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Is my understanding of sugar correct?

Here is my (fairly simplified and general) understanding of sugar:

Is there anything particularly wrong about any of this?

I feel as if there is, because although most online sources I could find say sugar has no nutritional value, it doesn’t make sense to me that sugar consumption can help blood glucose levels for people with hypoglycemia but have no nutritional value for people without.

Wouldn’t sugar also supply blood glucose, which is necessary for good health, to people without hypoglycemia? And can that not be a particularly good thing? If can be a good thing, under what circumstance (short of consuming excessive sugar) isn’t it a good thing?

Bear in mind that I’m not very experienced or knowledgeable when it comes to nutrition or biology, and I’m not really sure whether the questions I’m asking are the right questions to ask in order to resolve my misunderstanding.

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Answer

\> Sugar is a simple carbohydrate, as opposed to complex carbohydrates (starch and fiber).

There are are three common simple sugars - glucose, fructose, and galalactose.

There are compound sugars (disaccharides) that are made up of those:

sucrose = glucose + fructose

lactose = glucose + galactose

maltose = glucose + glucose

The underlying metabolism of the simple sugars is different; glucose can be burned by many cells in the body, while fructose can only (mostly, really) be converted to glucose or fat by the liver.

\>Both types of carbs supply blood glucose, but complex carbs do it in a healthier way.

Complex carbs are mostly starches - chains of glucose - and they get broken down to glucose quickly, and therefore have the quickest impact on blood glucose. If you look at glycemic index and glycemic load, all of the highest ranking foods are starchy.

Having said that, fructose is likely more of an issue because of its link to metabolic disease.

\> It has no nutritional value at all, whether natural or added (unless you have hypoglycemia).

Sugars are not *structural* in the body; they are just used for fuel. All sugars.

\>Natural sugar is only better because it generally comes with a healthier ratio of sugar to other nutrients, while added sugar worsens that ratio.

\>It’s okay to consume in moderation. The ratio of sugar to healthier nutrients is what matters most.

Whether this is true depends on the kind of sugar, how metabolically sick you are (only 12% of US adults are metabolically healthy), and what you mean by “moderation”.

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