Lecture Notes on Allulose and Metabolic Health
Presenter: Dr. David Perlmutter
Guest Speaker: Dr. Benjamin Bickman
Introduction
- Discussion on allulose as a replacement for fructose-containing sugars.
- Allulose may help with body weight, blood sugar control, and metabolism.
- Dr. Benjamin Bickman, an expert in bioenergetics, discusses the role of insulin and metabolism in health.
Metabolism and Insulin
- Bioenergetics: Study of energy in living organisms, focusing on energy expenditure.
- Insulin: Key hormone in metabolic health, affects muscle, neuron, and fat cell function.
- Insulin resistance is linked to obesity, diabetes, and dementia.
Insulin Resistance
- Definition: Condition where insulin isn't as effective, leading to high levels of insulin (hyperinsulinemia).
- Causes: Primarily due to chronically elevated insulin levels.
- Linked to heart, liver, brain, and reproductive problems.
- Affects 88% of adults in the US.
Dietary Influence on Insulin
- Macronutrients: Carbohydrates spike insulin the most; fats have no effect, proteins have a modest effect.
- Average person consumes 70% of calories from carbohydrates and eats frequently, leading to constant elevated insulin.
Allulose
- Allulose as a sweetener does not spike insulin like fructose.
- Increases GLP-1, delaying gastric emptying, helping control appetite.
- Inhibits glucagon, stabilizing blood glucose levels.
- May increase AMPK activity, improving glucose clearance.
Health Implications
Uric Acid
- Allulose may reduce uric acid production by replacing fructose, potentially reducing gout symptoms and improving metabolism.
Insulin Sensitivity
- Activating AMPK through allulose can improve insulin sensitivity.
Non-Alcoholic Fatty Liver Disease (NAFLD)
- Allulose may help prevent liver from accumulating fat by replacing fructose and improving insulin sensitivity.
Cognitive Function
- Potential for allulose to support brain health by improving insulin sensitivity and promoting mitochondrial function.
Continuous Glucose Monitors (CGMs)
- Importance of CGMs for personal metabolic monitoring and avoiding glucose spikes.
Conclusion
- Allulose is a promising alternative sweetener with potential health benefits beyond being calorie-neutral.
- It plays a role in reducing uric acid, improving insulin sensitivity, and may benefit liver and brain health.