Helps Greatly Reduce the Development of Dental cavities

 

Xylitol-- My Doctor said Xylitol is the only Sweetener other than sugar that anyone should use and xylitol is by far the best if you have or donít have Sugar Diabetes. I ordered 5 pounds from amazon.com as it was the lowest cost source I could find at 5 pounds for $25

 

Xylitol

Discovered in 1891 by German chemist Emil Fischer, xylitol has been used as a sweetening agent in human food since the 1960s. Xylitol is a white crystalline powder that is odorless, with a pleasant, sweet taste. It is gaining increasing acceptance as an alternative sweetener due to its role in reducing the development of dental caries (cavities).

Xylitol occurs naturally in many fruits and vegetables and is even produced by the human body during normal metabolism. Produced commercially from plants such as birch and other hard wood trees and fibrous vegetation, xylitol has the same sweetness and bulk as sucrose with one-third fewer calories and no unpleasant aftertaste. It quickly dissolves and produces a cooling sensation in the mouth.

Xylitol is currently approved for use in foods, pharmaceuticals and oral health products in more than 35 countries. Xylitol is used in foods such as chewing gum, gum drops and hard candy, and in pharmaceuticals and oral health products such as throat lozenges, cough syrups, children's chewable multivitamins, toothpastes and mouthwashes. In the United States, xylitol is approved as a direct food additive for use in foods for special dietary uses.

Facts About Xylitol

  • Good Taste with No Unpleasant Aftertaste
  • Helps Reduce the Development of Dental Caries
  • Reduces Plaque Formation
  • Increases Salivary Flow to Aid in the Repair of Damaged Tooth Enamel
  • Provides One-Third Fewer Calories than Sugar Ė about 2.4 Calories per Gram
  • May Be Useful as an Alternative to Sugar for People with Diabetes on the Advice of their Health Care Providers
     

Reduces New Caries Formation

In clinical and field tests, the consumption of xylitol between meals was associated with significantly reduced new caries formation, even when participants were already practicing good oral hygiene. Results clearly establish that use of xylitol sweetened foods provides additional help in the battle against tooth decay. It also inhibits the growth of S. mutans, the primary bacterium associated with dental caries. The usefulness of polyols, including xylitol, as alternatives to sugars and as part of a comprehensive program including proper dental hygiene has been recognized by the American Dental Association. The FDA has approved the use of a "does not promote tooth decay" health claim in labeling for sugar-free foods that contain xylitol or other polyols.

In a two-year study conducted at the Ylivieska Health Center in Finland, children aged 11-12 who consumed 7 to 10g of xylitol daily in chewing gum showed a 30 to 60% reduction in new dental caries development compared to the control group not chewing gum.

The possible long-term caries-preventing effects of xylitol have been studied as a follow-up to the Ylivieska study. Re-examination of the subjects 2 or 3 years after discontinuation of the use of xylitol revealed a continued reduction in caries increment in the post-use years of about 55%. In teeth erupting during the first year of the use of xylitol chewing gum, the long-term caries preventative effect was over 70%. The results suggest that the value of xylitol may be highest during periods of high dental activity such as eruption of new teeth.

A 40-month (1989-93) cohort study on the relationship between the use of chewing gum and dental caries was performed with 4th grade students in Belize, Central America. Nine treatment groups were included: control group (no gum); four xylitol groups (range of xylitol consumption 4.3-9.0g/day); two xylitol/sorbitol groups (total polyol consumption 8.0/9.7g/day); one sorbitol group (9.0g/day); and one sucrose group (9.0g/day). Compared with the no-gum group, sucrose gum usage resulted in a marginal increase in caries rate (relative risk 1.20). Sorbitol gum reduced the caries rate (relative risk 0.74). The four xylitol gums were most effective in reducing caries rates (relative risks from 0.48-0.27). The most effective gum was a 100% xylitol pellet gum (relative risk 0.27). The xylitol/sorbitol gums were less effective than xylitol, but reduced the caries rates significantly compared to the no-gum or sorbitol gum groups. The results suggest that systemic usage of polyol-based chewing gum reduces caries rates in young subjects, with xylitol gums being most effective.

