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Keeping this in consideration, is mannitol a sugar substitute?
Mannitol is made from fructose and hydrogen and can also be produced artificially. It is a high-intensity sweetener commonly used as a sugar substitute. The Food and Drug Administration (FDA) has approved mannitol as a diuretic, a sweetener for diabetics and others with sugar intolerance.
Also question is, do sugar alcohols count as sugar?
Unlike artificial sweeteners, sugar alcohols are a kind of carb and can raise blood sugar levels, though not as much as sugar. You'll need to count carbs and calories from sugar alcohols in your overall meal plan.
Mannitol is a plant-based ingredient used in food, obtained from cereals (maize and wheat) in the EU. It belongs to the Carbohydrates family. Mannitol occurs naturally in some fruits, such as apples, pears, peaches, and prunes. Mannitol is an approved food additive in the EU, carrying the identifying E-number E421.