Glucose can be created through several metabolic and industrial processes. In the body, glucose is primarily produced through two key metabolic pathways: gluconeogenesis and glycogenolysis. Gluconeogenesis is the process by which glucose is synthesized from non-carbohydrate sources such as amino acids, lactate, and glycerol. This process mainly occurs in the liver and, to a lesser extent, in the kidneys. It involves a series of enzyme-catalyzed reactions that convert these non-carbohydrate substrates into glucose. For instance, lactate from muscle tissue is transported back to the liver, converted into pyruvate, and then into glucose through the gluconeogenic pathway[1].
In an industrial context, glucose can be produced from starch, a polysaccharide found in plants like corn or maize. The commercial preparation of liquid glucose, also known as corn syrup, involves several steps. First, starch is separated from the corn, and then it is soaked and gelatinized to break down its intermolecular bonds. The starch is then hydrolyzed using enzymes or acid to break it down into glucose molecules. After hydrolysis, the syrup is clarified to remove impurities and then evaporated to increase the solid concentration, resulting in liquid glucose[2]. Additionally, glucose can also be obtained from sucrose (cane sugar) by boiling it with dilute acid, which breaks it down into glucose and fructose[3].
Glucose, a simple sugar and a primary source of energy for the body, is generally considered safe for human consumption when consumed in moderation. It is naturally present in various foods such as fruits, vegetables, and milk, and is also added to many processed foods and beverages. However, excessive consumption of glucose, particularly in the form of added and free sugars, has been linked to several health problems. These include dental caries, obesity, liver disease, type 2 diabetes, high bad cholesterol, hypertension, and cardiovascular disease. The European Food Safety Authority (EFSA) advises limiting the intake of added and free sugars to as low as possible, in line with a nutritionally adequate diet, to mitigate these health risks[1].
The safety of glucose consumption can also be compromised by various contamination risks associated with its production and use. Heavy metals such as cadmium and arsenic, which can be present in soil and water due to environmental contamination, can accumulate in crops used to produce glucose. These metals can impair glucose metabolism and contribute to the development of metabolic disorders like diabetes mellitus by damaging organs such as the liver, kidney, and pancreas[2]. Additionally, the use of pesticides and other agricultural chemicals can result in residues in glucose-containing crops, posing further health hazards. Pathogen risks are also a concern, particularly in the context of glucose test strips and other medical devices, where improper handling and reuse can lead to the spread of infectious diseases like Hepatitis B and C[3]. Furthermore, organic farming inputs such as manure and compost can sometimes contain contaminants like heavy metals, pesticides, and antibiotics, which can be transferred to crops and ultimately to consumers[4].
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