Skip to content

Which is Healthier, Xylitol or Stevia?

5 min read

According to a 2023 study published in the European Heart Journal, high levels of xylitol were associated with an increased risk of cardiovascular events, raising new questions about its safety. Both xylitol and stevia are popular sugar alternatives, but their distinct properties and potential health impacts require careful consideration.

Quick Summary

This guide compares xylitol and stevia, two popular sugar substitutes, analyzing their sources, health benefits, potential risks, and best uses. It provides a detailed comparison to help consumers make an informed decision based on their individual dietary requirements and health goals.

Key Points

  • Source & Calories: Xylitol is a natural sugar alcohol with fewer calories than sugar, while stevia is a zero-calorie plant extract.

  • Glycemic Impact: Stevia has a zero glycemic index, making it ideal for blood sugar management, whereas xylitol has a low glycemic index and a minimal effect on blood sugar.

  • Taste & Functionality: Xylitol tastes very similar to sugar and is good for baking, while stevia has a distinct aftertaste that some find unappealing.

  • Dental Health: Xylitol is well-known for its proven anticariogenic properties, while stevia also shows promise in reducing oral bacteria.

  • Safety & Risks: Xylitol can cause gastrointestinal issues in high doses and is toxic to dogs, with recent research raising cardiovascular concerns; stevia is generally safe, though whole-leaf forms are not FDA-approved.

  • Best Use Cases: Choose stevia for zero-calorie sweetening in beverages, and consider xylitol for dental benefits or baking where bulk is needed, with careful moderation.

In This Article

Xylitol: The Sweet-Tasting Sugar Alcohol

Xylitol is a natural sugar alcohol found in many fruits and vegetables, and is commercially extracted from birch wood or corn cobs. It is a popular sugar substitute because it tastes very similar to regular sugar, has a similar bulk, and lacks a noticeable aftertaste.

Dental Health Benefits

One of the most widely recognized benefits of xylitol is its positive effect on dental health. Studies have shown that xylitol can reduce the growth of Streptococcus mutans, the bacteria primarily responsible for tooth decay. This is because these bacteria cannot ferment xylitol for energy, which starves them and prevents them from producing the acid that erodes tooth enamel. This anticariogenic property has led to its inclusion in many chewing gums, toothpastes, and oral care products.

Glycemic Control and Weight Management

With a glycemic index (GI) of 7, xylitol has a minimal effect on blood sugar levels, making it a suitable sweetener for individuals with diabetes. It has fewer calories than sugar (2.4 kcal/g vs. 4.0 kcal/g), which is consistent with weight management goals.

Potential Downsides and Safety Concerns

Despite its benefits, xylitol is not without its drawbacks. As a sugar alcohol, excessive consumption can cause gastrointestinal distress, including bloating, gas, and diarrhea, as it can have a laxative effect. The more serious concern is its toxicity to dogs. Even small amounts can be lethal to canines, causing a rapid release of insulin and a dangerous drop in blood sugar. The recent study linking high xylitol levels to increased cardiovascular event risk has also prompted further caution and research.

Stevia: The Zero-Calorie Plant Extract

Stevia is a natural, zero-calorie sweetener extracted from the leaves of the Stevia rebaudiana plant. Highly purified stevia products, known as steviol glycosides, are approved by the FDA as safe for consumption and are often 200-300 times sweeter than sugar.

Blood Sugar and Calorie Control

Stevia has a glycemic index of zero, meaning it does not impact blood sugar or insulin levels at all, making it a very safe option for people with diabetes. The zero-calorie nature also makes it an excellent choice for weight loss or management, as it provides sweetness without adding to daily calorie intake.

Additional Health Benefits

Some research suggests that stevia may offer additional health benefits beyond simply replacing sugar. It may have a positive effect on blood pressure in individuals with high blood pressure. The use of stevia in chewing gums has also been shown to be effective in reducing levels of Streptococcus mutans in the mouth, demonstrating its own potential anticariogenic properties.

Taste Profile and Formulation Challenges

A common complaint about stevia is its distinctive aftertaste, which some people perceive as licorice-like or bitter, especially in large quantities. This can limit its appeal, particularly for baking, where it also lacks the bulk that sugar and xylitol provide. Many commercial stevia products are blended with other ingredients, like erythritol, to mask the aftertaste and add bulk. It is important to note that whole-leaf stevia and crude extracts are not approved by the FDA for use in foods.

