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carbohydrates
class of nutrients that is a major source of energy for the body
examples of carbohydrates
sugars, starches, and fiber
How do plants make carbohydrates?
using the sun’s energy to combine the carbon, oxygen, and hydrogen atoms from carbon dioxide and water.
Are plants rich sources of carbohydrates?
yes
What are simple carbohydrates?
sugars (most names end in ”-ose”)
What is the simplest type of sugar?
monosaccharide
monosaccharide
simple sugar that is the basic molecule of carohydrates
What is an example of a monosaccharide?
glucose
glucose
monosaccharide that is primary fuel for muscles and other cells; “blood sugar“
What are some thing that uses glucose?
red blood cells, nervous system cells, and brain cells
What are some good sources of glucose?
fruits and vegetables (grapes, berries, corn, and carrots)
disaccharides
simple sugar comprised of two monosaccharides
Examples of diasaccharides
maltose, lactose, and sucrose
What is natural sugars
any sugar that comes naturally in any produce such as lactose in milk of fructose in oranges
What is another name for refined sugars?
added sugar
added sugar
sugars added to foods during processing or preparation
examples of added sugars
sucrose and high-fructose corn syrup
Where can fructose be extracted from easily
corn (remember: high fructose corn syrup)
is glucose of fructose sweeter?
fructose
Alternative sweeteners
substances that are added to sweeten foods while providing few or no calories
What are some alternative sweeteners that do add calories?
sorbitol, xylitol, erythritol, and mannitol
What is the difference between sugar and sugar alcohols
sugar alcohols do not promote tooth decay while sugar does
Except for erythritol, what does sugar alcohol cause?
diarrhea
how much cal/g does sugar alcohols provide and why?
2 cal/g because they are not fully absorbed by the intestinal tract
high-intensity (“artificial”) sweeteners
group of manufactured alternative sweeteners that are intensely sweet-tasting compared to sugar
What are some examples of high-intensity sweeteners?
saccharin, aspartame, acesulfame-K, sucralose, neotame, monk fruit extract, steviol glycosides, and advantame
What can people with the disease phenylketonuria not have any why?
aspartame and some high-protein rich foods because of the phenylalanine and their bodies cannot process it properly
When is phenylketonuria diagnosed?
within 48 hours after birth
What are complex carbohydrates?
polysaccharides
polysaccharides
compounds comprised of several monosaccharides bonded together
What do cells use polysaccharides for?
store energy
What is the most common for of polysaccharides?
glucose molecules with digestible and non-digestible forms
starch
storage form of glucose in plants
What does our intestinal tract do to starch?
digests starch into individual forms of glucose molecules to be absorbed
how much calories does starch provide?
4 cal/g
dietary fiber
indigestible plant material, most types are polysaccharides
what form of sugar are fibers in?
polysaccharides
What is the one fiber that is not a carbohydrate?
lignin
Why can human not digest fiber?
the specific form of the glucose chains
What are some examples of polysaccharides that humans cannot digest?
hemicellulose, pectin, gums, and mucilages
What does the non-digested fiber do in the large intestine?
serves as an energy source for the bacteria in the intestine
What happens to the excess fiber that the bacteria did not use?
it gets pooped out
soluble fiber
forms of fiber that dissolve or swell in water
insoluble fiber
forms of dietary fiber that generally do not dissolve in water
What does soluble fiber do?
binds cholesterol to reduce blood cholesterol and slows glucose absorption to reduce glucose levels
What does insoluble fiber do?
increases fecal “bulk” to help ease bowel movements
According to the DRI, what percent of calories should come from carbohydrates?
45 to 65%
What happens when diets contain lots of added sugar
higher risk for heart disease
What percent of calories should come from added sugar?
less than 10%
What are major sources of added sugars?
regular soft drinks, fruit “-ade”, energy drink, and sweetened coffee or tea
If the carbohydrates in oats are primarily starch and fiber what else is added when milk and brown sugar is added?
lactose and sucrose is added
What is the major fuel for our cells?
glucose
What types of cells are in the pancreas?
alpha and beta
insulin
hormone that helps lower blood glucose levels
what cell produces insulin?
beta cells
what cells produce glucagon?
alpha cells
What does insulin do?
helps to lower blood glucose levels by allowing glucose to enter the cells
What does glucagon do?
allows cells to release glucose into the bloodstream
What does insulin and glucagon do together?
regulate the body’s blood glucose levels
What happens to glucose after it is absorbed into the liver?
