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almost entirely metabolized in the liver.<br />

"When fructose reaches the liver," says Dr. William J. Whelan, a biochemist at the University of<br />

Miami School of Medicine, "the liver goes bananas and stops everything else to metabolize the<br />

fructose." Eating fructose instead of glucose results in lower circulating insulin and leptin levels,<br />

and higher of ghrelin levels after the meal. Since leptin and insulin decrease appetite and ghrelin<br />

increases appetite, some researchers suspect that eating large amounts of fructose increases the<br />

likelihood of weight gain.<br />

Excessive processed fructose consumption is also believed to contribute to the development of<br />

non-alcoholic fatty liver disease.<br />

Gout<br />

It has been suggested in a recent British Medical Journal study that high consumption of processed<br />

fructose is linked to gout. Cases of gout have risen in recent years, despite commonly being thought<br />

of as a Victorian disease, and it is suspected that the fructose found in soft drinks (e.g., carbonated<br />

beverages) and other sweetened drinks is the reason for this.<br />

In order for the liver to process fructose, it must be phosphorylated by removal of phosphates<br />

from adenosine triphosphate (ATP). The ATP gets converted to adenosine monophosphate (AMP),<br />

then to inisotol monophosphate (IMP), and finally to uric acid, the agent in gout.<br />

Glycaemic index<br />

<strong>Fructose</strong> has the lowest Glycaemic Index (G.I. = 19) of all the natural sugars and may be used<br />

in moderation by Diabetics. It is recommended that a maximum intake of 25g - 40g per day is<br />

adopted, provided that this is counted towards the daily calory count. In comparison, ordinary<br />

table sugar (Sucrose) has a GI of 65 and Honey has a GI of 55. Fruit Sugar has the advantage<br />

for Diabetics that, being nearly twice as sweet as ordinary sugar if not heat-processed, the daily<br />

allowance can be stretched by using less for most applications. Many artificial sweeteners are not<br />

suitable for home-baking, but, with a little adjustment, many traditional recipes can be prepared<br />

using fructose.<br />

1. <strong>Fructose</strong> - Merriam Webster dictionary<br />

References<br />

2. Levulose comes from the Latin word laevus, levo, "left side", levulose is the old word for the<br />

most occurring isomer of fructose. D-fructose rotate plane-polarised light to the left, hence<br />

the name..<br />

3. Fruton, J.S. Molecules of Life 1972, Wiley-Interscience<br />

4. Hyvonen, L., & Koivistoinen, P (1982). "<strong>Fructose</strong> in Food Systems". in Birch, G.G. & Parker,<br />

K.J. Nutritive Sweeteners. London & New Jersey: Applied Science Publishers. pp. 133–144.<br />

ISBN 0-85334-997-5<br />

5. Wolfgang Wach "<strong>Fructose</strong>" in Ullmann's Encyclopedia of Industrial Chemistry 2004, Wiley-<br />

VCH, Weinheim.doi:10.1002/14356007.a12_047.pub2<br />

6. "Institute of Organic Chemistry". http://www.oci.unizh.ch/edu/lectures/material/AC_BII/<br />

Kap14/kap14.html.<br />

7. McWilliams, Margaret. Foods: Experimental Perspectives, 4th Edition.<br />

8. Keusch, P. "Yeast and Sugar- the Chemistry must be right". http://www.chemie.uni-regensburg.<br />

de/Organische_Chemie/Didaktik/Keusch/D-fermentation_sugar-e.htm.<br />

9. Dills, WL (1993). "Protein fructosylation: <strong>Fructose</strong> and the Maillard reaction". Journal of Clinical<br />

Nutrition 58: 779–787.<br />

10. Huber, G. W.; Iborra, S.; Corma, A. Chem. Rev. 2006, 106, 4044 - 4098. doi:10.1021/cr068360d<br />

11. Hanover, LM; White, JS (1993). "Manufacturing, composition, and application of fructose".<br />

Journal of Clinical Nutrition 58: 724s-732.<br />

12. Oregon State University. "Sugar Sweetness". Last accessed May 5, 2008. http://food.<br />

oregonstate.edu/sugar/sweet.html<br />

13. <strong>Fructose</strong> in our diet: http://www.medbio.info/Horn/Time%201-2/carbohydrate_metabolism.<br />

htm last visited 2008-12-28<br />

14. Nabors, LO (2001). American Sweeteners. pp. 374–375.<br />

15. McWilliams, Margaret (2001). Foods: Experimental Perspectives, 4th Edition. Upper Saddle<br />

River, NJ : Prentice Hall.<br />

16. White, DC; Lauer GN (1990). "Predicting gelatinization temperature of starch/sweetener<br />

system for cake formulation by differential scanning calorimetry I. Development of a model".<br />

Cereal Foods Wold 35: 728–731.<br />

17. Park, KY; Yetley AE (1993). "Intakes and food sources of fructose in the United States". American<br />

Journal of Clinical Nutrition 58 (5 Suppl): 737S–747S. PMID 8213605.<br />

18. Riby, JE; Fujisawa T, Kretchmer N (1993). "<strong>Fructose</strong> absorption". American Journal of Clinical<br />

Nutrition 58 (5 Suppl): 748S–753S. PMID 8213606.<br />

19. Kretchmer, N; Hollenbeck CB (1991). Sugars and Sweeteners. CRC Press, Inc..<br />

20. Guthrie, FJ; Morton FJ (2000). "Food sources of added sweeteners in the diets of Americans".<br />

Journals of American Dietetic Association 100: 43–51. doi:10.1016/S0002-8223(00)00018-3.<br />

21. Stipanuk, Marsha H (2006). Biochemical, Physiological, and Molecular Aspects of Human<br />

Nutrition, 2nd Edition. W.B. Saunders, Philadelphia, PA.<br />

22. Fujisawa, T; Riby J, Kretchmer N (1991). "Intestinal absorption of fructose in the rat".<br />

Gastroenterology 101: 360–367. PMID 206591.<br />

23. Ushijima, K; Fujisawa T, Riby J, Kretchmer N (1991). "Absorption of fructose by isolated<br />

small intestine of rats is via a specific saturable carrier in the absence of glucose and by the<br />

disaccharidase-related transport system in the presence of glucose". Journal of Nurtition 125<br />

(8): 2156–2164. PMID 7643250.<br />

24. Ferraris, R (2001). "Dietary and developmental regulation of intestinal sugar transport". Journal<br />

of Biochemistry 360 (Pt 2): 265–276. doi:10.1042/0264-6021:3600265. PMID 11716754.<br />

25. Beyer, PL; Cavier EM, McCallum RW (2005). "<strong>Fructose</strong> intake at current levels in the United<br />

States may cause gastrointestinal distress in normal adults". J. Am. Diet. Assoc. 105 (10):<br />

122 123

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