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Why is high-fructose corn syrup bad (compared to cane sugar)? If it's not bad, why do people think that it's bad?
IIRC, the basis for the argument that high fructose corn syrup being worse than cane sugar comes down to fructose needing to be converted to glucose in the liver, as opposed to glucose, which does not. Sucrose is essentially a molecule of fructose and a molecule of glucose, so the liver only has to do about half of the work, comparatively speaking.edit: I didn't remember correctly after all. Apologies! Sucrose is a disaccharide, essentially a molecule of fructose and a molecule of glucose bonded together. Enzymes in the mouth partially break down some of the sugar but most of the breakdown occurs in the small intestine, where the glucose and fructose are then absorbed into the bloodstream. High Fructose Corn Syrup contains free monosaccharides that can be immediately absorbed into the bloodstream from the small intestine. Once in the bloodstream, glucose can be directly utilized, assuming the presence of insulin, production of which the free glucose will stimulate. Fructose, OTOH has to be processed by the liver, and doesn't stimulate the production of insulin or enhance the production of leptin. As @sarker has helpfully pointed out in reply, HFCS actually contains similar amounts of glucose and fructose, so the key difference there is that regular sugar still needs to be broken down in the small intestine before it can be metabolized. Rest of original post follows.
Proponents allege that too much HFCS in the diet leads to more visceral fat and even metabolic syndrome and non-alcoholic fatty liver disease. The counterargument is that the difference in metabolic pathways is relatively minor, that if caloric sweeteners are that much a part of any diet, metabolic syndrome and non-alcoholic fatty liver disease can result, and that the bigger issue is a diet heavy in processed foods in general.
HFCS is usually also about half glucose (by dry weight).
You're right! I had to refresh my own memory on this some more and the additional detail that my brain was fuzzy on in the intervening years is the whole disaccharide vs. monosaccharide bit, meaning that because regular sugar is a disaccharide, the bond between glucose and fructose has to be broken, whereas HFCS contains free monosaccharides. I kinda remembered that sucrose took a bit more work by the body to digest, but I was misattributing that to the balance of sugars, which as you're pointing out, isn't really much different than regular table sugar. So to be clear, it's not the amount of glucose vs. fructose itself, the idea is that the free monosaccharides of fructose in HFCS are uniquely taxing to the liver in a way that regular sugar is not because the bonds on sucrose have to be broken before the fructose in regular sugar can be processed by the liver. That's... even more hair-splitting than I remembered it to be!
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