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Is maltitol syrup worse than sugar? The complete health comparison

4 min read

According to the International Food Information Council, maltitol is a popular low-calorie sweetener used in many "sugar-free" products due to its lower calorie count than sugar. But a product being "sugar-free" doesn't automatically make it a healthier choice, leading many to question: is maltitol syrup worse than sugar?

Quick Summary

This article explores the health impacts of maltitol syrup versus sugar, comparing their calories, glycemic index, and gastrointestinal effects. While maltitol offers some advantages, its potential for digestive distress and impact on blood sugar require careful consideration, contrasting sharply with the well-known detriments of sucrose.

Key Points

  • Digestive Distress: Maltitol, especially in high amounts, can cause gas, bloating, and a laxative effect, unlike regular sugar.

  • Lower Glycemic Index: Maltitol syrup has a glycemic index of 52, which is lower than sugar's 60-65, resulting in a slower blood sugar rise.

  • Reduced Calories: With 2-3 calories per gram compared to sugar's 4, maltitol offers a calorie-saving benefit, though this can be negated by overconsumption due to lower sweetness.

  • Dental Health Benefits: Unlike sugar, maltitol is non-cariogenic and does not promote tooth decay, making it a better option for oral health.

  • Not for All Diets: Due to its glycemic impact and digestive side effects, maltitol is not always considered ideal for strict keto or low-FODMAP diets.

  • Alternatives Exist: Zero-calorie, zero-GI alternatives like stevia, monk fruit, and erythritol provide sweetness without the blood sugar or digestive concerns of maltitol.

In This Article

Maltitol vs. Sugar: A Nutritional Breakdown

When evaluating maltitol syrup against traditional sugar (sucrose), it is essential to look beyond the "sugar-free" label and compare their nutritional profiles and how the body processes them. Maltitol, a sugar alcohol (or polyol), offers certain benefits, but it also comes with notable drawbacks, particularly when consumed in the liquid syrup form. The key differences lie in their caloric density, glycemic impact, and digestive processing.

Calorie Content and Sweetness

Sucrose, or table sugar, contains approximately 4 calories per gram. In contrast, maltitol has a lower caloric value, with around 2 to 3 calories per gram. While this appears to be a clear advantage for weight management, it is not a direct swap. Maltitol is only about 90% as sweet as sugar, so people might use more of it to achieve the same sweetness level, which can reduce or eliminate the intended calorie savings. This means that in many processed products, the total calorie difference may be less significant than consumers expect.

Glycemic Index and Blood Sugar Response

One of the most touted benefits of maltitol is its lower glycemic index (GI) compared to sugar. The glycemic index measures how quickly a carbohydrate raises blood sugar levels. While sucrose has a GI of approximately 60–65, maltitol syrup's GI is around 52. This means maltitol causes a slower and less drastic rise in blood glucose and insulin. However, it is crucial to note that it is not a zero-GI food, and it still affects blood sugar. For individuals with diabetes, this means careful monitoring is still necessary when consuming products containing maltitol. In contrast, sugar causes a rapid and significant blood sugar spike, which is especially problematic for those managing diabetes.

Digestive Effects and Tolerance

Perhaps the most significant downside of maltitol, and many other sugar alcohols, is its potential for causing gastrointestinal distress. Because maltitol is not fully absorbed by the small intestine, the unabsorbed portion travels to the large intestine where it is fermented by gut bacteria. This fermentation process can lead to side effects such as:

  • Gas
  • Bloating
  • Abdominal cramping
  • Diarrhea

These effects are dose-dependent, and some individuals may be more sensitive than others. The laxative effect is a well-known concern, and the FDA requires products with a certain threshold of sugar alcohols to carry a warning label. Sugar, while potentially causing other health issues, does not typically cause these specific gastrointestinal side effects in the same manner.

Dental Health

On the dental health front, maltitol is a clear winner. Unlike sugar, maltitol is not fermented by oral bacteria into acids that erode tooth enamel and cause cavities. This makes it a "tooth-friendly" sweetener and explains its common use in sugar-free gums, toothpastes, and other oral care products.

