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Title: Alternative Sweeteners

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Isomalt 273<br />

C. Diabetics<br />

A number of scientific studies have shown that insulin and blood glucose levels<br />

in humans increase only slightly after oral intake of isomalt—if at all (14, 15,<br />

20). This means sharp increases in blood glucose, as occur after sucrose intake<br />

(especially when between-meal snacks and sweets are eaten), can be avoided<br />

with isomalt intake. Isomalt is, therefore, a suitable sugar substitute for diabetics.<br />

D. Gastrointestinal Tolerance<br />

Sugar alcohols and some other carbohydrates (e.g., polydextrose, dietary fiber,<br />

lactose) have low digestibility. Consumption of large amounts may result in a<br />

laxative effect. This is due to the slow degradation process in the gastrointestinal<br />

tract. It is not possible to give a useful tolerance limit for sugar alcohols such<br />

as isomalt because this tolerance depends on (21–24):<br />

• The form in which it is ingested. In a liquid food, the intolerance is<br />

higher than in a solid food.<br />

• The individual sensitivity. The tolerance varies from person to person.<br />

• The moment of consumption. Differences in tolerances even exist for<br />

the same person. A person’s tolerance is affected by diet (low or high in<br />

low digestible carbohydrates) and psychological well-being (emotions,<br />

prejudices).<br />

• The adaptation to sugar alcohols. Frequent consumption results in a<br />

higher tolerance.<br />

E. Toxicological Evaluations<br />

Extensive toxicological and metabolic studies have been conducted that prove<br />

conclusively the safety of isomalt (25–28). The results of these studies have been<br />

summarized in a World Health Organization report prepared by the Joint FAO/<br />

WHO Expert Committee on Food Additives (JECFA) (29). This report concludes<br />

by assigning isomalt an ADI ‘‘not specified,’’ the safest rating assigned to any<br />

evaluated food substance.<br />

VI. APPLICATIONS<br />

On the basis of its physical and chemical properties, isomalt is a suitable sugar<br />

replacer in many areas of the food and pharmaceutical industries. Existing processing<br />

equipment can be used for all applications without requiring major<br />

changes. Only formula and process parameter modifications are recommended

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