A Safer Sugar for Fructose Malabsorption

| 23 Comments

Let me just get this straight. Sugar is not “safe” for the human body. In Paleolithic times humans didn’t have access to sugar as we know it. Other than unrefined honey and whole fruit, they didn’t eat sugar. But even the natural sugar, fructose, can be toxic to the liver and disruptive to hormone balance when eaten frequently and in large quantities. And for many of us, around 20-50%, fructose is just plain poison.

But with no other Paleo options, our tongues shall never taste sweetness again? Considered over the course of one’s lifetime, this is sad, unfair, and not very realistic.

So what are you to do when you or your kids want a sweet treat? You can’t have fruit, you can’t have honey, and even table sugar contains 50% fructose (the other 50% is glucose) and can’t be tolerated in any significant quantity. So what then?

If you said, forget about it and move on, you are my new best friend. If you said tough it out and pay the consequences, at least you’re aware. If you said, nothing, I like my sweets and I’ll eat them no matter what, what are you even doing on this page anyway? And if you said, find a tolerable alternative, I’m about to make your day.

There is a sugar which is safer for the fructose malabsorber.

Glucose Powder

Glucose (also known as dextrose) is a monosaccharide or simple sugar that is about 20% less sweet compared to cane sugar. It is derived entirely from corn, is low-cost, and contains no fructose or lactose.

Glucose (AKA dextrose) is a person’s chief source of energy. It does not need to be processed by the liver and isn’t broken down by our gut’s microbes. For most of us, it is our primary source of fuel (some others burn fat for fuel) obtained by the break down of starches.

It is available as a powder which can be used like sugar in fresh lemonade or pumpkin pie.

What About Corn Syrup (not high fructose)?

Corn syrup is derived by first adding the enzyme α-amylase to a mixture of corn starch and water and then adding γ-amylase to the resulting product. This is the process which transforms corn starch into glucose. To further derive fructose or HFCS manufacturers will add the enzyme D-xylose isomerase.

Corn syrup and high fructose corn syrup are not the same thing.

However, corn syrup probably isn’t a good alternative for fructose malabsorbers. Aside from the fact that α-amylase is generally GMO and the corn used in the production of corn syrup is also typically GMO these days, the finished product of corn syrup can have fructose or maltose added to it in varying amounts in the final stages of processing. (I emailed Karo to find out how much fructose they add to their corn syrup and never heard a reply.)

Now, none of this is even remotely Paleo as it is derived from corn, which is a grain. But if you or your kids have fructose malabsorption, glucose is a digestible carbohydrate and will not cause the pain associated with FM.

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23 Comments

  1. Very cool! Thanks , Peggy!
    Where does one get it? I will look it up unless you have a source ready. Thanks again!!!

  2. What are your thoughts on Glycine…it’s super sweet.

    • I don’t know anything about using glycine as a sweetener. I know glycine is sometimes used as a supplement for schizophrenia, though, so I guess if you use it to sweeten your coffee you might just find yourself making a bit more sense!

  3. Since table sugar contains 50% glucose, shouldn’t it be okay, since the glucose helps in the absorption of fructose?

    “Foods with high fructose-to-glucose ratio. Glucose enhances absorption of fructose, so fructose from foods with fructose-to-glucose ratio 1, like apples and pears, are often problematic regardless of the total amount of fructose in the food.” from Wikipedia. http://en.wikipedia.org/wiki/Fructose_malabsorption

    • Glucose does help to transport fructose through the gut. In fact, adding glucose is a trick that some people with FM use to tolerate some off limits foods. However, sensitivity varies and the “transport” seems to be imperfect. For some people, a little sucrose is fine, for others, it results in symptoms. If you haven’t already, try it for yourself and see how you feel. Or just avoid it all together since it does contain a significant amount of fructose which isn’t good for the body in other ways…

  4. It is my understanding that it is the sugar alcohols in low-fructose fruits like apples that can be problematic for fructose malabsorbers.

    • Yes, fructose malabsorpbers have it bad from many angles. The sugar alcohols, the fructose, the fructans. Here is a list of fruits and veggies with sugar alcohols, for reference. http://www.livestrong.com/article/465029-the-amount-of-sugar-alcohol-in-fresh-fruit/

  5. What’s wrong with a little unrefined honey now and then? That’s been my poison – er, so to speak – when I want a touch of something sweet.

  6. What about aflatoxin?

  7. Didn’t you used to use this daily as a safe starch back in the day? Do you still do that or any starches at all?

  8. This is good advice! At the time my leaky gut syndrome was at its worst I too had malabsorbtion issues and had reaction to sugar. I learned the composition of sugar the hard way: I a local health store bought pack of 100% glucose and a pack of 100% fructose. Started the selfexperiment with fructose and ended up with bad rash.

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  11. What about a sweetener like stevia?

  12. What about “raw honey” just taken straight from a local beekeeper? Doesn’t raw honey have some nutritional benefits? Or better than table sugar?

    • Rachel, the problem with honey isn’t that it has no nutritional value – it certainly has more than pure dextrose. The problem is that it is extremely high in fructose, which for people who can’t absorb fructose, is a very bad thing.

  13. When I baked for my son’s birthday I substituted 1/2 of the sugar with dextrose. It was nice because the cake wasn’t poisonously sweet. It was pleasantly sweet.

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  15. Hi Peggy

    I’ve been trying to conceive my 2 nd child and have just been told I am positive to fructose malabsorption? Do u kno if this causes infertility? We have been trying for nearly 12 months I am now depressed and feel helpless. Doctors say they can not see reason why I’m not falling pregnant but I’m just so lost and scared I won’t be able to provide my son with a sibling? I’m 35 and I love your website

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