Xylitol vs. Stevia: A Comparative Analysis

Feature Xylitol Stevia
Source Natural sugar alcohol, typically from birch or corn. Natural plant extract from Stevia rebaudiana leaves.
Caloric Value Reduced-calorie (2.4 kcal/g). Zero-calorie.
Taste Very similar to sugar, no aftertaste. Often has a distinctive, sometimes bitter, aftertaste.
Glycemic Impact Low GI (approx. 7); minimal impact on blood sugar. Zero GI; no impact on blood sugar.
Best for Baking Provides bulk and bakes like sugar. Does not provide bulk; requires special formulation or blends.
Dental Benefits Proven to reduce cavity-causing bacteria. Some evidence suggests it may reduce bacteria.
GI Side Effects Can cause bloating, gas, and diarrhea in high doses. Generally well-tolerated, few side effects.
Specific Risks Toxic to dogs. Potential link to cardiovascular issues. Pure extracts considered safe, but taste is a factor.

Making the Healthiest Choice for You

The choice between xylitol and stevia depends heavily on individual needs, taste preferences, and health considerations. For those prioritizing dental health and a taste profile similar to sugar, xylitol may be the more attractive option, especially for baking. However, caution is warranted regarding the potential for gastrointestinal upset and, importantly, the extreme danger it poses to dogs. Recent findings suggesting a link to cardiovascular risk also add a new layer of consideration.

Stevia, on the other hand, is the clear winner for anyone seeking a truly zero-calorie, zero-glycemic-impact sweetener, making it a powerful tool for weight and diabetes management. Its primary downside is the aftertaste, which may be unappealing to some. For those who do not mind the taste, stevia is a highly effective and safe sweetener for a variety of uses. For baking, blended products that incorporate stevia may be the best compromise.

Ultimately, the 'healthier' option is not a one-size-fits-all answer. The best approach is to consider your primary health goals, taste preferences, and any household pets. Both offer a significant improvement over refined sugar, and incorporating either can be a positive step towards reducing overall sugar consumption.

The Final Verdict

For a zero-calorie, zero-glycemic impact, stevia is the healthier choice, assuming you can tolerate its taste. For dental health benefits and a sugar-like taste, xylitol is effective, but requires awareness of its gastrointestinal effects and pet toxicity. Consider which benefits and risks align best with your personal health situation to make the right decision for your needs.

[Authoritative Outbound Link]: Learn more about the latest research on sugar alcohols and health from Harvard Health

Conclusion

Both xylitol and stevia offer viable alternatives to traditional sugar, but they serve different purposes and have distinct profiles. Stevia provides a truly calorie-free and glycemic-neutral option, ideal for managing blood sugar and weight without gastrointestinal side effects for most. However, its taste can be a barrier for some. Xylitol excels in dental care and mimics sugar's taste and bulk, making it a good choice for specific applications, but its potential for digestive issues and toxicity to pets must be carefully considered. Recent studies also raise new questions about its long-term cardiovascular impact. By weighing these factors, consumers can choose the sweetener that best fits their dietary needs and health priorities.

Frequently Asked Questions

Stevia is generally considered the better option for managing diabetes because it has a glycemic index of zero and does not affect blood sugar or insulin levels at all. While xylitol also has a low glycemic impact, it is not completely calorie-free.

Xylitol is more widely recognized and studied for its dental health benefits. It helps reduce cavity-causing bacteria because the bacteria cannot metabolize it. Some research also suggests stevia may have a similar effect, but xylitol has more established evidence.

Excessive consumption of xylitol, a sugar alcohol, can cause gastrointestinal issues like bloating, gas, and diarrhea. Stevia is generally well-tolerated and does not cause these effects in most people.

Stevia is safe to use around pets. Xylitol, however, is extremely toxic to dogs and can cause a life-threatening drop in blood sugar and liver failure, so it must be kept strictly away from all canines.

You can use both for baking, but with different results. Xylitol provides bulk and a similar taste to sugar. Stevia does not provide bulk, and may impart a bitter aftertaste, so it's often blended with other ingredients for baking purposes.

Recent studies, including one in the European Heart Journal, have shown an association between high xylitol levels and an increased risk of heart attack or stroke. More research is needed, but this is an important consideration, especially for individuals at risk for cardiovascular disease.

Highly purified steviol glycosides are considered safe by the FDA. Commercial products are often blends that include other sweeteners, like erythritol, which some consumers prefer to avoid based on taste or health concerns. Pure stevia extract is extremely potent, while pure stevia leaf products are not FDA-approved for use as sweeteners.

References

  1. 1
  2. 2
  3. 3
  4. 4

Medical Disclaimer

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