In severe cases of hyperglycemia in which cerebral edema occurs, mannitol is administered at the first sign of edema, such as unconsciousness, difficulty breathing, severe headache, irregular heartbeat, or seizures.
Intracranial pressure is monitored and, if elevated, is treated with drugs such as mannitol and barbiturates placing the patient on a ventilator so that hyperventilation can be used.
Other sources of calories include organic acids (such as acetic acid and lactic acid) and polyols (sugar alcohols such as Mannitol, Xylitol and Glycerol).
Many low-carbohydrate food manufacturers use mannitol and erythritol to sweeten low-carb foods.
It also yields, by the so-called mucous fermentation, a mucous, gummy mass, mixed with mannitol and lactic acid.
The starting point was ordinary(d)mannite (mannitol),C 6 H 14 0 61 a naturally occurring hexahydric alcohol, which only differed from a-acritol, the alcohol obtained by reducing a-acrose, with regard to optical activity.
The ketone is also obtained when Bertrand's sorbose bacterium acts on glycerol; this medium also acts on other alcohols to yield ketoses; for example: erythrite gives erythrulose, arabite arabinulose, mannitol fructose, &c.
The micro-organism splits up the laevulose in the must, forming mannitol and different acids, particularly volatile acid.
It would appear from the researches of the author and others that the mannitol ferment is more generally present in wines than is supposed to be the case.
In these cases the mannitic fermentation had obviously not developed to any extent, and small quantities of mannitol appear to exercise no prejudicial effect on flavour.