Foods rich in Glucose: honey, dates and grapes

Glucose

Glucose is the sugar your cells and brain run on, yet most of it comes from starch, not from foods that contain free glucose. Here is what 30 studies show about blood sugar, the glycemic index, sports drinks and treating low blood sugar, and how much you need.

Researched and written with Claude, an AI by Anthropic, and reviewed by Gerritjan Boeve. Every study is checked against PubMed.

Glucose is the sugar your body runs on. It is a simple sugar (a monosaccharide) with the formula C6H12O6, the same as fructose. PubChem, a public chemistry database, files the name dextrose under D-glucose. Grape sugar and corn sugar are among its other names.

Blood sugar is simply glucose in the blood. Glucose is also what starch turns into when your gut digests it. And it is half of table sugar (sucrose), which is a glucose joined to a fructose. It is one of the sugars in food, and no official daily need or limit is set for glucose on its own.

Most readers have not been told where the glucose they absorb comes from, and free glucose in food is the small part. A group of digestion researchers states that starches are the major source of dietary glucose in weaned children and adults. USDA (the US Department of Agriculture) lists only 10.9 g of free glucose in a cup of grapes. A tablespoon of honey has only 7.51 g.

We found no source that splits a day’s glucose by food. But the US figure of 130 g of carbohydrate a day is built on the glucose the brain uses. Your gut makes that glucose mostly from starch and sugars.

Glucose also has jobs that no other sugar has. It is the preferred treatment for low blood sugar. It is the sugar in oral rehydration drinks, which cut deaths from diarrhea. And it is the load in the glucose tolerance test.

This page sets out what 30 studies and reports show. It covers blood sugar and insulin, the glycemic index and its limits, sports drinks, glucose versus fructose and glucose sensors in people without diabetes. Each finding is given at its real evidence level, with funding stated where we found it.

Health effects of glucose

The top findings from 30 studies, strongest evidence first

  • ★★★Fewer IV drips with a weaker rehydration drinkIn 8 trials, children with diarrhea given a weaker glucose-and-salt rehydration drink had 0.59 times the odds of needing unplanned IV fluids. A review of 157 studies estimated that rehydration solution may prevent 93% of diarrhea deaths in children under 5.
  • ★★★Lower blood sugar peak when fructose replaces glucoseIn pooled trials, swapping glucose or sucrose for fructose at equal energy lowered the blood sugar peak after a meal, most with prediabetes or diabetes. Peak insulin fell too.
  • ★★★EU-approved claims: carbohydrate drinks and exerciseThe EU allows carbohydrate-electrolyte drinks to claim they help maintain endurance and water absorption, and carbohydrates to claim they help muscle recovery after hard exercise. These are label rules, not trial results.
  • ★★★EU-approved claim: carbohydrates and normal brain functionThe EU allows foods with carbohydrates to claim they help maintain normal brain function, tied to 130 g of carbohydrates a day from all sources. It covers carbohydrates as a class, not glucose alone.
  • ★★Glucose first for low blood sugar in diabetesThe 2026 American Diabetes Association prefers glucose (15 g for most) for low blood sugar, under 70 mg/dL, in people on insulin or similar drugs. In 41 adults with type 1 diabetes on insulin, glucose or sucrose tablets and drinks worked better than gel or juice.

All 24 studies, strongest evidence first

EU claim: carbohydrates support normal brain function (130 g a day)

Commission Regulation (EU) No 1018/2013 added the claim to the list in Regulation (EU) No 432/2012. The wording is “Carbohydrates contribute to the maintenance of normal brain function”. Labels must say the effect comes with 130 g of carbohydrates a day from all sources. The claim may not go on food that is 100% sugars. The food needs at least 20 g of carbohydrates humans metabolize (not polyols) per stated portion. It must also qualify as LOW SUGARS or WITH NO ADDED SUGARS. The basis is the 2011 opinion of EFSA, the EU’s food safety agency (claim IDs 603 and 653). The claim covers carbohydrates as a class, not glucose alone, and says nothing about memory, mood or willpower.

EFSA NDA Panel, 2011, EFSA J; Regulation (EU) No 1018/2013

How we rate evidence

Two EU claims: sugar and salt drinks support endurance and water absorption

Both claims are in the list in Regulation (EU) No 432/2012. The first reads “Carbohydrate-electrolyte solutions contribute to the maintenance of endurance performance during prolonged endurance exercise”. The second reads “Carbohydrate-electrolyte solutions enhance the absorption of water during physical exercise”. For both, the drink must hold 80 to 350 kcal per liter from carbohydrates. At least 75% of that energy must come from carbohydrates that raise blood sugar fast, such as glucose, glucose polymers and sucrose. It also needs 20 to 50 mmol/L of sodium (460 to 1,150 mg/L) and an osmolality of 200 to 330 mOsm/kg water. The list names EFSA’s 2011 opinion as the basis, and the claims are about the whole drink, not glucose alone.

