A couple of weeks ago, sci­ence writer Gary Taubes — author of the book “Why We Get Fat” — wrote an article for the New York Times mag­a­zine in which he ana­lyzed the debate over whether sugar and high-​​fructose corn syrup is the dietary cause of chronic ail­ments such as heart dis­ease, hyper­ten­sion and cancer. George O’Doherty, pro­fessor of chem­istry and chem­ical biology at North­eastern Uni­ver­sity, con­siders the danger of con­suming too much sugar.

Is sugar toxic?
This cannot be true. If sugar were toxic, then we would need to change our common def­i­n­i­tion of the word “toxic” or agree that every­thing is toxic and just a ques­tion of dose. Clearly, a high-​​calorie diet high in sugar can lead to higher blood glu­cose levels, which in turn can lead to obe­sity and even­tu­ally dia­betes. The ques­tion to ask is, is this news?

What makes sugar bad for you?
There are two main argu­ments. The more cred­ible argu­ment points out that high blood glu­cose con­cen­tra­tions can lead to a reset­ting of the appetite sup­pres­sion mech­a­nism and insulin response, which even­tu­ally causes obe­sity and diabetes.

The second, less con­vincing, argu­ment begins with the fact that glu­cose and fruc­tose can be metab­o­lized through sep­a­rate path­ways that store energy in dif­ferent ways. The good pathway uses glu­cose and leads to glycogen as the energy-​​storage mol­e­cule, and the bad pathway uses fruc­tose and leads to fatty acid syn­thesis. This argu­ment is fun­da­men­tally flawed because the two meta­bolic path­ways are not inde­pen­dent. In fact, these path­ways are reversible and inter­con­nected at sev­eral levels. Thus, the body can com­pen­sate for a lack of sugar from one by using the other. As a result, the dif­fer­ence in these two path­ways is only revealed when both glu­cose and fruc­tose are present in abun­dance, which may be the case in “The Typ­ical Western Diet.”

If you wanted to limit sugar intake, it would be more effec­tive to reduce your con­sump­tion of fruc­tose over glu­cose, by drinking less soda, for example. Of course, even this is a sim­plistic view. There are a lot of genetic, envi­ron­mental and dietary fac­tors that go into how we absorb glu­cose from com­plex car­bo­hy­drates that affect our total calorie intake and choice of diet.

How much sugar and car­bo­hy­drates do you rec­om­mend we con­sume each day?
As a gen­eral prin­cipal, we should think of less rather than more. In trying to reduce caloric intake, we should reduce fruc­tose and sucrose fol­lowed by the more com­plex car­bo­hy­drates. Having said that, I am not arguing for the choice of a potato (car­bo­hy­drates) over a tomato (fructose/​sucrose). Sim­i­larly, when you examine the long-​​term effects from years of expo­sure, you have to wonder whether fruc­tose or a sugar sub­sti­tute, like Sucralose, is better for you.