A three-year clinical dentifrice caries study was conducted with 2,630 children initially aged 8-10 years in the San Jose, Costa Rica metropolitan area. The study evaluated the efficacy of a 0.243% sodium fluoride/silica/10% xylitol dentifrice when compared to a 0.243% sodium fluoride/silica dentifrice which contained no xylitol. After the three-year period, subjects using the xylitol-containing dentifrice had a statistically significant reduction in decayed and filled dental surfaces (12.3% reduction; P<0.001). The study supports earlier work which suggests that xylitol and fluoride act synergistically to increase the efficacy of oral hygiene products.

Reduces Plaque Growth

Recent studies at the Dental Schools of Michigan and Indiana Universities have tested the effect of xylitol/sorbitol blends in chewing gum and mints on plaque. They showed a significant decrease in plaque accumulation. 

Stimulates Salivary Flow

The sweetness and pleasant cooling effect of xylitol-sweetened products (such as mints and chewing gum) create an increase in salivary flow. Saliva helps with cleaning and protecting teeth from decay.

Use in the Diets of People With Diabetes

Control of blood glucose, lipids and weight are the three major goals of diabetes management today. Xylitol is slowly absorbed. Therefore, when xylitol is used, the rise in blood glucose and insulin response associated with the ingestion of glucose is significantly reduced. The reduced caloric value (2.4 calories per gram versus 4.0 for sugar) of xylitol is consistent with the objective of weight control. 

Safety

In 1986, the Federation of American Societies for Experimental Biology (FASEB) was commissioned by the U.S. Food and Drug Administration (FDA) to review all relevant data concerning xylitol and other polyols. The FASEB report's scientific conclusions indicate that the use of xylitol in humans is safe. The report also affirms xylitol's acceptability as an approved food additive for use in foods for special dietary uses.

The Decay-Preventive Sweetener

California Dental Association
MOVING FORWARD. TOGETHER.

What is xylitol?
Xylitol is a natural sugar alcohol that helps prevents cavities. You may recognize other sugar alcohols used in sugarless products, such as mannitol and sorbitol. Xylitol is the sugar alcohol that shows the greatest promise for cavity prevention. It is equal in sweetness and volume to sugar and the granular form can be used in many of the ways that sugar is used, including to sweeten cereals and hot beverages and for baking (except when sugar is needed for yeast to rise).

How does xylitol prevent cavities?
Xylitol inhibits the growth of the bacteria that cause cavities. It does this because these bacteria (Streptococcus mutans) cannot utilize xylitol to grow. Over time with xylitol use, the quality of the bacteria in the mouth changes and fewer and fewer decay-causing bacteria survive on tooth surfaces. Less plaque forms and the level of acids attacking the tooth surface is lowered.

Studies show that Streptococcus mutans is passed from parents to their newborn children, thus beginning the growth of these decay-producing bacteria in the child. Regular use of xylitol by mothers has been demonstrated to significantly reduce this bacterial transmission, resulting in fewer cavities for the child.

What products contain xylitol and how do I find them?
Xylitol is found most often in chewing gum and mints. You must look at the list of ingredients to know if a product contains xylitol. Generally, for the amount of xylitol to be at decay-preventing levels, it must be listed as the first ingredient. Health food stores can be a good resource for xylitol containing products. Additionally, several companies provide xylitol products for distribution over the Internet.

How often must I use xylitol for it to be effective?
Xylitol gum or mints used 3-5 times daily, for a total intake of 5 grams, is considered optimal. Because frequency and duration of exposure is important, gum should be chewed for approximately 5 minutes and mints should be allowed to dissolve. As xylitol is digested slowly in the large intestine, it acts much like fiber and large amounts can lead to soft stools or have a laxative effect. However, the amounts suggested for cavity reduction are far lower than those typically producing unwelcome results.

Has xylitol been evaluated for safety?
Xylitol has been approved for safety by a number of agencies, including the U.S. Food and Drug Administration, the World Health Organizationís Joint Expert Committee on Food Additives and the European Unionís Scientific Committee for Food.

Xylitol has been shown to have decay-preventive qualities, especially for people at moderate to high risk for decay, when used as part of an overall strategy for decay reduction that also includes a healthy diet and good home care. Consult your CDA member dentist to help you determine if xylitol use would be beneficial for you.

