Diabetes Diabetes Solutions

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  • The Sugar Family

    The principal sugars are glucose and fructose. These are the simplest CHO molecules, known by their single ring structure as monosaccharides.

    Glucose is the fuel of all living things, supplying energy to all living cells, both plant and animal. Fructose is the first cousin of glucose and occurs in fruit and corn syrup. Sucrose is the sugar that is commonly called "sugar" and is found in most commercially prepared foods. Sucrose appears in refined form as white table sugar. Sucrose is a disaccharide with glucose linked to fructose. It requires a special enzyme to separate glucose from fructose. Brown sugars and molasses are cruder sugar products that contain the same sucrose in the presence of many other substances not yet removed. The preference for brown sugars, syrups, molasses, and honey, in place of refined white sugar is not based on any important biological information. Honey may be preferable only by taste and implication (visions of bees, flowers, and summer days); it contains the same sugars, sucrose, glucose and fructose.

    The basic sugars, glucose, fructose, galactose, mannose, are the building blocks of larger more complex carbohydrates. These "monosaccharides" contain 6 carbon atoms, and typically form a six-sided ring structure. The energy density of sugars is 4 kcal/gm.Lactate or lactic acid is the 3-carbon fragment of these sugars, produced as the sugars are oxidized as fuel.

    The same sugar has two mirror-image forms, determined by the rotation of a test light beam through its crystal in the laboratory. Biologically active sugars are the "D" form, rotating light to the "dextro" or right side. D-Glucose is referred to as "dextrose". The general formula for a 6-C ring sugar is: C6.H12.O6

    Five carbon sugars, pentoses, are Arabinose, Ribose, and Xylose. Ribose is important in genetic material, formed into ribonucleic acid, which gives RNA and DNA their long names. Polymers of arabinose are gums such as araban.

    Sugar alcohols are first cousins of the basic monosaccharides. Adding a hydrogen ion or proton to a sugar's double bonded oxygen, C=O, produces a sugar alcohol with a C-OH group. Sorbitol is such a beast, found as a food additive. Most ingested sorbitol is not absorbed, but passes onto the colon, where bacteria turn it into hydrogen gas. Absorbed sorbitol is metabolized to fructose.

    There is enough evidence to warn against sorbitol use. One of the routes of tissue damage when blood and tissue glucose levels rise is the conversion of excess glucose to sorbitol and fructose. The safest course of action is to avoid packaged and processed foods that contain sorbitol. Mannitol is another sugar alcohol sweetener, added to commercial foods. Inositol is another sugar alcohol; mice and rats seem to require inositol in their diets, but we do not. Inositol may be considered an accessory nutrient. Inositol is combined with 6 phosphate groups in cereal grains to form phytic acid, a undesirable substance, which binds minerals and prevents their absorption.

    The next group of common sugars consists of two basic sugars, linked together, called "Disaccharides". Lactose is the sugar in breast and cow's milk, and contains glucose and galactose. Sucrose, as discussed above, is glucose and fructose. Maltose is glucose and glucose.


    Large carbohydrate molecules form the structure of plants, and to a lesser extent, animals. A carbohydrate polymer, or polysaccharide, is a string of sugar molecules linked together. The cell walls of plants are constructed of elaborate polysaccharides made from 12 basic sugars. Cellulose is the main structural carbohydrate; it is a polymer of glucose units linked together to form a tough fiber. Vegetarian ruminants utilize special stomachs that host bacterial populations that break down cellulose.

    Starch is the most valuable polysaccharide. The starch molecule is tree-like, with branches of varying length. Starch digestion begins in the mouth with salivary amylase, continuing in the small intestine with pancreatic amylase. Short chains of glucoses are referred to as alpha-dextrin, maltotriose (3GL), and maltose (2GL). Glucoamylase breaks these short chains down to individual glucose molecules that are absorbed. Starch is the best fuel, supplying sustained-release glucose. Incoming glucose is rapidly absorbed and utilized by body tissues. Some tissues such as muscle require insulin to absorb glucose. Other organs, such as the brain, do not require insulin and are prime glucose consumers. The liver balances blood glucose levels by absorbing and releasing glucose. The liver stores glucose as glycogen and is capable of producing glucose from amino acids if food does not supply adequate glucose. Slow absorption of glucoses is better tolerated than the rapid absorption of larger amount.

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    Managing Diabetes byStephen Gislason MD is a self-help book explains how to manage diabetes. The book offers the good news that the impending disasters are optional if eating and living conditions are changed correctly. Newly diagnosed diabetics should act to design a new diet with increased physical activity.  2018 Edition 170 Pages

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