Comparison Table: Maltitol Syrup vs. Table Sugar

Feature Maltitol Syrup Table Sugar (Sucrose)
Calories per gram ~2.1–3 kcal ~4 kcal
Sweetness ~90% as sweet as sugar 100% (reference standard)
Glycemic Index (GI) ~52 ~60–65
Blood Sugar Impact Slower, but noticeable rise Rapid, significant spike
Digestive Side Effects High consumption can cause gas, bloating, and diarrhea Generally well-tolerated, no laxative effect
Dental Health Non-cariogenic, does not cause cavities Promotes tooth decay and cavities
Source Commercially produced from maltose in starch Derived from sugar cane or sugar beets

Healthier Alternatives

For those seeking a better alternative to both sugar and maltitol, several options offer zero calories and zero glycemic impact, eliminating the downsides of both. Some popular choices include:

  • Stevia: A natural, zero-calorie sweetener derived from the stevia plant with a GI of zero.
  • Monk Fruit: Another natural, zero-calorie sweetener that is very sweet and does not affect blood sugar.
  • Erythritol: A sugar alcohol that is better tolerated than maltitol, with zero calories and a GI of zero.

Making an Informed Decision

Deciding whether maltitol syrup is "worse" than sugar depends on your individual health priorities. For someone focused solely on reducing calorie intake, maltitol offers a modest advantage, provided consumption is moderated. For a diabetic individual, maltitol's lower but still present glycemic impact requires careful monitoring, but it is less damaging than a full sugar spike. However, if digestive comfort is a concern, especially for those with sensitive guts or IBS, maltitol's potential for significant gastric upset could make it the more problematic choice. In that regard, it can be considered "worse" than sugar.

Furthermore, the form of maltitol matters; maltitol syrup is often less sweet than the crystalline form, potentially leading to higher intake. Ultimately, for many, the best approach is to minimize consumption of highly processed sweet foods altogether and opt for whole foods. For those requiring a sugar substitute, exploring zero-calorie, zero-GI alternatives like stevia or erythritol may provide a more favorable health profile without the potential for gastrointestinal side effects.

Conclusion: A Balanced Perspective on Maltitol Syrup

In summary, maltitol syrup is not inherently worse than sugar in all aspects, but its supposed benefits come with significant caveats. While it offers fewer calories and a lower glycemic impact than sucrose, its ability to cause digestive discomfort, particularly in larger amounts, is a major drawback that sugar does not share. It's a useful tool for food manufacturers creating "sugar-free" products, but consumers should be aware of its potential side effects and the fact that it still impacts blood sugar. Individuals must weigh the advantages against the potential for gastric issues, considering their specific health needs. Ultimately, healthier, more natural zero-calorie sweeteners are available, but informed moderation is key when including any sweetener in your diet. Before making significant dietary changes, especially for those with health conditions, consulting a healthcare professional is always the best course of action.

Visit Healthline for more in-depth information on food and nutrition decisions.

Frequently Asked Questions

Maltitol is not completely absorbed in the small intestine. The unabsorbed portion travels to the large intestine where gut bacteria ferment it, leading to gas, bloating, and potentially diarrhea due to its osmotic effect.

While maltitol causes a slower and less significant rise in blood sugar than sucrose, it still has a glycemic impact. People with diabetes should monitor their blood glucose levels and consider consulting a dietitian, as it's not a zero-carb, zero-GI sweetener.

Maltitol syrup is less sweet than sugar, typically around 75% to 90% as sweet. This can lead to using more of the product to achieve the same sweetness, potentially negating calorie reduction efforts.

Maltitol contains approximately 2 to 3 calories per gram, while sugar contains 4 calories per gram. This makes maltitol lower in calories, but not calorie-free.

Yes, erythritol is a well-tolerated sugar alcohol with zero calories and a zero glycemic index, making it a better choice for many, especially those on low-carb or keto diets.

Maltitol is a sugar alcohol that can be found naturally in some fruits and vegetables. However, the maltitol used commercially in processed foods is artificially produced by the hydrogenation of maltose.

Maltitol is used because it has a pleasant, sugar-like taste without the bitterness of some artificial sweeteners. It also adds bulk and moisture to products and doesn't cause cavities, making it versatile for manufacturers.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.