Xylitol (Finnish ksylitoli) was first derived from birch trees in Finland in the 20th century and was first popularized in Europe as a safe sweetener for people with diabetes that would not impact insulin levels. Today, using hardwood or maize sources, the largest manufacturer globally is the Danish company Danisco, with several other suppliers from China.[4][5] Xylitol is produced by hydrogenation of xylose, which converts the sugar (an aldehyde) into a primary alcohol.

Properties

One teaspoon (5 mL) of xylitol contains 9.6 calories, as compared to one teaspoon of sugar, which has 15 calories. Xylitol has virtually no aftertaste, and is advertised as "safe for diabetics and individuals with hyperglycemia." This tolerance is attributed to the lower impact of xylitol on a person's blood sugar, compared to that of regular sugars.[6]

Dietary use worldwide

Xylitol is widely used in Finland, its "home country." Many Finnish confectioneries employ xylitol, or have a xylitol version available. Virtually all chewing gum sold in Finland is sweetened with xylitol.[7]

Medical applications

Dental care

Xylitol is a "tooth friendly" non-fermentable sugar alcohol.[8][9] A systematic review study[10] on the efficacy of xylitol has indicated dental heath benefits in caries prevention, showing superior performance to other polyols (poly-alcohols). Early studies from Finland in the 1970s found that a group chewing sucrose gum had 2.92 decayed, missing, or filled (dmf) teeth compared to 1.04 in the group chewing xylitol gums.[11] In another study, researchers had mothers chew xylitol gum 3 months after delivery until their children were 2 years old. The researchers found that children in the xylitol group had "a 70% reduction in cavities (dmf)."[11] Recent research[12] confirms a plaque-reducing effect and suggests that the compound, having some chemical properties similar to sucrose, attracts and then "starves" harmful micro-organisms, allowing the mouth to remineralise damaged teeth with less interruption. (However, this same effect also interferes with yeast micro-organisms and others, so xylitol is inappropriate for making yeast-based bread, for instance.)

Xylitol-based products are allowed by the U.S. Food and Drug Administration to make the medical claim that they do not promote dental cavities.[13]

A recent study demonstrated that as a water additive for animals, xylitol was effective in reducing plaque and calculus accumulation in cats.[14]

Diabetes

Possessing approximately 40% less food energy,[15] xylitol is a low-calorie alternative to table sugar. Absorbed more slowly than sugar, it does not contribute to high blood sugar levels or the resulting hyperglycemia caused by insufficient insulin response.

Osteoporosis

Xylitol also has potential as a treatment for osteoporosis. A group of Finnish researchers has found that dietary xylitol prevents weakening of bones in laboratory rats, and actually improves bone density.[16][17]

Ear and upper respiratory infections

Studies have shown that xylitol chewing gum can help prevent ear infections[18] (acute otitis media); the act of chewing and swallowing assists with the disposal of earwax and clearing the middle ear, whilst the presence of xylitol prevents the growth of bacteria in the Eustachian tubes (auditory tubes or pharyngotympanic tubes) which connect the nose and ear.[19] When bacteria enter the body they hold on to the tissues by hanging on to a variety of sugar complexes. The open nature of xylitol and its ability to form many different sugar-like structures appears to interfere with the ability of many bacteria to adhere.[20] In a double-blind randomized controlled trial, saline solutions of xylitol significantly reduced the number of nasal coagulase-negative Staphylococcus bacteria. The researchers attributed the benefits to the increased effectiveness of endogenous (naturally present in the body) antimicrobial factors.[21][ Infection

In rats, xylitol has been found to increase the activity of neutrophils, the white blood cells involved in fighting many bacteria. This effect seems to be quite broad, acting even in cases such as general sepsis. [22]

Candida yeast

A recent report suggests that consumption of xylitol may help control oral infections of Candida yeast; in contrast, galactic, glucose, and sucrose may increase proliferation.[23]

Benefits for pregnant or nursing women

Xylitol is not only safe for pregnant and nursing women, but studies show that regular use significantly reduces the probability of transmitting the Streptococcus mutans bacteria, which is responsible for tooth decay, from mother to child during the first two years of life by as much as 80%.[24]

Safety

Xylitol has no known toxicity in humans, and people have consumed as much as 400 grams daily for long periods with no apparent ill effects.[25] Like most sugar alcohols, it has a laxative effect because sugar alcohols are not fully broken down during digestion; albeit ten times weaker than sorbitol. The effect depends upon the individual. In one study of 13 children, 4 experienced diarrhea when consuming over 65 grams per day.[26] Studies have reported that adaptation occurs after several weeks of consumption.[26]

