Glucose benefit and harm, danger and risk for diabetes and high blood sugar by Ray Sahelian, M.D. sugar side effects
Glucose is a
monosaccharide (or simple sugar). Glucose is one of the most important
carbohydrates. The cell uses glucose as a source of energy and metabolic
intermediate. Glucose is one of the main products of photosynthesis and starts
cellular respiration. The natural form (D-glucose) is also referred to as
dextrose, especially in the food industry.
In general, fructose is a better sugar to ingest than glucose.
Plasma triacylglycerol and VLDL concentrations are higher, whereas the rise of
insulin is lower after ingestion of fructose than after glucose. Fructose leads
to less conversion into fats than glucose and stimulates less of an insulin
release. As an alternative to using sugar in your diet or to sweeten tea or
coffee, consider
stevia.
Blood glucose test
The blood glucose test is ordered to measure the amount of glucose in the blood right at the time of sample collection. It is used to detect both high blood sugar and low blood sugar and to help diagnose diabetes. Blood glucose may be measured on a fasting basis (collected after an 8 to 10 hour fast), randomly (anytime), post prandial (after a meal), and/or as part of an oral glucose tolerance test (OGTT / GTT).
Glucose tolerance test
An oral glucose tolerance test is a series of blood glucose tests. A fasting glucose is collected; then the patient drinks a standard amount of a glucose solution to "challenge" their system. This is followed by one or more additional glucose tests performed at specific intervals to track glucose levels over time. The oral glucose tolerance test may be ordered to help diagnose diabetes and as a follow-up test to an elevated blood glucose.
Glucose storage in the liver
Glycogen is a
polymer of glucose residues linked mainly by alpha(1-4) glycosidic linkages.
Glucose is stored as glycogen predominantly in liver and muscle
cells.
Glucose meters
When people with diabetes can control their blood sugar (glucose), they are more likely to stay healthy. People with diabetes use two kinds of management devices: glucose meters and other diabetes management tests. Glucose meters help people with diabetes check their blood sugar at home, school, work, and play.
High blood glucose and BPH
Benign prostate hyperplasia is a common condition in older men, and the risk of developing the condition seems to be increased by obesity and high blood glucose levels.
High Blood Glucose and Mortality
The toll of high blood glucose levels is far greater than previously
thought. As a risk factor for death from cardiovascular disease, high blood
glucose appears to be more lethal than smoking. Dr. Majid Ezzati of Harvard
University in Boston and associates reached that conclusion after estimating the
number of deaths from ischemic heart disease and stroke that can be attributed
to high fasting plasma glucose levels, in addition to diabetes deaths.
Because diabetes is a major risk factor for cardiovascular disease and stroke,
mortality rates based only on deaths attributed directly to diabetes
underestimate the total burden of the condition. "The cutoff for diagnosing
diabetes is a blood glucose level of 7 mmol/L," says Dr. Ezzati. He found in his
research that by attaining a blood glucose level as low 4.9 mmol/L, benefits
have been observed for decreasing cardiovascular disease and stroke. For
individuals 30 to 60 years old, the relative risk (RR) for ischemic heart
disease and stroke were increased by factors of 1.424 and 1.360, respectively,
for each 1 mmol/L increase in blood glucose level. RRs were lower for older
individuals. Moreover, the authors observed that 21% of deaths from ischemic
heart disease are attributable to higher-than-optimum blood glucose, compared
with 12% for smoking, 45% for high blood cholesterol, and 47% for hypertension.
For stroke, 13% of deaths are due to high blood glucose, versus 8% related to
smoking, 13% for high cholesterol and 54% for high blood pressure. Lancet
2006.
Additional links of interest
Trehalose is a
disaccharide formed by two glucose molecules.