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NATURAL
SWEETENERS
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Barley malt
syrup
is processed from sprouted barley which is dried, mixed with water, and cooked slowly until a syrup the consistency of molasses is formed. This mixture yields a distinctive malty taste which is about half as sweet as sugar. Because this syrup is primarily complex sugars, it is relatively slow to digest and does not result in rapid blood sugar fluctuations when eaten. Barley malt is also the source of malt used to turn milkshakes into malted milks.
Brown rice
syrup
is made by adding a small amount of sprouted rice or barley to cooked brown rice. The rice is then strained and cooked, becoming a golden syrup with a butterscotch flavor. It is about half as sweet as sugar, and, as with barley malt syrup, complex carbohydrates inhibit dramatic shifts in blood sugar levels.
Corn syrup
is produced by adding enzymes to refined corn starch, a process which converts the long complex carbohydrate molecules of the starch into monosaccharides. This product is nearly as sweet as sugar and just as quickly absorbed. It is the mother substance for high fructose corn syrup. (See below).
Date sugar
is simply dried, ground dates. Surprisingly, although date sugar is probably the least processed, most natural sweetener available, even with all its constituent nutrients and fiber intact, sucrose concentrations are so high that blood sugar levels rise rapidly
Dehydrated
cane juice
is dried or crystallized, unrefined juice from sugar cane. There are several types available variably called demurara or yellow d-sugar, raw sugar, and turbinado. There are also several trademarked brand names. Compared with refined sugars from cane and beets which are 99.9 percent pure, these cane sugars are about 96 percent sucrose and four percent minerals. In an amazing demonstration of the power of nutrition, studies with one well-known brand have shown that, in comparison with white sugar, this scant four percent difference actually does slow down blood sugar changes at a statistically significant level.  When I make sweets for special occasions, my sweetener of choice is organically grown, dehydrated sugar cane granules. Also, I use only 1/2 to 2/3 the amount of sugar called for in any but already modified-for-your-health recipes.
Fructooligosaccharides (FOS)
occur naturally in some grains and vegetables. They have been discussed in these pages previously for their value as a food that encourages the growth of beneficial intestinal bacteria. (They don’t encourage C. albicans.) They have several additional advantages. FOS are sucrose molecules to which 1-3 additional fructose molecules are attached. Because of this, they taste sweet but are too large to be digested as a sugar. Therefore, they have no caloric effect and no effect on blood sugar levels. Although this substance is widely used as a sweetener in Japan (where it has been popular for nearly a decade), it is currently too expensive in this country to be used as a common sweetener. Hopefully, this will change in the near future
Fructose
is the primary sugar in fruit; however, commercial fructose is not extracted from fruit but manufactured from cornstarch. This sugar, also known as levulose, is 60 percent sweeter than white sugar. Since it doesn’t require insulin for absorption, it has little effect on blood sugar levels and is very low (20:100) on the Glycemic Index (a formal categorization of foods based on a comparison between the elevation of glucose levels caused by pure glucose and those caused by other carbohydrate foods.) Once touted as an almost perfect sweetener (there are cooking difficulties), studies have revealed that fructose causes an increase in total serum cholesterol levels, particularly low density lipoprotein. (LDL, the main transport system for cholesterol in the body, lays down plaque in the arteries when levels are too high. That is the reason it is often called "bad" cholesterol.) In addition, fructose increases triglyceride levels. Both of these undesirable changes are associated with heart disease.
Fruit juice
concentrates
have become very popular as sweeteners. White grape juice concentrate is the most widely used. This juice contains high amounts of glucose and is absorbed into the bloodstream very quickly. However, there is a trademarked brand which combines grape juice concentrate with brown rice syrup. Studies show that the latter ingredient, with its complex carbohydrates, successfully slows the absorption of the sugars, having less effect on blood glucose levels than white sugar.