Dogs that have ingested foods containing high levels of xylitol (greater than 100 milligram of xylitol consumed per kilogram of bodyweight) have presented with low blood sugar (hypoglycemia) which can be life-threatening.[27] Low blood sugar can result in a loss of coordination, depression, collapse and seizures in as soon as 30 minutes.[28][29] Intake of very high doses of xylitol (greater than 500 - 1000 mg/kg bwt) has also been implicated in liver failure in dogs, which can be fatal.[30] These are points of controversy, however, as earlier World Health Organization studies using much higher doses on dogs for long periods showed no ill effect. [31]

Xylitol has been demonstrated in repeated clinical studies to be very slowly metabolized. In fact, on the glycemic index, which measures how quickly foods enter the bloodstream, sugar is rated at 100 and xylitol at just seven! Xylitol is a natural insulin stabilizer, therefore it causes none of the abrupt rises and falls that occur with sugar. In fact, it actually helps in stopping sugar and carbohydrate cravings. Foods sweetened with xylitol will not raise insulin levels. This makes it a perfect sweetener for people with diabetes as well as those wanting to lose weight. There is a growing consensus amongst anti-ageing researchers that maintaining low insulin levels is a key to a successful anti-ageing program.


Xylitol is not only a safe, natural sweetener without the bad side-effects of sugar and artificial substitutes; it's also good for your teeth, stabilizes insulin and hormone levels and promotes good health.

 Americans have a mighty hankering for sugar. It seems that we just can't get enough of the stuff. On average, a half a cup of sugar is consumed per person every day. It is estimated that the average American eats, drinks, slurps, stirs and sprinkles about 150 pounds of it annually. Never in modern history has a culture consumed so much sugar.

Sugar truly does deserve its reputation as a "white poison". Thinking of sugar as a food is really a stretch of the imagination, because it is more a chemical that is difficult for our bodies to utilize and digest. Humans were really not designed to eat large amounts of sugar in whatever form it may take: white and brown, corn syrup, sucrose, dextrose, glucose, fructose, lactose, maltose, barley malt, honey, rice syrup and maple syrup. Sugar is also highly seductive, acting like an addictive drug that lures even the most well-intentioned person back into its sweet clutches.

According to Chinese wisdom, sweetness is one of the flavors necessary for maintaining balance in the body. But regularly eating large amounts of sugar will cause serious harm. Sugar can cause hypoglycemia and weight gain, leading to diabetes and obesity in both children and adults. It leaches the body of vital minerals and vitamins. It raises blood pressure, triglycerides and the bad cholesterol (LDL), increasing the risk of heart disease. It causes tooth decay and periodontal disease, which leads to tooth loss and systemic infections. It makes it difficult for a child's brain to learn, resulting in a lack of concentration. Both children and adults exhibit disruptive behavior, learning disorders and forgetfulness from sugar consumption. It initiates auto-immune and immune deficiency disorders such as arthritis, allergies and asthma. It also upsets hormonal imbalance and supports the growth of cancer cells.

So what are we to do? Will our sugar-cravings always hold us hostage, or is there really a way to lick the sugar habit successfully?

 Xylitol to the Rescue!

During World War II, Finland was suffering from an acute sugar shortage. With no domestic supply of sugar, the Finns searched for an alternative. It was then that the Finnish scientists re-discovered xylitol, a low-calorie sugar made from birch bark. It had, in fact, been known to the world of organic chemistry since it was first manufactured in 1891 by a German chemist.

By 1930, xylitol had been purified, but it wasn't until World War II that the sugar shortages forced researchers to look at alternative sweeteners. It was only when xylitol was stabilized that it became a viable sweetener in foods. It was also during this time that researchers discovered xylitol's insulin-independent nature (it metabolizes in the body without using insulin).

By the 1960s, xylitol was being used in Germany, Switzerland, the Soviet Union and Japan as a preferred sweetener in diabetic diets and as an energy source for infusion therapy in patients with impaired glucose tolerance and insulin resistance. Since then, many other countries including Italy and China have been producing xylitol for use in their domestic markets--and with remarkable health benefits. It has been relatively unknown in the USA and Australia, primarily because cheap supplies of cane sugar made the more expensive xylitol less economically viable.