EFSA NDA Panel, 2011, EFSA J; Regulation (EU) No 432/2012

How we rate evidence

EU claim: carbohydrates aid recovery after hard exercise, 4 g per kg

Commission Regulation (EU) 2015/7 added the claim to the list in Regulation (EU) No 432/2012. The wording is “Carbohydrates contribute to the recovery of normal muscle function (contraction) after highly intensive and/or long-lasting physical exercise leading to muscle fatigue and the depletion of glycogen stores in skeletal muscle”. The food must provide carbohydrates that humans metabolize (polyols excluded). Labels must say the effect comes from a total of 4 g per kg of body weight. It is taken in doses within the first 4 hours, and no later than 6 hours after the exercise. The claim is for foods meant for adults who did that exercise. For a 70 kg adult that is 280 g (our arithmetic), and the basis is EFSA’s 2013 opinion.

EFSA NDA Panel, 2013, EFSA J; Regulation (EU) 2015/7

How we rate evidence

In 8 trials, a weaker rehydration drink meant fewer IV drips

This Cochrane review of randomized trials (chance decides who gets which drink) compared a lower-strength rehydration drink with the WHO (World Health Organization) standard. Both hold glucose and sodium, so it compared two strengths of a glucose-and-salt drink, not glucose alone. In the 8 trials that counted unplanned IV fluids, children with diarrhea on the weaker drink had 0.59 times the odds of needing them. Stool output and vomiting were lower, with no added risk of low blood sodium; searches ran to 2001. Oral rehydration solution has cut childhood deaths from diarrhea in many countries, the review’s background notes.

Hahn et al., 2002, Cochrane Database Syst Rev

How we rate evidence

Fructose gave a lower blood sugar peak than glucose or sucrose

This meta-analysis pooled randomized trials that swapped glucose, sucrose or both for fructose at equal energy, in foods or drinks. People were adults or children, healthy or with diabetes, and the peak fell most with prediabetes and type 1 or type 2 diabetes. Peak insulin fell too, peak blood triglycerides (blood fats) did not clearly rise, and the authors rate the evidence for lower peaks as strong. It is about the peak after a meal, not long-term health. The EU authorizes a matching claim for fructose, if glucose or sucrose in the food falls by at least 30%.

Evans et al., 2017, Am J Clin Nutr

How we rate evidence

ADA 2026: glucose first for a conscious person under 70 mg/dL

Recommendation 6.15 (grade B) in section 6 of the Standards of Care in Diabetes-2026 prefers glucose, though any carbohydrate with glucose may be used. Avoid foods high in fat or protein at first, and repeat if blood sugar is still low 15 minutes later. Most people should take 15 g of carbohydrate, and people on automated insulin delivery typically 5 to 10 g. People on acarbose need pure glucose, as acarbose blocks sucrose breakdown. Oral glucose should be in first aid kits (6.17, grade C). The advice is for people at risk of lows, mainly those on insulin, sulfonylureas or meglitinides. It rests on small trials such as the two in the forms section below.

American Diabetes Association Professional Practice Committee, 2026, Diabetes Care

How we rate evidence

157 studies: rehydration drinks may prevent 93% of child diarrhea deaths

Johns Hopkins researchers abstracted 205 papers and put 157 into meta-analyses of oral rehydration solution (ORS), the glucose-and-salt drink, in children under 5. The 93% is an estimate built with the CHERG evidence rules, not the result of one trial. ORS worked against diarrhea deaths at home, in communities and in health facilities, but there was too little evidence to judge recommended home fluids. The review looked at ORS as a whole, not at glucose alone, and ORS has been recommended since the 1970s.

Munos et al., 2010, Int J Epidemiol

How we rate evidence

In 82% of 61 studies, carbohydrate drinks beat water for exercise

This review took randomized studies, 679 people in all, that compared carbohydrate alone with water as the placebo (dummy drink); team sports were left out. The gain grew with exercise time. For about 1 hour even a mouth rinse works, so the benefit probably comes from sensing it in the mouth; the sugar type hardly matters. Beyond 2 hours, when muscle glycogen (stored sugar) is under strain, delivery above 90 g an hour matters. The authors say mixed sugars like glucose with fructose help in long exercise. The studies tested carbohydrate in general, including glucose, not glucose alone.