When the blood glucose is low the liver releases glucose into the bloodstream and when you blood glucose level is normal glucose is stored as glycogon
What happens when the max amount of glycogen is being stored
the liver converts the excess glucose into fat
What do fat cells do
remove fat from the bloodstream and store it for future energy use
What happens when the cells need energy?
the liver breaks down glycogen and releases glucose into the bloodstream
how much calories does glucose supply?
4 cal/g
When glucose is burned what is released as waste product?
carbon dioxide gas and water
To metabolize fat properly what does the cells need?
glucose
ketone bodies
chemicals that result from the incomplete breakdown of fat for energy
what can be used in-place of glucose in brain and muscle cells?
ketone bodies
examples of energy sources
sugar, starch, fat, protein, and alcohol
non-alcohol fatty liver disease
accumulation of fat in the liver that’s not caused by alcohol consumption
what percentage of Americans have non-alcohol fatty liver disease?
30 to 40%
what contributes to non-alcohol fatty liver disease
obesity, type 2 diabetes, and excess intake of carbohydrates
what is the possible treatment for non-alcohol fatty liver disease?
losing excess body fat and following a healthy diet pattern
diabetes mellitus
group of serious chronic diseases characterized by abnormal glucose, fat, and protein metabolism
what is a normal fasting glucose level?
70 to 99 mg/dl
what is a pre-diabetic fasting glucose level?
100 to 125 mg/dl
what is a diabetic fasting glucose level?
126+ mg/dl
what are some symptoms that people with diabetes experience?
excessive thirst, frequent urination, vaginal yeast infection, impotence, and sore that do not heal
what are some symptoms that a person with uncontrolled type 1 diabetes may experience?
increased appetite, weight loss, fruity smelling breath, fatigue, and confusion
What happens when diabetes is uncontrolled or untreated?
nerves, organs, or blood vessels are damaged
What can diabetes cause?
heart disease, kidney failure, and lower limb amputations
what is the 7th leading cause of death in the US?
diabetes
what type of disease is type 1 diabetes?
autoimmune disease
What do immune system cells do in a person with type 1 diabetes
attack and destroy pancreatic cells
treatment for type 1 diabetes
insulin by injection
what is the most common form of diabetes?
type 2
What is wrong with the body’s cells of someone with type 2 diabetes?
they are resistant to insulin even though the body still produces insulin
What puts people at a higher risk for type 2 diabetes?
physically inactive, overweight, obese, family history, and heritage/ancestor of Hispanic, Native American, Asian, African, or Pacific Islander
type 2 diabetes treatment
regular exercise, special diet, medications, and losing weight
T/F: a woman cannot develop diabetes during her pregnancy
false
what is the risk when a pregnant woman has diabetes?
miscarriage, stillbirth, and pre-mature birth
what diet should be followed to try and reduce the risk of type 2 diabetes?
less processed meats, less refined grains, and less added sugars; more fish, more fiber-rich whole grains, more beans, more dairy products, more yogurt, more fruits, and more vegetables
glycemic index
measure of the body’s blood glucose response after eating a food that supplies 50 g of digestible carbohydrates as compared to a standard amount of glucose or white bread
high glycemic index value
70+, meaning it is digested quickly
low glycemic index value
less than 55
what happens when a carbohydrate is digested quickly?
blood sugar and insulin levels are raised
is the glycemic index of a carbohydrate-rich food high or low?
high
is the glycemic index of a carbohydrate-rich with fiber food high or low?
low
glycemic load
value determined by multiplying the glycemic index of a carbohydrate-containing food by the amount of carbohydrate in a typical serving of food
high glycemic load value
20+