‘Round here, we know a thing or two about sweet tea and pecan pie, but nowadays, folks are trying to cut back on sugar. It’s no secret that too much sugar can lead to troubles like obesity, diabetes, and heart disease. So, when you see products boastin’ low-sugar, no-sugar, or sugar-free labels, you might wonder if they’re worth a try. Let’s take a stroll through the world of sugar alcohols and see if they’re a healthier choice.
First off, don’t let the name fool you—sugar alcohols ain’t sugar or alcohol. They’re a type of carbohydrate, often coming from fruits and veggies, though most are made in labs these days. Look for names ending in “-ol” like sorbitol, xylitol, lactitol, mannitol, erythritol, and maltitol.
Sugar alcohols are like the sweet tea of sweeteners—they’re not as loaded with calories as natural sugar and not as overwhelming as some artificial sweeteners. Dr. Frank Hu from the Harvard T.H. Chan School of Public Health says these sugar alcohols are about 40% to 80% as sweet as natural sugar and pack 25% to 75% fewer calories per gram. So, they’re a good option for cuttin’ calories without givin’ up that sweet taste.
Another bonus is that sugar alcohols digest slowly. They won’t spike your blood sugar and insulin levels like regular sugar, makin’ them a sweet deal for folks with diabetes.
The Benefits of Sugar Alcohols
Lower Calorie Count: They’ve got fewer calories than sugar, which is a win if you’re watchin’ your waistline.
Reduced Blood Sugar Impact: They keep your blood sugar steady, which is a blessin’ for diabetics.
Dental Health: Unlike sugar, sugar alcohols don’t mess with your teeth, so your pearly whites stay strong.
The Drawbacks of Sugar Alcohols
But hold your horses, it’s not all sweet. The downside of sugar alcohols is they can cause some tummy trouble if you eat too much. We’re talkin’ about issues like abdominal pain, diarrhea, and gas. Since they digest slowly, they can ferment in your gut, leadin’ to these unpleasant symptoms. Everyone’s tolerance is different, so ease them into your diet to see how you fare.
We’re still learning about the long-term effects of sugar alcohols. A 2023 study in Nature Medicine by researchers from the Cleveland Clinic found a link between erythritol, a common sugar alcohol, and a higher risk of heart problems like stroke and heart attack in folks with existing heart conditions or risk factors. But, more research is needed to confirm these findings. Moderation is Key: Start with small amounts and see how your body handles it.
Read Labels Carefully: Be aware of the types and amounts of sugar alcohols in your food.

Balance Your Diet: Sugar alcohols should be part of a balanced diet, not a free pass to overindulge in sweets.
Sugar alcohols can be a healthier alternative to regular sugar, especially for those keeping an eye on their weight or blood sugar levels. But, they come with their own set of potential drawbacks, particularly for digestive health. As with most things, moderation and a bit of common sense go a long way. Pay attention to how your body reacts, and keep an eye on those labels to make choices that suit your health goals.
So, next time you’re enjoyin’ a slice of sugar-free pecan pie, you’ll know a bit more about what’s making it sweet without all the sugar.

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Crystal Shackelford, APRN