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Title: Alternative Sweeteners

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418 Irwin and Sträter<br />

synthesis (16). A similar conclusion was reached by Gehring (17), who reported<br />

the final pH values of nutrient media containing different sugar substitutes after<br />

incubation with 100 Streptococcus mutans strains. These results have been confirmed<br />

in vitro by pH-telemetric studies according to Muhlmann with pure isomaltulose<br />

and isomaltulose-based chewing gum (18, 19).<br />

It has been reported that when isomaltulose was added to reaction mixtures<br />

that contained various concentrations of sucrose, a significant reduction in the<br />

yield of insoluble glucan was noted. With the addition of 4% isomaltulose, insoluble<br />

glucan synthesis in a 1% sucrose solution was reduced from 100 to 4%.<br />

The addition of 0.125% isomaltulose reduced it to approximately 50% (20). The<br />

competition of isomaltulose in glucosyl reception is believed to cause the reduction<br />

in the amount of insoluble glucan produced from sucrose (21).<br />

B. Effect on Blood Glucose and Insulin<br />

Either isomaltulose or sucrose, in doses ranging from 0.25–1.0 g/kg of body<br />

weight, was given to healthy adult males. The insulin and fructose concentrations<br />

in the serum measured after isomaltulose ingestion were approximately half of<br />

those measured after sucrose ingestion. At all doses the rate of rise of blood<br />

glucose, insulin, and fructose levels and the peak values were lower for isomaltulose<br />

than for sucrose. When the area under the glucose response curve was calculated,<br />

there was no significant difference between sucrose and isomaltulose, except<br />

at the highest dose, whereas the area under the insulin response curve was<br />

lower in the case of isomaltulose at all dose levels. As a result of the slower<br />

cleavage rate and therefore slower absorption of the monosaccharides from isomaltulose,<br />

no rise in any intestinal discomfort was observed. This is compatible<br />

Figure 5 Plasma glucose levels after oral administration of 50 g sucrose or Palatinose ®<br />

in man.

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