Laxative effect and gut tolerance
Isomalt is only partially absorbed in the small intestine. The remainder reaches the colon, where bacteria ferment it, producing gas and drawing water into the bowel. At high doses this causes bloating, abdominal rumbling, cramps and loose or watery stools. Children reach the threshold where these effects occur at a lower intake than adults, as shown in controlled studies comparing isomalt sweets against sucrose sweets.
Children who ate 25g of isomalt-sweetened sweets had significantly more stomach-ache, abdominal rumbling and watery stools than those eating sucrose sweets; the same dose produced a mild laxative effect in children but not in the adult comparison group.
2002RCTStorey et al., European Journal of Clinical Nutrition (via PubMed)
In a crossover study comparing sucrose, isomalt and lycasin, children showed greater gastrointestinal sensitivity to both polyols than adults, with isomalt producing more laxative episodes per unit dose in children.
2002RCTStorey et al., European Journal of Clinical Nutrition (via PubMed)
Regulatory labelling requirement
Because laxation at high doses is well established, European and retained UK law requires that any food containing more than 10% added polyols, including isomalt, must carry the warning 'excessive consumption may produce laxative effects' on the label. This is a mandatory consumer alert, not a voluntary advisory.
Foods containing more than 10% added polyols must carry a mandatory laxation warning under assimilated EU Regulation 1333/2008 and related labelling provisions retained in UK law.
RegulatoryUK FSA approved-additives list and assimilated EU Regulation 1333/2008 (Annex II)
Glycaemic response and dental effects
Because isomalt is poorly absorbed, it has a very low glycaemic index and does not meaningfully raise blood glucose. It is also non-cariogenic, meaning oral bacteria cannot ferment it to produce the acids that cause tooth decay. These properties are why it is widely used in diabetic confectionery and dental-friendly products.
Isomalt has a glycaemic index of approximately 2, compared with 65 for sucrose, and does not promote tooth decay because it is not metabolised by cariogenic oral bacteria.
Regulatory reviewEFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); health claims assessment for polyols