Stellingwerff and Cox, 2014, Appl Physiol Nutr Metab

How we rate evidence

Low glycemic index or load diets cut HbA1c by 0.31%

This meta-analysis pooled 29 trial comparisons in 1,617 people with diabetes, from randomized trials of 3 weeks or more, to inform European diabetes guidelines. Glucose is the reference food (100) of the glycemic index, so a low index means a slower rise than glucose. HbA1c fell by 0.31%, with results varying a lot between trials (I² = 75%); the authors rate the certainty as high. Fasting glucose, LDL cholesterol, weight and blood pressure also fell slightly. Most people had moderately controlled type 2 diabetes treated with drugs or insulin. Several authors disclose food-industry ties, including a fellowship partly funded by the Canadian Sugar Institute.

Chiavaroli et al., 2021, BMJ

How we rate evidence

Low glycemic index diet: no better insulin sensitivity, LDL or blood pressure

In the OmniCarb feeding trial, 163 overweight adults ate four DASH-type diets in random order, one after another, for 5 weeks each. The glycemic index was high or low (65% or 40% on the glucose scale), and so was carbohydrate (58% or 40% of energy). At high carbohydrate, the low-index diet lowered insulin sensitivity (8.9 to 7.1 units) and raised LDL cholesterol (139 to 147 mg/dL). At low carbohydrate it changed nothing except triglycerides (91 to 86 mg/dL). The authors say picking foods by glycemic index may not improve heart risk factors or insulin resistance in a DASH-type diet.

Sacks et al., 2014, JAMA

How we rate evidence

Less sugar meant 0.80 kg less weight; an equal-calorie swap, 0.04 kg

This review pooled 30 trials and 38 cohort studies; in the trials, adults ate freely. Raising sugars intake added a similar 0.75 kg. The exposure is dietary sugars as a class (free sugars and sugary foods and drinks), so the result is not about glucose alone. In cohorts, people who drank the most sugar-sweetened drinks had 1.55 times the odds of overweight or obesity after one year. The authors conclude that the change comes through calories, because the equal-calorie swap did not move weight.

Te Morenga et al., 2012, BMJ

How we rate evidence

In 55 studies, fewer cavities with free sugars under 10% of energy

This review for the WHO sugar guideline covered 3 intervention, 8 cohort, 20 population and 24 cross-sectional (snapshot) studies. In children, 42 of 50 studies found at least one link between more sugars and more tooth decay, as did 5 of 5 in adults. For the headline finding the evidence was moderate quality; below 5% a clear link was seen, but on very low-quality evidence. The exposure is free sugars as a class, which includes glucose from syrups and dextrose, not glucose alone.

Moynihan and Kelly, 2014, J Dent Res

How we rate evidence

In 32 overweight men, extra glucose raised liver fat like fructose

In this double-blind randomized trial, overweight men got 25% of energy as fructose or glucose for 2 weeks at normal calories. After a 6-week break, they had 2 more weeks with extra calories. At normal calories neither diet changed liver fat; uric acid rose by 22 µmol/L on fructose and fell by 23 on glucose. An insulin resistance score rose more on fructose (0.8 versus 0.1). With extra calories, liver fat rose as much on glucose as on fructose (2.05% and 1.70%). Weight gain (1.0 versus 0.6 kg) and blood fat rose alike on both. The authors read this as an effect of energy, not of one sugar; the men were healthy and the trial short.

Johnston et al., 2013, Gastroenterology

How we rate evidence

In 10 weeks, fructose drinks, not glucose, added fat around the organs

In this NIH-supported randomized trial, overweight and obese adults drank glucose- or fructose-sweetened drinks as 25% of their energy for 10 weeks. Both groups gained similar weight. Only the fructose group had more visceral fat, more liver fat synthesis, higher apolipoprotein B and LDL, and lower insulin sensitivity. Fasting triglycerides rose about 10% on glucose and not on fructose. The dose, a quarter of daily energy as sugary drinks, is high, and the result is about drinks added to the diet. It is one of the trials behind the “glucose versus fructose” debate on the fructose page.

Stanhope et al., 2009, J Clin Invest

How we rate evidence

In 20 healthy adults, glucose cut hypothalamus blood flow; fructose raised it

In this blinded crossover MRI study, an exploratory one, each volunteer had a glucose drink and a fructose drink in random order. In the hypothalamus, which helps control appetite, blood flow changed by −5.45 versus 2.84 mL/g per minute. Glucose lowered blood flow in appetite and reward regions (hypothalamus, thalamus, insula, anterior cingulate, striatum), and fructose did so in other regions. Whole-brain direct comparisons showed no clear difference after correction for multiple tests. Peak blood glucose was 41.0 mg/dL lower after fructose, with lower insulin and GLP-1 (a gut hormone).

