucrose and other sugars contain 4 calories a gram.

You might be surprised to learn that sugar alcohols are not “artificial,” as sucralose and aspartame, for example, are. Sugar alcohols are actually found in many fruits and vegetables, but for commercial use, are usually made from glucose, sucrose, or starch.

Sugar alcohols are found in foods that are typically called “sugar-free” or “no sugar added,” including sugar-free ice cream, frozen desserts, baked goods, candy, and chewing gum. Many mouthwashes, toothpastes, cough syrups, and throat lozenges contain sugar alcohols, too. These sweeteners are often used along with other low-calorie sweeteners, such as aspartame, acesulfame-K, sucralose, and saccharin. Sugar alcohols not only add sweetness, they add texture and bulk, too—attributes that other low-calorie sweeteners can’t add.

Here are some of the most common sugar alcohols used in food products:

  • Sorbitol
  • Xylitol
  • Mannitol
  • Maltitol
  • Erythritol
  • Isomalt
  • Lactitol
  • Hydrogenated starch hydrolysates

Erythritol is now available commercially for use as a tabletop sweetener. It’s marketed under the brand “Zsweet,” and according to the manufacturer, it contains no calories and has no effect on blood glucose levels (check out www.Zsweet.com for more information).

You might be wondering if sugar alcohols have any benefits over other sweeteners. Apart from providing bulk and texture to foods, sugar alcohols offer the following benefits:

  • They taste like sugar but have fewer calories.
  • They don’t promote tooth decay.
  • They produce a lower glycemic response compared to other carbohydrates.

Sugar alcohols are considered safe by the U.S. Food and Drug Administration (FDA). However, they can cause a few side effects that can be unpleasant, if not downright uncomfortable. Keeping in mind that sugar alcohols are only partially digested and absorbed, depending on how much you consume, you may experience gassiness, bloating, and even diarrhea if you scarf down too many sugar-free candies or chocolates. In other words, sugar alcohols can double as a laxative. Of course, some people are more “sensitive” than others, so side effects can vary from person to person.

Another note of caution: as I mentioned last week, sugar-free does not mean carbohydrate-free. This motto applies to foods sweetened with sugar alcohols as well as foods that contain other low-calorie sweeteners. Eating too much of any food containing sugar alcohols can lead to high blood glucose levels. Remember to always look at serving size and total carbohydrate on the Nutrition Facts label for anything you eat, despite what the claim is on the front of the packaging. For those of you who are carb counting and adjusting your insulin to cover carbohydrate, a good rule of thumb is that if a food contains more than 10 grams of sugar alcohol per serving, subtract half the grams of sugar alcohols from the total carbohydrate grams.

Foods sweetened with sugar alcohols aren’t always lower in carbohydrate than the “regular” version. For example, let’s compare two versions of a Klondike Bar:

Original Klondike Bar
250 calories
17 g fat
22 g carbohydrate

No Sugar Added Klondike Bar
170 calories
9 g fat
21 g carbohydrate

Granted, the original version is higher in calories and fat, but compare the carbohydrate in both bars—it’s practically the same. And because the No Sugar Added version has 6 grams of sugar alcohols, even if you subtract half (3 grams) from the total carbohydrate, there still wouldn’t be much of a difference in total carbohydrate. So, whether you choose the Original or the No Sugar Added Klondike bar, the effect on your blood glucose level is going to be pretty much the same. The choice is yours.

For more information on sweeteners in general, go to the Calorie Control Council’s Web site at www.caloriecontrol.org.


Satisfying Your Sweet Tooth With Low-Calorie Sweeteners: Part 1
Satisfying Your Sweet Tooth With Low-Calorie Sweeteners: Part 2

  1. I have been using Stevia sweetner tabs and liquid for a few years now. I like them better than the other sweetners available.What is your take on this sweetner? Is it considered a “sugar alchohol” or an additive?

    I would like to be able to feel I am using the right sweetner as I am diabetic (Type 2).

    Posted by jrskapik |
  2. Hi jrskapik,

    Stevia is neither a sugar alcohol nor an additive (or artificial sweetener). It’s actually derived from a South American shrub. People living in South America have been using stevia as a sweetener for centuries. The FDA hasn’t approved stevia as a sweetener due to some concerns about its safety. However, because stevia is considered a dietary supplement, you can purchase it in health food stores and supermarkets that sell supplements. As a supplement, it’s not regulated by the FDA. If you’re using stevia once or twice a day, say, in tea or coffee, there should be no safety concern and it should be fine for you to use.

    Posted by acampbell |
  3. After reading about regular Klondikes and their “little” effect on raising glucose levels I would like to know what other regular “sweets” can be tolerated by Type I Diabetics.

    Posted by Brynnwriter |
  4. I thought insulin don’t burn the fat. I was trying to figure out whether to go low-fat ice-cream or sugar-free? Insulin can be calculate for the carbs but not the fat content, is that correct?
    The original Klondike bar has an extra 8 grams of More fat. Wouldn’t it be hard to keep your glucose from spiking up?

    I bought some s/f Edy’s Slow Churned Fudge Track ice-cream. Total 4 fat, carbs 16, sugar 3 and then sugar alcohols 7grams per 1/2cup.
    It does bother my tummy alittle.

    Would it be better just to look for Low-fat ice-cream if you have Type 1 diabetes? Confused.

    Posted by deb |
  5. Hi deb,
    Thanks for your question. Insulin is indeed needed to help bring fat to cells, just as it’s needed to bring carb and protein to cells. Eating too much fat without enough insulin can lead to high blood glucose readings hours after you’ve eaten. This is because fat is slow to be digested and also slows down carb digestion. As far as No Sugar Added products go, you need to carefully read the food label. In most cases, the “regular” version is fine. However, with the Klondike bars, the Slim A Bear No Sugar Added version has 170 calories, 9 g fat, 8 g sat fat, 21 g carb and 6 g of sugar alcohols. The regular Klondike has 250 calories, 17 g fat, 13 g sat fat and 22 g carb. So, in this case, I’d say go with the Slim A Bear. Nothing is worth 13 g of saturated fat, and even 8 g is quite high. So, do a side by side comparison and if the carbs are about the same, check out the fat content. If sugar alcohols bother your stomach, eat a smaller portion of the regular version.

    Posted by acampbell |

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