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c. Most chemical digestion of the food you consume occurs in your small
intestine. Monosaccharides, however, are unique in that they are
absorbed directly from chyme without further breakdown after arriving in
your small intestine. Cells lining your small intestine absorb glucose and
galactose via a transporter called SGLUT-1. The S in the name of this
transporter refers to sodium, which is absorbed along with glucose and
galactose. Fructose enters your intestinal lining cells via a different
transporter known as GLUT5; sodium does not accompany fructose with
this
transporter.
Once inside your intestinal lining cells, monosaccharides transfer to
another transporter called GLUT-2, which exports the sugars into your
bloodstream. Large portions of the monosaccharides that enter your
bloodstream are taken up by your liver or muscle cells for metabolic
processing.
insulins lower both fasting and postprandial blood glucose levels, drugs
are now available which specifically act to control PPHG.
e. Diet, especially the amount of starch and dietary fibre which escape
digestion in the small intestine, are major determinants of colon function
in man. These carbohydrates are the principal substrates for fermentation
by the large bowel flora. Carbohydrate fermentation results in lowered
caecal pH and the production of short chain fatty acids of which butyric
acid may protect the colon epithelium from dysplastic change. Protein
digestion and amino acid fermentation also occur in the large bowel but
the nature of its endproducts varies in relation to the amount of
carbohydrate available. During active carbohydrate breakdown amino acid
fermentation endproducts such as ammonia are used by the bacteria for
protein synthesis during microbial growth, but in carbon-limited
fermentation amines, ammonia, phenols and indoles, etc, accumulate.
References
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