Glucose
is the most common sugar in nature and is the sugar the brain and nervous system require to function. As blood sugar, it provides about 20 percent of the body’s energy needs (fat is the principal source) and is the major energy source for the brain. Reserve supplies are stored by the liver and muscles as glycogen. A monosaccharide, it appears on food labels as dextrose. Excess sugar causes the pancreas to flood the body with insulin which acts as a kind of antidote to overly high blood sugar levels. In turn, this can cause hypoglycemia, a temporary state of low blood sugar.
High fructose
corn syrup
has been called "honey from corn." It is corn syrup which has been processed to contain very high levels of sugar. Not the same as fructose crystals, it is absorbed faster than sucrose, and has very rapid and dramatic effects on blood sugar levels. HFCS is a kind of hyper-sugar. A boon to manufacturers of sweetened products, it is less expensive to produce than cane sugar and is twice as sweet, making food sweeter for less money. In addition, HFCS has a number of properties which enhance tastiness and increase shelf life, further endearing it to confectioners and soda makers. During the 80s, we were eating an annual average of 39.6 pounds per person. By 1994, that had more than doubled to 83.2 pounds.  Besides having all the detrimental effects of any sweeteners (exponentially), it is particularly unsafe for people with irritable bowel syndrome or ulcerative colitis. These folks experience the drastic effects of fructose toxicity from eating any kind of concentrated fructose. Although labels are supposed to differentiate sugars, they frequently do not, and these folks can be taken ill.
Honey
the nectar of the gods, well at least, the nectar of the bees, is one of Mother Nature’s miracles. Actually, the real miracle is that we get to eat it. It is estimated that the bees travel about 40,000 miles and visit two million blossoms to produce one pound of honey. Further, it contains all the nutrients needed to utilize sweets. Unfortunately, it doesn’t contain nearly enough of them. Just like all sweeteners, it must be eaten moderately. It is sweeter, higher in calories, and raises blood sugar levels even faster than white sugar.
Lactose
also known as milk sugar, is composed of glucose and galactose. Lactose intolerance has become a familiar disorder. People with this problem don’t produce lactase, the enzyme necessary to digest lactose. Eating dairy products, except yogurt, causes them digestive distress. Lactose is not a commonly used sweetener. However, it does provide a neutral base and, therefore, is traditionally used as a carrier for homeopathic remedies.
Maltodextrin
is a minimally refined product, high in complex carbohydrates.
Maltose
also called malt sugar or barley malt, is actually dehydrated barley malt syrup. This is the product used to make malteds.
Maple syrup
is made from the sap of the sugar maple and black maple trees. This gives it its distinctive, delicious flavor. It takes about five gallons of sap to make a pint bottle of syrup. The syrup is 65 percent sucrose, 35 percent water, and contains minute amounts of minerals (like honey, better than none). When purchasing maple syrup, be sure the label reads "Pure Maple Syrup." Otherwise, you could be buying corn syrup with as little as three percent maple syrup. Maple butter and maple sugar are both stages of greater condensation of the syrup.
Molasses
is the remainder of cane and beet sugar processing after the sugar crystals have been strained out. The first straining results in the light sweet syrup popular for cookies and New Orleans-style coffee. This type is sometimes called Barbados molasses. Blackstrap molasses is the result of as many as three boilings. It is the least sweet and the most nutritionally dense. Although blackstrap is still 65 percent sucrose, it contains measurable amounts of iron, calcium, magnesium, and potassium, making it more nutritious than most sweeteners.
Muscovado
sugar
is crystallized molasses. There are both dark and light types.
Sorghum
molasses
is a molasses made from a type of sorghum that grows into a tall, leafy cane like sugarcane. Sorghum is a genus of grass. Grown around the world, it is less nutritious than corn (maize) but requires very little water and is adaptable to less fertile situations. There are four main types of sorghum: grass, grain and seed, broomcorn (used for carpet and whisk brooms), and sugarcane.