Page et al., 2013, JAMA

How we rate evidence

In 8 cholera patients, glucose added to salt solution cut stool output

This controlled study from 1968 ran glucose-salt solutions by tube into the gut of 8 patients already rehydrated by vein, against 25 controls. In every case net stool output fell within 12 to 32 hours when glucose was in the solution. Fructose and galactose solutions were also tested, and fructose was absorbed less well than glucose or galactose. That fits sodium-linked active transport for galactose and passive transport for fructose. This small study is one root of oral rehydration solutions (see History).

Hirschhorn et al., 1968, N Engl J Med

How we rate evidence

Glycemic index of white bread varied 20% within people, 25% between

Each of 63 healthy adults, aged 18 to 85, did 3 sets of tests with 50 g of available carbohydrate. Glucose (the reference) was compared with white bread, and blood glucose and insulin were followed for 5 hours. The mean index for white bread was 62 ± 15, and more samples, repeats or longer sampling did not narrow the spread. Insulin and HbA1c levels explained 15% and 16% of the variation. The authors say the glycemic index is unlikely to be a good guide to food choices. The study was supported by the NIH (the US National Institutes of Health) and tested one food only.

Matthan et al., 2016, Am J Clin Nutr

How we rate evidence

Weak evidence that glucose restores willpower, a statistical review found

Vadillo and colleagues used p-curve analysis, a test for selective reporting, on experiments of the claim that self-control spends glucose as a limited resource. They found the reported effects may be inflated by publication or reporting bias, and even the significant results carried weak evidential value. They advise researchers and policymakers not to draw conclusions about glucose and self-control for now. The brain does run on glucose; the finding concerns whether a sugary drink restores self-control.

Vadillo et al., 2016, Psychol Sci

How we rate evidence

In 10 cohorts, high glycemic index diets went with more diabetes

This meta-analysis pooled prospective cohorts of 100,000 or more people (48 reports). The highest-index diets had 1.27 times the type 2 diabetes risk of the lowest, and 1.15 times the risk of cardiovascular (heart and vessel) disease. Risk was also higher for diabetes-related cancer (1.05) and death from any cause (1.08); high glycemic load went with diabetes (1.15) and cardiovascular disease (1.15). Fiber-rich and whole-grain diets showed similar links, so the authors say advice to lower the index could act like advice to eat more of them. These are observational links, not trials; funding came from Banting and Best and the Karuna Foundation, and the authors’ disclosures list food-industry grants.

Jenkins et al., 2024, Lancet Diabetes Endocrinol

How we rate evidence

In 25,505 pregnancies, risk rose with glucose even below the diabetes range

The HAPO study gave pregnant women a 75 g glucose test and followed 23,316 with blinded data, and risks rose steadily with no clear threshold. Each 6.9 mg/dL rise in fasting glucose (1 standard deviation) gave 1.38 times the odds of a baby above the 90th weight percentile. For high cord-blood C-peptide the odds were 1.55; the 1-hour and 2-hour values gave similar odds. The ADA’s current one-step test for diabetes in pregnancy uses its cut points. They are fasting 92, 1 hour 180 and 2 hours 153 mg/dL after a 75 g load (see safety).

HAPO Study Cooperative Research Group, 2008, N Engl J Med

How we rate evidence

In 800 people, the same meals caused very different blood sugar responses

People wore glucose sensors for a week, and the team measured responses to 46,898 meals, with high variability for the same meal. A machine-learning model using blood tests, diet, body measures, activity and gut bacteria predicted responses, and held up in a separate group of 100 people. A blinded randomized diet trial based on the model lowered after-meal responses. The variation finding is observational, and the authors suggest that universal diet rules may be of limited use.

Zeevi et al., 2015, Cell

How we rate evidence

In 1,002 adults, blood sugar response to the same meals varied 68%

In the PREDICT 1 study, twins and unrelated healthy adults in the United Kingdom ate identical test meals. The headline figure is the coefficient of variation (spread between people) for glucose; for triglycerides it was 103% and for insulin 59%. Meal content explained 15.4% of the variance in blood glucose response, and personal factors such as gut bacteria 6.0%. A model predicted glucose responses (r = 0.77) and was validated in 100 people in the US. Several authors consult for or work for Zoe Global Ltd, a nutrition company.

Berry et al., 2020, Nat Med

How we rate evidence

In 153 healthy people, glucose stayed in a narrow range

In this multicenter study, non-obese children and adults without diabetes, aged 7 to 80, each wore a blinded sensor for up to 10 days. Glucose stayed between 70 and 140 mg/dL a median 96% of the time, and averaged 98 to 99 mg/dL except over 60 (104). The median time above 140 mg/dL was 2.1% (30 minutes a day), and below 70 mg/dL 1.1% (15 minutes a day). The day-to-day swing within a person was 17 ± 3%. The study sets reference ranges; it did not test whether wearing a sensor changes health.