Xylitol is a natural substance found in fibrous vegetables and fruit, as well as in corn cobs and various hardwood trees like birch. It is a natural, intermediate product which regularly occurs in the glucose metabolism of man and other animals as well as in the metabolism of several plants and micro-organisms. Xylitol is produced naturally in our bodies; in fact, we make up to 15 grams daily during normal metabolism.

Although xylitol tastes and looks exactly like sugar, that is where the similarities ends. Xylitol is really sugar's mirror image. While sugar wreaks havoc on the body, xylitol heals and repairs. It also builds immunity, protects against chronic degenerative disease and has anti-ageing benefits. Xylitol is considered a five-carbon sugar, which means it is an antimicrobial, preventing the growth of bacteria. While sugar is acid forming, xylitol is alkaline enhancing. All other forms of sugar, including sorbitol, another popular alternative sweetener, are six-carbon sugars which feed dangerous bacteria and fungi.

Approved by the US Food and Drug Administration (FDA) in 1963, xylitol has no known toxic levels. The only discomfort that some sensitive people may notice initially when taking large amounts is mild diarrhea or slight cramping. Since the body makes xylitol daily, as well as the enzymes to break it down, any discomfort usually disappears within a few days as the body's enzymatic activity adjusts to a higher intake.

Xylitol has 40 per cent fewer calories and 75 per cent fewer carbohydrates than sugar and is slowly absorbed and metabolized, resulting in very negligible changes in insulin. About one-third of the xylitol that is consumed is absorbed in the liver. The other two-thirds travels to the intestinal tract where it is broken down by gut bacteria into short-chain fatty acids.

Xylitol looks, feels and tastes exactly like sugar and leaves no unpleasant aftertaste. It is available in many forms. In its crystalline form, it can replace sugar in cooking, baking or as a sweetener for beverages. It is also included as an ingredient in chewing gum, mints and nasal spray.

 Xylitol and Oral Health

Tooth decay and gum disease are serious problems. According to the American Dental Association, 75 per cent of American adults over the age of 35 suffer from some form of periodontal disease.1 Needless to say, diet plays a major role in dental heath. When there is an excess of sugar in the diet, this weakens the immune system and creates an acidic environment; thus oral health suffers. The mouth is home to over 400 strains of bacteria. Most of these are benign, but when sugar enters the scene it feeds the destructive strains, allowing them to proliferate.

Periodontal disease is basically caused by bacteria. These deposits permit the growth of bacteria that cause inflammation of the gums. The bacteria also release minute amounts of toxins that break down gum tissue, thereby helping the infection to progress. Plaque is an invisible, sticky film of saliva and food residue that constantly forms on the teeth. Ongoing low-grade bacterial infection also burdens the immune system.

Bacteria help to create plaque and they also thrive within it. Unless removed, plaque formed along the gum line can lead to gum disease. When left untreated, plaque at or below the gum line hardens into tartar. Periodontal disease takes two forms: simple gum inflammation, called gingivitis; and a more severe gum infection, called periodontitis, which may lead to tooth loss and receding gums.

Gingivitis results from the build-up of plaque and tartar which irritate the gum or periodontal tissue. The more advanced state of gum disease, periodontitis, occurs when inflammation of the gums is accompanied by bone and ligament destruction. Bleeding gums are usually the first indication that gum disease is developing, but obvious symptoms may not always be present.

Gum infection can also lead to other serious health problems. It doubles the risk of stroke, triples the risk of heart attack, increases the incidence of premature, low-weight babies and also contributes to bronchitis, pneumonia and emphysema. In fact, the same bacteria that cause gum disease end up either directly or indirectly infecting your heart and arteries. A study conducted at the University of Minnesota in 1998 found that rabbits injected with tooth plaque developed blood clots which led to heart disease.2 It seems that the bacteria first attack the bones and gums in the mouth and then enter the bloodstream through small cracks in the gums.

