Glucose – functions, how it is produced

Glucose is a type of simple sugar (monosaccharide) that is the primary source of energy for the body’s cells. The body obtains glucose mainly from dietary carbohydrates, which are digested and converted to glucose in the digestive tract. Glucose can also be synthesized in the body from proteins and fats in a process called gluconeogenesis.

In the body, glucose is transported in the blood to the cells, where it is used as an energy source. Maintaining the right level of glucose in the blood is crucial to health, and this level is regulated by the hormone insulin. Excess glucose in the diet can lead to health problems such as type 2 diabetes, so it is important to eat carbohydrates in moderation.

How glucose is produced

Glucose can be converted into various substances in the body, mainly carbohydrates, but also some other nutrients. Here are the key processes that lead to the creation of glucose:

Complex carbohydrates (e.g. starch): Complex carbohydrates, such as starch, are digested in the digestive tract, where enzymes (e.g. amylase) break them down into simple sugars, mainly glucose. Starch is found in bread, pasta, potatoes, and rice, among other things.

Disaccharides (e.g. sucrose, lactose): Sucrose (contained in table sugar) is made up of one glucose molecule and one fructose molecule. In the body, sucrose is broken down into glucose and fructose, and glucose is absorbed into the blood. Lactose (milk sugar) is made up of glucose and galactose. During the digestion process, lactose is broken down into these simple sugars.

Glycogen: Glycogen is a storage form of glucose in the liver and muscles. When blood glucose levels drop, glycogen can be broken down into glucose and released into the blood to maintain blood glucose levels.

Some amino acids: The body can convert some amino acids (from proteins) into glucose through the process of gluconeogenesis. This process occurs primarily in the liver and is especially important during long-term fasting or intense exercise.

Glycerol: Glycerol, a component of fats, can also be converted into glucose through the process of gluconeogenesis.

The body has various mechanisms to ensure a steady supply of glucose, which is crucial for brain and muscle function. This ensures that glucose is available even when dietary carbohydrate intake is limited.

Gluconeogenesis

Gluconeogenesis is a metabolic process in which the body synthesizes glucose from non-carbohydrate precursors such as amino acids, glycerol, and lactic acid. This process occurs primarily in the liver, and to a lesser extent in the kidneys, and is particularly important in situations where blood glucose levels fall, such as during fasting, intense exercise, or a low-carbohydrate diet.

Importance of gluconeogenesis:

  • Maintaining blood glucose levels: Gluconeogenesis is essential for maintaining stable blood glucose levels, especially during prolonged fasting or when carbohydrate intake is restricted. Maintaining adequate glucose levels is essential for proper brain function, which is largely dependent on glucose for energy.
  • Protection against hypoglycemia: During prolonged fasting, intense exercise, or in disease states such as diabetes, gluconeogenesis helps prevent hypoglycemia (low blood glucose).
  • Metabolic adaptation: In situations where carbohydrate intake is limited, the body adapts to use alternative energy sources such as fat and protein, while maintaining glucose production from these substrates.

Hormonal regulation of gluconeogenesis:

  • Insulin: Inhibits gluconeogenesis, promoting storage of glucose as glycogen.
  • Glucagon: Stimulates gluconeogenesis, especially during low blood glucose.
  • Cortisol and adrenaline: In states of stress or physical exertion, they support gluconeogenesis.

Gluconeogenesis is therefore an extremely important process, especially in the context of energy metabolism and the body’s adaptation to changing conditions of energy substrate availability.