Shah et al., 2019, J Clin Endocrinol Metab

How we rate evidence

In 394 people, two same-brand sensors differed 3.7%, two brands 12.5%

In ZOE PREDICT 1, 360 people wore two sensors of one brand and 34 wore sensors of two brands, for up to 14 days. Across 4,457 standardized and 5,738 free-choice meals, the figures are median differences in meal responses between the two sensors. Meal rankings agreed well (Kendall τ 0.9 for the same brand, 0.7 across brands), and the authors suggest the devices could serve personalized nutrition. The study shows how consistent the devices are, not whether acting on the readings improves health.

Merino et al., 2022, Am J Clin Nutr

How we rate evidence

Foods high in glucose

Free glucose comes mostly from fruit and honey. In our USDA ranking per serving, dates lead with 16.2 g in 2 dates (48 g). Grapes (10.9 g in 1 cup) and cherries (10.1 g in 1 cup) come next. Honey, blueberries, plums, papaya, bananas, pears and apples follow.

Per 100 g the order changes: honey has 35.8 g and dates 33.7 g, then grapes, cherries and plums; cranberries also make the list. Per 100 kcal, dates (12.2 g) and honey (11.8 g) lead, with bell peppers and tomatoes in the top ten. The ranking below shows every amount.

The ranking counts free glucose, which is the smaller share of the glucose you absorb. A study of starch digestion states that starches are the major source of dietary glucose in weaned children and adults. So bread, rice, potatoes and other starchy foods deliver most of their glucose after digestion, and the ranking does not show it.

Fruit sugars come with fructose: the FDA (the US Food and Drug Administration) describes honey as about one fructose to one glucose. Added forms count differently. The FDA calls corn syrup, made by breaking corn starch down, essentially 100% glucose. High-fructose corn syrup is 42% or 55% fructose, and the FDA says the rest is glucose and water.

How the sugars are counted matters. The WHO defines free sugars as sugars added to foods and drinks by the maker, cook or consumer. They include monosaccharides (single sugars) such as glucose and fructose, and disaccharides such as sucrose. Free sugars also include the sugars in honey, syrups, fruit juices and fruit juice concentrates.

The WHO guideline leaves out the sugars in fresh fruit, vegetables and milk, because it found no reported evidence of harm from them. The 2025-2030 Dietary Guidelines for Americans list glucose and dextrose among the names of added sugars on labels. They say the sugars in fruit and plain milk are not added sugars.

Per serving. No daily amount is set, so bars compare each food with the top food.

Per 100 g. No daily amount is set, so bars compare each food with the top food.

Per 100 kcal: the same calories of each food, for a fair comparison. Bars compare each food with the top food.

Food labels have no Daily Value or Reference Intake for glucose, so the % compares each food with the top food.

  1. 1.DatesFruits · per 2 dates (48 g)16.2 g
  2. 2.GrapesFruits · per 1 cup (151 g)10.9 g
  3. 3.CherriesFruits · per 1 cup (154 g)10.1 g
  4. 4.HoneyMisc · per 1 tbsp (21 g)7.51 g
  5. 5.BlueberriesFruits · per 1 cup (148 g)7.22 g
  6. 6.PlumsFruits · per 2 plums (132 g)6.69 g
  7. 7.PapayaFruits · per 1 cup (145 g)5.93 g
  8. 8.BananasFruits · per 1 medium (118 g)5.88 g
  9. 9.PearsFruits · per 1 medium (178 g)4.63 g
  10. 10.ApplesFruits · per 1 medium (182 g)4.42 g
  1. 1.HoneyMisc35.8 g
  2. 2.DatesFruits33.7 g
  3. 3.GrapesFruits7.2 g
  4. 4.CherriesFruits6.59 g
  5. 5.PlumsFruits5.07 g
  6. 6.BananasFruits4.98 g
  7. 7.BlueberriesFruits4.88 g
  8. 8.KiwifruitFruits4.11 g
  9. 9.PapayaFruits4.09 g
  10. 10.CranberriesFruits3.44 g
  1. 1.DatesFruits12.2 g
  2. 2.HoneyMisc11.8 g
  3. 3.PlumsFruits11 g
  4. 4.CherriesFruits10.5 g
  5. 5.GrapesFruits10.4 g
  6. 6.PapayaFruits9.51 g
  7. 7.BlueberriesFruits8.56 g
  8. 8.CranberriesFruits7.48 g
  9. 9.Bell peppersVegetables7.46 g
  10. 10.TomatoesVegetables6.94 g

Sources

  1. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central. Values as shown in the ranking above.
  2. U.S. Food and Drug Administration. High fructose corn syrup questions and answers. FDA.gov.
  3. World Health Organization. WHO calls on countries to reduce sugars intake among adults and children. News release on the guideline Sugars intake for adults and children. 4 March 2015.
  4. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2025-2030. January 2026.
  5. Quezada-Calvillo R, Robayo-Torres CC, Ao Z, et al. Luminal substrate “brake” on mucosal maltase-glucoamylase activity regulates total rate of starch digestion to glucose. J Pediatr Gastroenterol Nutr. 2007.