Eating sugar causes tooth decay by creating a highly acidic condition in the mouth. Acidity strips tooth enamel of minerals, causing it to weaken and making it more vulnerable to attack by bacteria, leading to tooth decay or demineralization. Ordinarily, saliva bathes the mouth with an alkaline solution that neutralizes all acidity and actually remineralises the teeth. Saliva also washes away leftover bits of food and helps the digestion process. But when saliva turns acidic because of too many sweets, bacteria in the mouth have a feeding frenzy. These nasty bacteria, along with carbohydrate waste, stick to the teeth and tongue and hold the acid close to the teeth where it eats away enamel. Virtually whatever food you ingest, the remaining particles become food for plaque-producing bacteria. Using xylitol helps to raise plaque pH, thereby reducing the time that teeth are exposed to damaging acids as well as starving harmful bacteria of their food source.

Xylitol is a dentist's dream. It reverses all these destructive effects of sugar on oral health. Xylitol is non-fermentable and therefore cannot be converted to acids by oral bacteria, thus it helps to restore a proper alkaline/acid balance in the mouth. This alkaline environment is inhospitable to all the destructive bacteria, especially the worst variety, Streptococcus mutans. It also inhibits plaque formation.

Using xylitol right before bedtime, after brushing and flossing, protects and heals the teeth and gums. Unlike sugar, it can even be left on the teeth overnight. With proper use, xylitol actually stops the fermentation process leading to tooth decay. Long-term use suppresses the most harmful strains of oral bacteria, making a long-lasting change in those bacterial communities. Xylitol even has the ability to enhance the mineralization of the enamel. It is most effective in treating small decay spots. Although larger cavities won't go away, they can harden and become less sensitive.

Consistently using small amounts of xylitol tends to increase protective factors in saliva. Xylitol stimulates saliva flow and helps keep salivary minerals in a useful form. Prolonged xylitol use increases the buffering capacity and protective factors in saliva. Increased saliva production is especially important for people suffering with a dry mouth due to illness, ageing or drug side-effects.

Since the oral environment becomes less acidic with continued xylitol use, it is advisable to chew xylitol gum or suck a xylitol mint after every meal or after eating sweet snacks. The best news is that studies have shown that xylitol's effect is long-lasting and possibly even permanent.

Xylitol has recently received positive support in the Journal of the American Dental Association. "Xylitol is an effective preventive agent against dental caries ... Consumption of xylitol-containing chewing gum has been demonstrated to reduce caries in Finnish teenagers by 30&endash;60 per cent. Studies conducted in Canada, Thailand, Polynesia and Belize have shown similar results..."3 A study conducted at Harvard School of Dental Medicine concluded that "xylitol can significantly decrease the incidence of dental caries".4

Another unexpected benefit came from a Finnish study which showed that children whose teeth are colonized between 19 and 31 months of age by Streptococcus mutans bacteria are more likely to have a large number of cavities. Most children acquire this bacteria from their mother's saliva through food tasting, sharing cups and kissing. The study showed a dramatic 70 per cent reduction in tooth decay among children whose mothers chewed xylitol gum.5

Xylitol, however, isn't just for the young. In a paper published in the Journal of the American Geriatrics Society, researchers tested 111 adults aged 60 and older over a 12-month period. All were frail but healthy adults. In the study, one group of volunteers chewed no gum, a second chewed gum containing xylitol, and a third group chewed gum containing both xylitol and an antimicrobial. In the two groups receiving gum, the participants chewed two pieces for 15 minutes, two times per day. At the end of the study, the researchers reported that the group who received xylitol gum had substantially lowered their risk of developing thrush, a fungal or yeast infection that can cause mouth soreness. (The group who received xylitol plus the antimicrobial had equal benefits.) It had also reduced their risk of developing angular cheilitis, a condition in which sores develop in the corners of the mouth. The researchers noted that xylitol gum can provide a "real clinical benefit" to frail, elderly people.6

 Xylitol and Ear, Nose and Throat Infections

Recurring middle ear infections pose a great health threat to children. Tubes are often inserted into the ear drum in children with these recurring infections to reduce the fluid that is attempting to wash out the infection from the middle ear. While this procedure sometimes helps to reduce the frequency of infections, it is also designed to help with hearing.

Language, a critical part of learning, is built by auditory input during the first two years of life--the same period when ear infections are most common. If this input is dampened by infection or fluid in the middle ear during this important period, it can cause learning problems. One researcher demonstrated that even when properly treated, recurrent middle ear infections during the first two years result in significant impairment in reading ability up to the age of nine.7 Another study followed children longer and showed significant learning and social problems extending up to age eighteen.8

One of xylitol's versatile benefits is its ability to inhibit the growth of bacteria that cause middle ear infections in young children. In two recent studies involving over 1,000 children, xylitol-flavored chewing gum was found to reduce the incidence of middle ear infections by 40 per cent, significantly decreasing ongoing middle ear complications and the need for antibiotics.

