Understanding Sorbitol
Sorbitol, also known as glucitol, is a sugar alcohol (or polyol) that occurs naturally in many fruits and is also commercially manufactured from glucose. It is about 60% as sweet as table sugar but contains approximately one-third fewer calories. Because it is not fully digested in the small intestine, it has a minimal effect on blood sugar levels, making it a common sweetener in foods marketed towards people with diabetes. The undigested portion then travels to the large intestine, where it is fermented by bacteria, a process that can cause various digestive symptoms.
Beyond its use as a sweetener, sorbitol is valued as a humectant. This means it has moisture-retaining properties, which is why it is used to keep products moist and fresh in the food industry. In personal care products like toothpaste and mouthwash, it helps maintain consistency and moisture.
Natural Sources of High Sorbitol Content
Fruits and dried fruits are the most common natural sources of sorbitol. The concentration can vary significantly depending on the type and ripeness of the fruit. Generally, stone fruits and pome fruits are known to be rich in this polyol. For those managing their intake, it is important to be aware of the most concentrated sources.
Fruits High in Sorbitol
- Prunes: As dried plums, prunes are a particularly concentrated source of sorbitol, containing between 11.2 and 15.5 grams per 100 grams, giving them their well-known laxative effect.
 - Pears: Fresh pears contain a significant amount of sorbitol, with one study showing about 3 grams per 100 grams. Dried pears are even more concentrated.
 - Apples: Both fresh and dried apples are sources of sorbitol. Some varieties can contain around 1.5 grams per 100 grams, but content can vary widely by cultivar.
 - Apricots: Both fresh and dried apricots contain sorbitol. Dried apricots have a higher concentration, up to 6 grams per 100 grams.
 - Peaches and Nectarines: These stone fruits also contain notable amounts of sorbitol.
 - Cherries: Cherries are another stone fruit that is a natural source of sorbitol.
 - Blackberries: Berries like blackberries also contain some level of sorbitol.
 
Sorbitol in Processed and Sugar-Free Products
Commercially produced sorbitol is widely used as an artificial sweetener and humectant, particularly in products designed to be sugar-free or low-calorie. This is often where individuals unknowingly consume large amounts of sorbitol, leading to digestive problems.
Common processed products containing sorbitol include:
- Sugar-free gum and candies: A single stick of sugar-free gum can contain 1–2g of sorbitol, with some candies containing significantly more. The laxative warning on packaging is a direct result of this.
 - Diet drinks and foods: Many low-calorie and diabetic-friendly products, including beverages, baked goods, and frozen desserts, use sorbitol.
 - Jams and jellies: Specially formulated diabetic or sugar-free jams often rely on sorbitol for sweetness and texture.
 - Medicines: Sorbitol can be found in some cough syrups and liquid medications as a sweetener or bulking agent.
 
When checking for sorbitol in processed foods, look for its name or the food additive number E420.
Comparison of Sorbitol Content in Common Foods
This table provides a comparison of sorbitol content per 100g for various foods, highlighting the differences between natural and processed sources.
| Food Item | Type | Sorbitol Content (g/100g) | Notes | 
|---|---|---|---|
| Sugar-free Gum | Processed | ~40g | Can contain extremely high amounts. | 
| Diabetic Sweets | Processed | 35–95g | Content varies widely by product. | 
| Prunes (Dried) | Natural | 11–15.5g | Very high concentration, strong laxative effect. | 
| Dried Pear | Natural | ~9g | High concentration due to dehydration. | 
| Dried Apricot | Natural | ~6g | High concentration in dried form. | 
| Pears (Fresh) | Natural | 2.5–3g | Pome fruit with a moderate amount. | 
| Apples (Fresh) | Natural | ~1.5g | Content can vary significantly by variety. | 
| Cherries (Fresh) | Natural | ~1.5–2g | Common stone fruit source. | 
| Blueberries | Natural | ~2g | Example of a berry with sorbitol. | 
Managing Sorbitol Intake for Digestive Health
For individuals with sorbitol intolerance or sensitive digestive systems, managing intake is crucial to avoid symptoms such as bloating, gas, and diarrhea.
Practical Strategies
- Read Labels Carefully: Always check the ingredients list for sorbitol (or E420) in processed products, especially those marked 'sugar-free' or 'diabetic'.
 - Portion Control for Fruits: High-sorbitol fruits can be enjoyed in moderation. Combining a small portion of a high-sorbitol fruit with other foods, like a piece of bread or a yogurt, may help improve tolerance.
 - Choose Lower-Sorbitol Alternatives: If a high-sorbitol fruit is a trigger, opt for fruits that are generally lower in polyols, such as bananas, citrus fruits, or strawberries.
 - Cook at Home: Preparing meals from scratch gives you full control over the ingredients, preventing hidden sorbitol from entering your diet.
 - Consult a Professional: For those with chronic gastrointestinal issues like IBS, a registered dietitian can provide personalized guidance, including testing via a breath test if needed.
 
Conclusion
Sorbitol is a versatile sugar alcohol found both naturally in fruits and widely in processed sugar-free products. While it offers benefits like reduced calories and dental health protection, it can cause significant digestive discomfort, bloating, and diarrhea in sensitive individuals when consumed in large quantities. The highest concentrations are typically found in processed foods like sugar-free gum and diabetic sweets, but natural sources like dried fruits and stone fruits also contribute substantially. By understanding which foods contain a lot of sorbitol and adopting mindful eating strategies, individuals can effectively manage their intake to improve digestive health and overall nutritional well-being. For a comprehensive list of FODMAP content in foods, the Monash University FODMAP Diet App is a highly recommended resource.