How glucose works

The basic biochemistry is well established. Most of it comes from reviews and from mouse and test-tube work; what glucose does in people is tested in the study cards above.

Four ideas cover most of it. Starch and sucrose are split into glucose, which crosses the gut wall by two carriers. Insulin and the liver hold blood glucose in a narrow range.

The body stores about 500 g as glycogen, and the brain is the big user. The gut sets a speed limit on glucose from drinks. Here is each one, and what has been seen in people.

Starch and sucrose become glucose, which crosses the gut wall two ways

Starches are the major source of dietary glucose in weaned children and adults. In lab work on human gut tissue, enzymes bound to the gut lining (sucrase-isomaltase and maltase-glucoamylase) did 85% of the glucose release from starch fragments. Pancreatic amylase alone did under 15%, though it prepared the fragments the other two enzymes work on.

Sucrose, a glucose joined to a fructose, is also split in the gut. Glucose then crosses the gut wall by SGLT1, a carrier that uses sodium to pull glucose in, and by GLUT2. Mice without SGLT1 developed glucose-galactose malabsorption, and the authors conclude that SGLT1 does most glucose absorption whatever the load.

Another group argues that GLUT2, inserted into the gut-facing membrane, is a major route at high sugar levels. So the shares of the two carriers are still debated. In people, the rare inherited defect of SGLT1 is called glucose-galactose malabsorption.

Starch and sucrose in foodStarch is the major source of dietary glucosepancreatic amylase, then gut-lining enzymesGlucose in the gutFreed by sucrase-isomaltase, maltase-glucoamylasecarried across the gut wallSGLT1 (with sodium) and GLUT2Two carriers; their shares are still debatedinto the bloodBlood glucoseInsulin lowers it, glucagon is its opponentWithout working SGLT1 (glucose-galactosemalabsorption), glucose and galactose are not absorbed.

How starch and sucrose become blood glucose, simplified. Not to scale. The enzyme shares come from lab work on gut tissue and the carrier work from mouse knockouts and reviews.

Quezada-Calvillo et al., 2007, J Pediatr Gastroenterol Nutr; Gorboulev et al., 2012, Diabetes; Kellett et al., 2008, Annu Rev Nutr; Wright et al., 2011, Physiol Rev

How we rate evidence

Glucose also helps other sugars across. In 10 healthy adults, 50 g of fructose with 25 g of glucose caused less malabsorption than 50 g of fructose alone. Glucose raised fructose uptake in a dose-dependent way: more glucose, more uptake.

The link between sugar and sodium absorption is the basis of rehydration drinks. In the 1968 cholera study, the authors note that a sugar the gut actively transports enhanced sodium absorption. Glucose in the perfused solution cut stool output, and fructose was absorbed less well than glucose or galactose.

Insulin and the liver hold blood glucose in a narrow range

A network of organs keeps blood glucose tightly controlled. The pancreas releases insulin, the hormone that lowers blood sugar, and its opponent glucagon. The liver stores glucose after meals. During fasting it makes glucose, from gluconeogenesis (building new glucose) and from glycogen breakdown.

The numbers show how narrow the range is. In 153 healthy people with sensors, glucose sat between 70 and 140 mg/dL (milligrams per deciliter) for a median 96% of the time.

The ADA notes that 70 mg/dL is the threshold for the body’s first alarm responses to falling glucose in people without diabetes. Readings under 54 mg/dL (level 2) are where symptoms of too little glucose reaching the brain begin. Level 3 is a severe event that needs another person’s help.

The glycemic index measures how fast a food raises blood glucose compared with glucose itself, which sits at 100 on the scale. The glycemic load multiplies the index by the carbohydrate in a portion.

The cards show its limits. The index of one bread varied by 20% within a person, and responses to identical meals varied by 68% between people. A 2021 review of published values lists over 4,000 foods. Fruits, dairy, legumes and pasta are usually low, while cereal products, breads and rice range widely depending on how they are made.

The body stores about 500 g as glycogen, and the brain is the big user

A review of muscle glycogen puts the body’s carbohydrate store at about 100 g in the liver and about 400 g in muscle. Only 5 g circulates as blood glucose, so that is roughly 500 g in all (our arithmetic). That is why endurance athletes talk about glycogen: liver glycogen running out is a major cause of fatigue in long exercise.