Regularly washing the nose with a spray containing xylitol decreases the number of harmful bacteria and stimulates normal defensive washing of this area. A clean nose reduces problems with allergies and asthma that originate from nasal irritants and pollutants. Current research shows how bacteria attach to cells in the body, causing infection. Some sugars like xylitol are known to be able to interfere with this binding, blocking the attachment of the major infection-causing bacteria that live in the nose. Dr Lon Jones, a physician in Plainsview, Texas, reported that the use of a xylitol nasal spray in his practice prevented 93 per cent of ear infections and resulted in comparable reductions in sinus infections, allergies and asthma.9

Xylitol has been shown to be effective in inhibiting Candida albicans, a serious systemic yeast problem, and other harmful gut bacteria including H. pylori, implicated in periodontal disease, bad breath, gastric and duodenal ulcers and even stomach cancer.

 Xylitol and Osteoporosis

Another exciting benefit from xylitol is its role in reversing bone loss. Studies in Finland found that xylitol maintained bone density in rats that had their ovaries removed. Without ovaries, estrogen levels plummeted and so did the bone density in rats that were not given xylitol. However, in the rats that had ovaries removed and were given xylitol, bone density actually increased.10 Another study showed that xylitol was effective in decreasing age-related bone loss in older male rats by 10 per cent.11

In an unprecedented action, the Finnish researchers made bold recommendations for human application of their studies. They suggested that an effective human dose would be about 40 grams daily. The scientists speculated that xylitol's bone density enhancing properties are due to its ability to promote intestinal absorption of calcium. Including xylitol in one's diet is certainly an enjoyable way to reap the benefits of greater bone density, along with other health benefits.

 Xylitol and Insulin Resistance, Diabetes Hypertension and Hormonal Imbalances

Consuming sugar and other refined carbohydrates results in the rapid release of glucose, or blood sugar. In response, the pancreas secretes insulin to usher glucose into the cells, where it is burned for energy. Excess glucose stresses the system, and over time the cells become less responsive to insulin. This condition, known as insulin resistance, is a huge health problem and it is estimated to affect half the American population. Insulin resistance is associated with abnormalities in cholesterol and triglyceride levels, hypertension, increased risk of heart disease and diabetes.

The dramatic rise in type-2 diabetes since the mid-1900s directly coincides with our increased consumption of sugar. One long-term study of more than 65,000 women demonstrated that a high-sugar, low-fibre diet increased the risk of type-2 diabetes by 250 per cent. Another recent study found that excessive intake of sugar was the single most important dietary risk factor for heart disease in women and for men. It has been estimated that sugar intake may account for more than 150,000 premature deaths from heart disease in the United States each year.12

Xylitol has been demonstrated in repeated clinical studies to be very slowly metabolized. In fact, on the glycemic index, which measures how quickly foods enter the bloodstream, sugar is rated at 100 and xylitol at just seven! Xylitol is a natural insulin stabilizer, therefore it causes none of the abrupt rises and falls that occur with sugar. In fact, it actually helps in stopping sugar and carbohydrate cravings. Foods sweetened with xylitol will not raise insulin levels. This makes it a perfect sweetener for people with diabetes as well as those wanting to lose weight. There is a growing consensus amongst anti-ageing researchers that maintaining low insulin levels is a key to a successful anti-ageing program.

Insulin resistance also plays a significant role in hormonal imbalances, including those that lead to breast cancer. High insulin levels increase the production of estrogens, leading to an estrogen-dominant condition, and also interfere with healthy ovarian function. Insulin resistance is a major cause of a growing hormonal problem called polycystic ovarian syndrome (PCOS). PCOS causes the ovaries to become anovulatory, which means that the normal cyclic production of estrogen followed by progesterone either ceases or becomes dysfunctional. Insulin stimulates the ovaries to produce predominantly male hormones, which, in combination with higher insulin and glucose levels, increase weight-gain around the waist--a body type that is a risk factor for breast cancer. Signs that the body is being exposed to higher levels of the male hormones include acne, loss of head hair and an increase in body hair. Lowering insulin levels is crucial for not only treating PCOS but also resolving most other hormonal imbalances, including those leading to breast cancer.13

