Understanding Polyols and the Keto Connection
Polyols, also known as sugar alcohols, are a type of carbohydrate used as low-calorie sweeteners in many sugar-free and low-carb products. Despite their name, they contain neither sugar nor alcohol. Their molecular structure allows them to be only partially absorbed by the body, which is why they have a lower calorie count and minimal impact on blood glucose levels compared to traditional sugar. For a person on a ketogenic diet, this partial absorption is a game-changer, as it means not all the carbohydrates listed on a food label from polyols need to be counted towards their daily limit. This is the basis for the "net carbs" calculation, a fundamental concept for keto dieters.
The key to answering if polyols are ok in a keto diet lies in understanding that their effect on blood sugar and digestion varies significantly. This variation depends on the specific type of polyol consumed. Some, like erythritol, pass through the body with virtually no impact on blood glucose, while others, like maltitol, can cause a notable spike that may knock you out of ketosis.
Best and Worst Polyols for Keto
To navigate the world of low-carb sweeteners successfully, it is essential to distinguish between the most and least keto-friendly polyols.
Best Polyols for Keto:
- Erythritol: Often hailed as the gold standard for keto sweeteners, erythritol has a glycemic index (GI) of 0, meaning it does not raise blood sugar levels. It is almost entirely absorbed in the small intestine but not metabolized, so it offers 0 net carbs.
 - Allulose: This is a naturally occurring rare sugar with a GI of 0. It is not technically a polyol but is often grouped with them due to its low-carb properties and minimal impact on blood sugar. It passes through the body without being metabolized for energy.
 - Xylitol: Found in many sugar-free gums, xylitol has a very low GI of around 13. It is partially absorbed, so it contributes some net carbs. It is also highly toxic to dogs, so extreme caution is necessary in pet-owning households.
 - Mannitol: With a GI of 0-2 and only 1.6 calories per gram, mannitol is a viable, though less common, keto sweetener.
 
Worst Polyols for Keto (Consume with Caution or Avoid):
- Maltitol: This is one of the most common polyols used in "sugar-free" candies and baked goods. However, it has a moderate glycemic index of up to 52, which can cause a significant blood sugar spike that can halt ketosis for many people. Many keto experts advise against relying on maltitol-sweetened products.
 - Sorbitol: Found naturally in fruits and berries, sorbitol is also used in many sugar-free items. While it has a lower impact than sugar, it can cause digestive upset and may affect blood sugar more than erythritol. Excessive consumption can also have a strong laxative effect.
 - Isomalt: While it has a lower GI than sugar, isomalt should be consumed in moderation on a keto diet due to its higher calorie content and potential to impact blood sugar more significantly than other low-GI options.
 
How to Calculate Net Carbs with Polyols
Calculating net carbs is crucial for managing your carbohydrate intake and staying in ketosis. The general formula for calculating net carbs is: Total Carbs – Fiber – Sugar Alcohols = Net Carbs. However, this is where many people make a mistake. The key is to recognize that not all sugar alcohols should be subtracted fully.
For polyols with a GI of 0, like erythritol and allulose, you can subtract the full amount from the total carbohydrates. For polyols that have some blood sugar impact, like xylitol, isomalt, and especially maltitol, you should only subtract a portion (often half) or none at all, depending on your personal tolerance.
Comparison of Common Keto Sweeteners
| Feature | Erythritol | Xylitol | Maltitol | Stevia/Monk Fruit (Not Polyol) | 
|---|---|---|---|---|
| Glycemic Index | 0 | ~13 | Up to 52 | 0 | 
| Effect on Ketosis | Minimal to none | Minor, in moderation | Can potentially disrupt | Minimal to none | 
| Net Carb Calculation | Subtract full amount | Partially subtract (or track) | Avoid subtracting fully | Not applicable (0 carbs) | 
| Taste Profile | Clean, mild sweetness; cooling effect | Sugar-like; no aftertaste | Sugar-like; can have an aftertaste | Intense sweetness; some may notice a bitter aftertaste | 
| Digestive Impact | Generally well-tolerated | Can cause digestive issues | Often causes gas and bloating | Minimal | 
Digestive Side Effects and Individual Tolerance
One of the most common downsides of polyol consumption, particularly in large amounts, is gastrointestinal distress. Because they are not fully absorbed, polyols ferment in the large intestine, leading to potential side effects such as bloating, gas, stomach cramps, and diarrhea. Individual tolerance varies, and certain polyols, such as sorbitol and maltitol, are more likely to cause issues than others, like erythritol.
