The Initial Breakdown: From Mouth to Stomach
Digestion begins in the mouth with chewing and the action of salivary amylase, which starts breaking down starches into smaller molecules. Once swallowed, the food moves to the stomach where the acidic environment stops salivary amylase activity; the stomach's role is primarily mixing, not carbohydrate breakdown.
The Crucial Stage: The Small Intestine
In the small intestine, pancreatic amylase continues breaking down starches. Brush border enzymes on the small intestine lining, such as maltase, sucrase, and lactase, then break down disaccharides into monosaccharides like glucose, fructose, and galactose.
Absorption into the Bloodstream
Monosaccharides are absorbed into the bloodstream through the small intestine lining. Glucose and galactose use active transport via SGLT1 co-transporters, while fructose uses facilitated diffusion via GLUT5. This absorption is highly efficient due to the small intestine's large surface area.
Post-Absorption: Transport and Metabolism
Absorbed monosaccharides enter the bloodstream and travel to the liver through the portal vein. The liver converts fructose and galactose into glucose, which becomes the main circulating sugar. The liver also stores excess glucose as glycogen through glycogenesis.
The Fate of Glucose: Energy Production and Storage
Glucose is released from the liver into circulation to be used by cells for energy through glycolysis, or stored as glycogen in muscles and the liver. Insulin, released by the pancreas in response to high blood glucose, helps cells take up glucose.
Digestion of Starches vs. Simple Sugars
| Feature | Starch Digestion | Simple Sugar Digestion (Sucrose, Lactose) |
|---|---|---|
| Chemical Structure | Long chains of glucose molecules. | Disaccharides (two monosaccharide units) or monosaccharides. |
| Digestive Start | Mouth (salivary amylase). | Primarily small intestine (brush border enzymes). |
| Enzymes Involved | Salivary amylase, pancreatic amylase, maltase. | Sucrase, lactase. |
| Absorption Rate | Slower, as it requires more steps of enzymatic breakdown. | Faster, requiring fewer enzymatic steps before absorption. |
| Main Absorption Site | Small intestine, after full breakdown to glucose. | Small intestine, after breakdown into monosaccharides. |
Conclusion
The breakdown of glucose during digestion is a multi-step process involving various enzymes and organs. Starting in the mouth and largely completed in the small intestine, complex carbohydrates are reduced to absorbable monosaccharides. These are then absorbed into the bloodstream, processed by the liver, and distributed to cells for energy or storage, a process regulated by hormones like insulin. The efficiency of this system ensures a constant energy supply for the body.
Physiology, Glucose Metabolism - StatPearls - NCBI Bookshelf