Dr John Lee, author of What Your Doctor May Not Tell You About Breast Cancer, explains the connection between insulin resistance and breast cancer:
"Overeating junk food makes you fat. Increased body fat and lack of exercise lead to insulin resistance. Insulin resistance leads to further craving of sugary carbohydrates to generate energy for the body. More insulin is released in response to increased carbohydrate intake, leading to more weight gain. More fat leads to more estrogens, which, in turn, lead to earlier breast development and menstruation. Earlier onset of menstruation leads to more ovulatory cycles and a greater lifetime exposure to estrogens without adequate progesterone. A greater lifetime exposure to estrogens increases breast cancer risk.

"Simultaneously, increased consumption of simple carbohydrates, coupled with insulin resistance, leads to polycystic ovaries and lack of ovulation during menstrual cycles, resulting in excess production of androgens and estrogens, along with inadequate production of progesterone. Excessive estrogen production in the absence of progesterone production leads to estrogen dominance and increased breast cancer risk. Use of contraceptive hormones increases insulin resistance, exacerbating all the above problems."14

Using xylitol instead of sugar as well as reducing intake of high-glycaemic, refined carbohydrate foods helps to lower the risk not only of PCOS but also of ovarian cysts, fibroids, endometriosis, PMS, hot flushes, weight gain and depression.

 The Safer Sweetener

Increased sugar consumption has bedeviled Western cultures with more and more health problems, many of which are putting an enormous strain on health care systems. Finally, there is an answer to our collective prayers for something truly healthy that can also satisfy our sweet tooth. Over 1,500 scientific studies have found that the more you use xylitol, the more you can eliminate sugar cravings, reduce insulin levels and alkalinize your body. It's a great aid on the way to good health and long life.

Imagine never having to feel those twinges of guilt when you bite into a xylitol-sweetened brownie. Or how about increasing your bone density while enjoying your favorite hot drink with two spoonfuls of xylitol crystals, or knowing that xylitol-sweetened chewing gum is preventing cavities and gum disease?

With xylitol, you can now have your sweet tooth and treat it, too!


Footnotes:

1. Zeines, Victor, DDS, MS, FAGD. Healthy Mouth, Healthy Body. Kensington Publishing Corporation, 2000, p. 55.
2. ibid., p. 29.
3. Beiswanger, BB, Boneta AE, Mau MS, Katz BP, Proskin HM, Stookey GK. The effect of chewing sugar-free gum after meals on clinical caries incidence. J. Am. Dent. Assoc. 1998;129:1623-6.
4. Hayes, Catherine, DMD, DMSc. The effect of non-cariogenic sweeteners on the prevention of dental caries: A review of evidence. Harvard School of Dental Medicine. See
http://www.lib.umich.edu/dentlib/ nihcdc/abstracts/hayes.html.
5. How Xylitol-containing Products Affect Cariogenic Bacteria. J. Am. Dent. Assoc., April 2000.
6. J. Am. Geriatrics Soc. 2002;50. See
http://www.globalaging.org/health/world/medgum.htm.
7. Luotonen M, Uhari M, Aitola, L et al. Recurrent otitis media during infancy and linguistic skills at the age of nine years. Pediatr. Infect. J. 1996;15:854-8.
8. Bennett KE, Haggard MP, Silva PA, Stewart IA. Behavior and development effects of otitis media with effusion into the teens. Arch. Dis. Child 2001 Aug;85(2):91-5.
9. See website
http://www.nasal-xylitol.com.
10. Svanberg M, Mattila P, Knuttila M. Dietary xylitol retards the ovariectomy-induced increase of bone turnover in rats. Calcif. Tissue Int. 60:462-466.
11. Mattila P, Svanberg, M, Knuttila, M. Increased bone volume and bone mineral content in xylitol-fed aged rats. Gerontology 2001;47:300-305.
12. Carbohydrates: The Good, the Bad, and the Ugly. Dr James Whittaker Newsletter, vol. 13, no. 4, April 2000.
13. John, Lee MD. What Your Doctor May Not Tell You About Breast Cancer. Warner Books, 2002, p. 61.
14. ibid, p. 62.