When incorporating polyols into your keto diet, it is best to start with small amounts and monitor your body's reaction. This will help you determine your personal tolerance level and identify which polyols are the most gentle on your system. Avoiding excessive intake is a sensible approach to prevent unwanted side effects.
Conclusion
In conclusion, polyols can be a valuable tool for those on a ketogenic diet, providing a way to enjoy sweet foods without sabotaging ketosis. The critical takeaway is that not all polyols are the same, and careful selection is essential. Favouring options like erythritol and allulose, which have a minimal impact on blood sugar and contribute zero net carbs, is the safest bet. Being mindful of higher-GI polyols, such as maltitol and sorbitol, and their potential to raise blood sugar and cause digestive issues is key to success. By understanding the different types of polyols, how they affect net carbs, and your own body's tolerance, you can confidently integrate them into your keto journey without compromising your goals.
Common Misconceptions About Polyols on Keto
Why Are Some Polyols Worse Than Others for Ketosis?
Some polyols, like maltitol, are partially metabolized by the body and converted to glucose, which can raise blood sugar and insulin levels. This effect can be significant enough to disrupt ketosis. The degree of metabolic impact depends on the specific polyol's molecular structure and how the body's digestive enzymes interact with it.
Do Polyols Cause You to Gain Weight?
In moderation, polyols are a low-calorie alternative to sugar and can aid in weight loss. However, as with any food, excessive consumption can lead to issues. Some people might find that the laxative effect and potential bloating from overconsumption can be uncomfortable, but the polyols themselves are not a direct cause of weight gain in the same way as sugar.
Can I Just Subtract All Polyols from My Total Carb Count?
No, you cannot. This is a common and critical mistake. While you can subtract polyols like erythritol completely, you should not do so for others, like maltitol, which affect blood sugar more significantly. Always check the specific polyol and, if in doubt, subtract only half or track its impact on your personal blood glucose.
What if I'm Highly Sensitive to Polyols?
If you experience significant digestive distress from polyols, even from well-tolerated ones like erythritol, you should limit or avoid them. There are other keto-friendly, non-polyol sweeteners available, such as stevia and monk fruit extract, that have no impact on your digestive system.
Do All "Sugar-Free" Keto Products Contain Safe Polyols?
No. Many so-called "keto" products use polyols like maltitol, which is not ideal for maintaining ketosis. It's essential to read the ingredients list carefully and not rely solely on front-of-package marketing claims. Look for products sweetened with erythritol, stevia, or monk fruit.
What About the Cooling Effect of Erythritol?
The unique cooling sensation of erythritol is a common characteristic. This is not harmful, but it can be an acquired taste for some. It can be particularly noticeable in products like mints or gum. In baking, the cooling effect can be less pronounced when combined with other ingredients.
Is Xylitol Safe for Pets?
No, xylitol is highly toxic to dogs and should be kept away from them. If you use xylitol in your home, ensure all products containing it are stored securely and inaccessible to pets. This includes sugar-free gum, peanut butter, and baked goods.
Conclusion of the Polyol Debate
For a keto dieter with a sweet tooth, polyols can be a fantastic way to enjoy sweetness without the consequences of sugar. By being a savvy consumer, reading labels, and understanding the differences between the various polyols, you can make informed choices that support your nutritional goals and avoid unwanted side effects. The distinction between safe and less-safe polyols is a critical piece of knowledge for any long-term keto enthusiast.