Stevia
is an intensely sweet herb. The leaf, sometimes called "honey leaf," has been used by indigenous peoples in South America for hundreds of years as a sweetener and healing agent. Banned by the FDA as an unsafe food additive for use as a sweetener, it is sold separately as a food supplement in both ground leaf and powder (steviocide) forms. Read more about the herb and the FDA’s ambiguous position in the sidebar "The Stevia Conundrum."
Sucrose
is a disaccharide composed of equal amounts of fructose and glucose. Just as sodium chloride is the scientific name for table salt, sucrose is ordinary, white table sugar. White sugar is not inherently evil. Like any other sweetener from natural sources, it is best eaten as a condiment or festival food.
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    Artificial Sweeteners
There are two kinds of artificial sweeteners: low calorie sweeteners and reduced calorie sweeteners. "Low calorie sweeteners" is the euphemism for synthetic chemical sweeteners such as aspartame. Reduced calorie sweeteners are known as polyols. The polyols are sugar alcohols, and are referred to as reduced-calorie because they contain less calories per gram than sugar.

LOW CALORIE SWEETENERS

Acesulfame
K
is a non-caloric sweetener discovered in Germany in 1967. It is 200 times sweeter than sucrose. It is not metabolized by the body at all, and is excreted unchanged by the kidneys. It was approved in the US in 1988, and is used in a number of foods. The developer currently has a petition pending with the FDA to use this product in soft drinks. It is widely available in this country and has been approved for use in more than 60 countries, including Canada, the United Kingdom, Switzerland, France, Italy, and Belgium. After studying safety issues, CSPI (the Center for Science in the Public Interest, those diligent nutrition watchdogs) made a policy statement to the effect that this sweetener probably causes cancer. We were unable to ascertain how much acesulfame this might take.
Aspartame
was discovered in 1965 and approved for tabletop packets in 1981. It is a calorie-bearing sweetener made from two amino acids: L-phenylalanine and L-aspartic acid. Since it is 180 times sweeter than sugar, the calories involved in its use are minimal. It is digested as protein. Its use has become so ubiquitous that it is nearly impossible to buy any low calorie food sweetened with anything other than aspartame. Although aspartame has been extensively tested in humans and animals for more than two decades, its use remains controversial, especially among the nutritionally conscious. (That’s us.) Opinions range from heroic to horrific, from assurances of safety from the FDA to ravings of a mass poisoning conspiracy theory on the Internet. At one end, one reads that it "actually represents one of the better things we have done in our attempt to improve on nature....In low doses [brand name] is not a hazard and is a great sugar substitute" (The Healing Nutrients Within, Eric R. Braverman, MD, 1997, Keats, $19.95). At the opposite end, the Balches (Prescription for Nutritional Healing) bring our attention to the fact that this chemical sweetener contains methanol, "a human specific and highly toxic poison" that is converted to formaldehyde and formic acid. Since these substances have a toxic effect on the thymus gland (an immune-important gland that has to be coddled to remain active in adults anyway), it would seem prudent to use it in only moderate amounts, if at all. Certainly, growing children and pregnant women need to abstain from it altogether. Incidentally, Ann Louise Gittleman reports that more than 75 percent of all nondrug complaints to the FDA concern aspartame (Get the Sugar Out). For more information, send SASE and $1.00 to Aspartame Consumer Safety Network, PO Box 780634, Dallas, TX 75378.
Saccharin
is a non-caloric petroleum-derived sweetener discovered in 1879. It has been used commercially for nearly a century. It is 300 times stronger than sugar, is excreted unchanged by the kidneys, and is hampered by a bitter aftertaste. The FDA proposed a ban on saccharin in 1977 because of several incidences of bladder cancer in male lab rats. However, the doses given these animals were equivalent to a person drinking hundreds of cans of diet soda daily from birth. Public outcry against the ban was such that Congress declared a moratorium on it. In 1991, the FDA formally withdrew its 1977 proposal. Based on current research, both the Joint Expert Committee on Food Additives of the World Health Organization and the United Kingdom have increased the ADI (acceptable daily intake) for this sweetener. However, neither Germany nor France have lifted their century-long ban against its use.
