Sorbitol vs Dextrose: which is worse?

What is Sorbitol?

Sorbitol is a sugar alcohol (polyol) naturally found in some fruits, including apples, pears, and prunes. Commercially, it is produced by hydrogenation of glucose. It has approximately 60% of the sweetness of sucrose but provides fewer calories (2.6 kcal/g vs 4 kcal/g for sugar) and does not cause a significant immediate insulin response.

What is Dextrose?

Dextrose is a simple sugar (monosaccharide) derived from corn starch hydrolysis. It is chemically identical to glucose and is the primary energy source for human cells. In food manufacturing, dextrose is used as a sweetener, fermentation substrate, and browning agent. It has a glycemic index of approximately 100.

Documented risks

Sorbitol: At doses above 20–50 g/day, sorbitol can cause osmotic diarrhea because it is incompletely absorbed in the small intestine and is fermented by colonic bacteria. EU regulations require products containing more than 10% added polyols to carry the label 'excessive consumption may produce laxative effects.' This is well-known and predictable. Sorbitol is not carcinogenic and does not raise blood glucose significantly, making it suitable for diabetics in controlled amounts.

Dextrose: Dextrose has a GI of 100 (the standard reference), causing rapid blood glucose elevation. Excessive consumption contributes to caloric overload, dental caries, and metabolic syndrome risk. However, as a single ingredient it is no more concerning than other simple sugars. The health risks of dextrose are those of added sugar generally, which the American Heart Association and WHO link to obesity, type 2 diabetes, and cardiovascular disease when consumed in excess.