Food With Xylitol


If you suffer from a condition that prevents you from eating sugar, and you’re missing your favorite foods, you’re going to want to read this.

Food With Xylitol

Xylitol is a sugar-free sweetener used in chewing gum, baked goods, and many other products created for human consumption. It is commonly used by people with Diabetes Mellitus due to its low glycemic index and low-calorie content.

Xylitol can be highly toxic to dogs, causing low blood sugar and liver failure.  The hypoglycemia is caused by insulin release stimulated by xylitol.  This effect generally lasts 12-24 hours but can be delayed.  The liver failure is idiosyncratic and the mechanism is poorly understood but is thought to be due to reactive oxygen species formation and damage to the liver thereafter.  Xylitol toxicity in cats has not been documented.

The most common source of xylitol toxicity in dogs has been sugar-free chewing gum, however, this may change with the many new sources of xylitol. Our Emergency Room doctors continue to see patients coming in who have ingested gum with an additional candy coating that increases the xylitol content to dangerous levels.

Xylitol has gained great popularity in the human market because if its various properties. Xylitol is a sugar alcohol nearly as sweet as sugar but with fewer calories which promotes its addition to various flavored, sugar-free or low-calorie products. Xylitol has humectant properties, which means it can help retain moisture, which encourages its use in many skin and hair care products. It also has antibacterial properties which can diminish skin problems and dental plaque promoting its use in various skin care and dental products. These features have led to the development of xylitol-containing products including ice cream, breath mints, chewing gum, cough drops, gummy vitamins, dental care products, shampoos, moisturizers, deodorants and much more.

Scientists are researching even more possible uses of xylitol including its potential to increase skin collagen production which may be important in anti-aging, its role in wound healing, and as an antibiotic.



  • Facial care products including tinted moisturizers and foundations, facial cleansers and scrubs, facial creams including moisturizers, illuminators, skin pigment reducers, facial toner, make up remover, body butter
  • Oral care products including toothpaste, mouthwash, dental rinse, breath sprays, throat lozenges
  • Flavored lip balm
  • Shampoos
  • Essential oil products
  • Deodorant
  • Hand creams


  • Cookies
  • Pudding snacks
  • Ice cream
  • Pie filling
  • Peanut butter
  • Sugar-free cake mixes
  • Non-fat Greek yogurt
  • Chocolate
  • Sugar-free chewing gum
  • Chewing gum (sticks, wads or car cups)
  • Low calorie baked goods
  • Sugar-free honeys
  • Various sweeteners
  • Sugar-free jam preserves
  • Sugar-free syrup
  • Various condiments including sugar-free ketchup and BBQ sauce
  • Flavored water and electrolyte drink mixes
  • Protein powder and protein bar
  • Meal replacement mixes


  • Oral liquid prescription products (for example Children’s Allegra Oral Suspension®)
  • Oral disintegrating medications (commonly referred to as “Meltaway”) such as alprazolam.
  • Cough drops
  • Chewable and gummy multivitamins, chewable and gummy supplements
  • Antacids
  • Stool softeners
  • Enemas
  • Nasal sprays
  • Other medications and supplements include clonazepam, mirtazapine, toviaz, melatonin gabapentin and many more

The concentration of xylitol can change and varies greatly between products and companies often do not share the exact amount of the artificial sweetener with consumers. Generally, xylitol will be listed in the ingredient label under “Other ingredients”, “Inactive ingredients” or “Supplement facts”. Some companies list xylitol as an ingredient while others list “sugar alcohols” which may include xylitol. This makes it very difficult to determine the amount of xylitol a dog may have ingested.

Surprising Products That Contain Xylitol

For your awareness, check out these unexpected items that may contain xylitol.

1. Packaged Goods & Baking Mixes

Pet parents that commonly purchase sugar-free items need to be especially aware of foods containing xylitol in their pantry. These items can include Jell-o, pudding mixes, cake, and cookie mixes, ice cream, and even yogurt.

baking products with xylitol
2. Candies, Gum, & Mints

Sugar-free gum, mints, and candy are commonly scattered around households. Whether there’s a pack of gum in your purse or a candy bowl on the counter, your dog could get creative to reach it. If your pup ever gets into any of these items, be sure to enlist emergency help.

assorted gummy bears
3. Jams, Syrups, Condiments, Honey, & Raw Xylitol

Even your fridge and pantry staples may contain this sugar substitute. Jams, honey, and other sweet products in jars and bottles could include xylitol. Also, those who bake sugar-free confections using this sweetener should refrain from giving their pup a taste.

jam products with xylitol
4. Protein Bars & Powders

Some high-protein health foods use xylitol as a replacement for calorie-filled sugar. They might seem healthier for humans, but they can be more dangerous for our furry friends.

protein bar halves

5. Flavored Waters & Drink Powders

While it’s a good idea to scan any ingredient panel, be extra careful with drinks that promote health, weight loss, or energy. Beverages that are labeled “diet” or “sugar-free” are especially risky. Despite their appealing names for humans, they have underlying dangers for dogs.

flavored water
6. Chocolate

It’s commonly known that if your canine consumes chocolate, you need to seek emergency medical care. But if that chocolate contains xylitol, it’s even more urgent. Dark chocolate is the most likely to use xylitol as an ingredient.

chocolate bar with xylitol
7. Peanut Butter & Nut Butters

Some nut butter brands have xylitol snuck in as a lighter sugar replacement. Many dogs love to snack on peanut butter, which is normally okay if it’s all-natural and given in small amounts. Just make sure that your pup’s favorite Kong stuffer doesn’t contain this toxic ingredient!

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