Chapter 4: The Carbohydrates

Glucose in the Body

Maintaning Glucose Homeostase

Regulating Hormones

Glucagon

Insulin

Glucose in the Blood

Cells

Brings glucose out of storage when needed

Insulin

After a meal

Stimulate

Storage of glycogen in the liver and muscles

Conversion of excess glucose

Uptake of glucose from the blood

Cells

Fat (for storage)

Glucagon

Secretaded when blood glucose falls

Stimulate

Release of glucose into the blood

Breakdown of glycogen from the liver

Epinephine

Releases glucose from the cells

Situations of stress

Blood glucose regulation fails

Hypoglycemia (rare in healthy people)

Diabetes

Blood glucose rises after meal

Remains in levels above the normal ones

Type 1

Type 2 (more common)

Pancreas fails to produce insulin

Cells fail to respond to insulin

Associated with obesity

blood glucose drops below normal

Mostly because of poorly managed diabetes / other diseases

Glycemic Response

How quickly glucose is absorbed after a person eats

How high blood glucose rises

How quickly blood glucose returns to normal

Health Effects and Recommended Intakes of Sugars

Glycemic Index

Glucose

Storing as glycogen

Using for energy

Making from protein

Fat

Functions of sugar in foods

Bulking agent in ice cream and baked goods

Adds texture and color

Balances acidity

Enhances flavour

Imparts a creamy consistency

Inhibits microbial growth

Fuel for alcohol fermentation

Corn Syrup

Retains moisture

Resists drying

Controls crystallization

Prevents microbial growth

Added sugars

Blends easily

Diet with high sugar

More difficult to meet the other recommendation values

Dental Caries

Bacteria in the mouth

Ferment sugars

Acide

Erodes tooth enamel

Alternative Sweeteners

Artificial Sweeteners

Sweet flavour without extra calories

High-Intensity Sweeteners

Food and beverages

Sugar Alcohols

Naturally in fruits and vegetables

Low glycemic response

"Sugar free"

Dental Caries 🚫

Health Effects and Recommended Intakes of Starch and Fibers

Diet with high sugars

Heart disease ⚠

Diet rich in whole grains, pulses, vegetables and fruits

May protect against heart disease

When CH is high

Fats are low (generally)

High fibers

Glucose absorption is slowed

Prevents type 2 diabetes

Dietary fibers

Enhances the health of the large intestine

May protect against cancer of the colon and rectum

Excess fiber intake

Difficult to meet energy or nutrient needs

Weight Management ⚠

Fiber supplements don´t have the same health effects as dietary fiber from whole foods