The brain depends on glucose as its main energy source. The US recommended allowance of 130 g of carbohydrate a day rests on the average minimum amount of glucose the brain uses. Red and white blood cells and the kidney medulla (inner kidney) also need glucose, and the brain can meet part of its needs from ketoacids. The idea that a sugary drink restores willpower does not hold up well in the statistical review above.

Muscle glycogenabout 400 gLiver glycogenabout 100 gGlucose circulating in the bloodabout 5 g

Approximate carbohydrate stores in an adult, drawn to scale (0.9 units per gram). Muscle glycogen varies widely with training, fatigue and diet.

Hearris et al., 2018, Nutrients

How we rate evidence

The gut sets a speed limit on glucose from drinks

During exercise, the limit on how much carbohydrate the body can burn lies in the absorption step, most likely because the carriers saturate. A review of the field reports that a single carbohydrate is burned at up to about 60 g an hour. Ultra-endurance events call for about 90 g an hour. Rates this high need mixed sugars such as glucose with fructose, which use different carriers.

With mixes, the burning of drink carbohydrate reached 1.75 g a minute, where 1 g a minute was once thought the maximum. The reviewer is affiliated with the Gatorade Sports Science Institute. The chart shows the tracer trial behind the idea.

1.2 g/min of glucose0.80 g/min1.8 g/min of glucose0.83 g/min1.2 g/min of glucose + 0.6 g/min of fructose1.26 g/min

Peak rate at which 8 trained cyclists used the carbohydrate in their drink during 120 minutes of cycling, drawn to scale (280 units per g a minute). Orange bars are glucose alone, teal is glucose with fructose.

Jentjens et al., 2004, J Appl Physiol; Jeukendrup, 2010, Curr Opin Clin Nutr Metab Care; Jeukendrup, 2014, Sports Med

How we rate evidence

What has been seen in people

Put together, the human studies say three things. Glucose has clear but narrow uses: low blood sugar (the ADA names 15 g for most people), rehydration drinks and fuel for long exercise. In long exercise, glucose with fructose beat glucose alone in two small time-trial studies (8 and 9 cyclists) and in a review of 14 studies.

The glycemic index is a blunt tool. One meta-analysis found a 0.31% HbA1c gain in diabetes, but the OmniCarb trial found no gain in people on a DASH-type diet. The cohorts that link high-index diets to disease are observational.

And blood sugar in healthy people is steady, while the response to the same meal differs widely. So one food’s index or one sensor spike says less than it seems. We found no trial that shows health gains from glucose tablets or glucose drinks in people without low blood sugar or hard exercise.

Sources

  1. Quezada-Calvillo R, Robayo-Torres CC, Ao Z, et al. Luminal substrate “brake” on mucosal maltase-glucoamylase activity regulates total rate of starch digestion to glucose. J Pediatr Gastroenterol Nutr. 2007.
  2. Kellett GL, Brot-Laroche E, Mace OJ, Leturque A. Sugar absorption in the intestine: the role of GLUT2. Annu Rev Nutr. 2008.
  3. Gorboulev V, Schürmann A, Vallon V, et al. Na+-D-glucose cotransporter SGLT1 is pivotal for intestinal glucose absorption and glucose-dependent incretin secretion. Diabetes. 2012.
  4. Wright EM, Loo DD, Hirayama BA. Biology of human sodium glucose transporters. Physiol Rev. 2011.
  5. Rumessen JJ, Gudmand-Høyer E. Absorption capacity of fructose in healthy adults. Comparison with sucrose and its constituent monosaccharides. Gut. 1986.
  6. Hirschhorn N, Kinzie JL, Sachar DB, et al. Decrease in net stool output in cholera during intestinal perfusion with glucose-containing solutions. N Engl J Med. 1968.
  7. Röder PV, Wu B, Liu Y, Han W. Pancreatic regulation of glucose homeostasis. Exp Mol Med. 2016.
  8. Petersen MC, Vatner DF, Shulman GI. Regulation of hepatic glucose metabolism in health and disease. Nat Rev Endocrinol. 2017.
  9. American Diabetes Association Professional Practice Committee. 6. Glycemic goals, hypoglycemia, and hyperglycemic crises: Standards of Care in Diabetes-2026. Diabetes Care. 2026.
  10. Atkinson FS, Brand-Miller JC, Foster-Powell K, Buyken AE, Goletzke J. International tables of glycemic index and glycemic load values 2021: a systematic review. Am J Clin Nutr. 2021.
  11. Hearris MA, Hammond KM, Fell JM, Morton JP. Regulation of muscle glycogen metabolism during exercise: implications for endurance performance and training adaptations. Nutrients. 2018.
  12. Ryan-Harshman M, Aldoori W. New dietary reference intakes for macronutrients and fibre. Can Fam Physician. 2006.
  13. Mergenthaler P, Lindauer U, Dienel GA, Meisel A. Sugar for the brain: the role of glucose in physiological and pathological brain function. Trends Neurosci. 2013.
  14. Jeukendrup AE. Carbohydrate and exercise performance: the role of multiple transportable carbohydrates. Curr Opin Clin Nutr Metab Care. 2010.
  15. Jeukendrup A. A step towards personalized sports nutrition: carbohydrate intake during exercise. Sports Med. 2014. The author is affiliated with the Gatorade Sports Science Institute.