Sweeteners currently petitioning the FDA for approval
are alitame (another amino acid based sweetener, 2000 — two thousand — times sweeter than sucrose and already approved for use in Australia, New Zealand, Mexico, and China); cyclamate (30 times sweeter than sugar and banned in the US in 1970 — the National Academy of Sciences and the FDA’s Cancer Assessment Committee concluded that cyclamate was not carcinogenic in mid-1980); sucralose (600 times sweeter and derived from sucrose, does not break down in the body, a virtual replacement for sugar in all instances — endorsed by WHO and approved in Canada in 1991 for use in a variety of foods and beverages); and stevia (see below)
bulletREDUCED CALORIE SWEETENERS: POLYOLS
There are a number of polyols. They are used throughout the confectionary industry. Only four have importance as sugar substitutes: maltitol, mannitol, sorbitol, and xylitol. These "sugar alcohols" occur widely in nature. They are between 40 and 90 percent as sweet as sugar, and are more easily digested than artificial sweeteners. Since they don’t promote cavity formation, they are ideal sweeteners for chewing gum, toothpaste, and chewable supplements. Although they have many other uses, they are used to sweeten some sugar-free candies. When eaten in excess (more than 45 grams worth), they can cause stomach upset and diarrhea.
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Ask the Expert about
Natural Sweeteners (click)
Xylitol
is the best known of these sweeteners, and has been available in health food stores for years. This monosaccharide polyol is derived from fruits and vegetables. It made its original market entry as a sweetener that promoted dental health. Studies have shown that regularly chewing xylitol sweetened gum reduces the incidence of dental caries. One reason for this is that xylitol inhibits Streptococcus mutans, the major bacteria involved in cavity formation.  Recently, the British Medical Journal reported that xylitol gum may also help prevent acute ear infections. The two month study was conducted in Finland and involved over 300 preschool children. Although only 19 of the 157 children in the xylitol group experienced ear infections, 31 of the 149 children participating in the control group (who chewed sugared gum) contracted at least one infection. (The results of a study in which a third group did not chew any gum would be interesting.)
The Stevia Conundrum
According to the FDA, what’s safe when labeled as a supplement but not safe if it is used as a sweetener?  The answer is Stevia rebaudiana. Called stevia, it is an herb with leaves 30 times sweeter than sugar. In addition, processing yields stevioside, a sweetener 250-300 times sweeter than sugar. It is non-caloric and has no effect on blood sugar levels. Grown primarily in South America, the powder of the leaf has been used there as a sweetener and healing herb for over 600 years.  In 1991, the FDA banned the importation of stevia. Following the passage of the Dietary Supplement Health and Education Act (DSHEA), the FDA was petitioned to lift the ban. Under DSHEA, the FDA carried the burden of proving stevia to be unsafe. Unable to do so, the agency repealed the ban in September, 1995. Since then, the agency has been petitioned at least three times to classify stevia leaves, stevioside, and foods containing stevia as Generally Regarded As Safe (GRAS) ingredients. Each time the FDA has refused, asking for more safety information. (Remember, the agency itself was unable to prove that stevia was unsafe.) The import revision states, "If stevia is to be used in a dietary supplement for a technical effect, such as use as a sweetener or flavoring agent, and is labeled as such, it is considered an unsafe food additive." Hm-m-m....As it now stands, we can purchase stevia leaves or stevioside powder and make our own sweetener. One teaspoon of powder is equal to 3-4 cups of sugar. Dissolve one teaspoon in three tablespoons of water. Put it in a dropper bottle, and add a drop or two to foods and drinks. If you would like to know more about stevia, I recommend Stevia Rebaudiana, Nature’s Sweet Secret by David Richard. This book tells the history, botany, pharmacology, and current uses of the herb around the world. In addition, it answers the most commonly asked questions about stevia, explains how to use it, and includes 14 pages of recipes. The book retails for $5.95 and is available through health food stores, or from Vital Health Publishing at 1-800-469-5552.
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