How much glucose do you need?

No daily amount of glucose itself is set. The US recommended dietary allowance for carbohydrate, 130 g a day for adults and children, is set from the brain’s average minimum glucose use. The liver makes glucose when you fast, so you do not have to eat it as such.

Real intakes run higher: adult men eat 200 to 330 g of carbohydrate a day and adult women 180 to 230 g. The sugars that are limited are free or added sugars, and glucose in syrups, dextrose and honey counts toward them.

SourceGroupValueNotes
NASEM (Institute of Medicine) DRI report on macronutrients, as summarized by Ryan-Harshman and Aldoori, 2006Adults and childrenCarbohydrate RDA: 130 g a day. AMDR: 45 to 65% of total caloriesThe RDA rests on the average minimum amount of glucose used by the brain, which can partly use ketoacids. On 2,000 kcal, 45 to 65% is 900 to 1,300 kcal, or 225 to 325 g at 4 kcal per g (our arithmetic).
EFSA scientific opinion, 2010Adults and children (from age 1 in EFSA’s summary table)Reference intake range for total carbohydrates: 45 to 60% of energyCovers starch and sugars. EFSA found insufficient evidence to set an upper limit for sugars, citing links to tooth decay and, for sugar-sweetened drinks, to weight gain.
EU health claim (Regulation (EU) No 1018/2013)Foods bearing the claimConsumers told the effect on normal brain function comes with 130 g of carbohydrates a day from all sourcesA labeling condition for the claim, not an EU reference intake.
WHO guideline, 2015Adults and childrenFree sugars under 10% of total energy (strong recommendation); below 5%, roughly 25 g a day, for added benefit (conditional)Free sugars include glucose added to foods and drinks and the sugars in honey, syrups, juices and concentrates. Sugars in fresh fruit, vegetables and milk are not covered.
EFSA scientific opinion, 2022Adults and childrenAdded and free sugars as low as possible within a nutritionally adequate dietEFSA could not set a tolerable upper intake level for dietary sugars. It calls sugar a known cause of dental caries.
Dietary Guidelines for Americans, 2025-2030 (current)People of all ages; infants and young childrenNo amount of added sugars is recommended or considered part of a healthy diet; one meal should contain no more than 10 g of added sugars; avoid added sugars in infancy and early childhoodIssued January 2026. Glucose and dextrose are among the label names for added sugars.
Dietary Guidelines for Americans, 2020-2025 (previous edition)People aged 2 and older; under 2Added sugars under 10% of calories a day from age 2; avoid added sugars under age 2About 200 kcal, or 50 g, on 2,000 kcal (our arithmetic).
FDA Nutrition Facts labelPackaged foodsDaily Value: total carbohydrate 275 g; added sugars 50 gAdded sugars on a label include glucose and dextrose added in manufacture; the 2025-2030 guidelines list both as label names.
Any authority we foundGlucose on its ownNo daily need and no upper limitThe site’s intake box also shows no FDA or EU reference value for glucose.
Percent-of-energy values are converted to grams by our arithmetic. The EU claim is quoted on its study card above.

We found no diet-caused glucose deficiency, so this page has no deficiency section. Low blood glucose (hypoglycemia) is a medical problem.

The ADA defines it as a reading under 70 mg/dL. It is a risk mainly for people treated with insulin, sulfonylureas or meglitinides, and rare with other diabetes medicines. See the safety section for how it is treated.

Sources

  1. Ryan-Harshman M, Aldoori W. New dietary reference intakes for macronutrients and fibre. Can Fam Physician. 2006.
  2. European Food Safety Authority. EFSA sets European dietary reference values for nutrient intakes. News story, 26 March 2010, on the opinion Dietary Reference Values for carbohydrates and dietary fibre. EFSA J. 2010.
  3. European Food Safety Authority. Summary of Dietary Reference Values. Table 3, reference intake ranges. 2017.
  4. Commission Regulation (EU) No 1018/2013 of 23 October 2013 amending Regulation (EU) No 432/2012 (carbohydrates and normal brain function). EUR-Lex.
  5. World Health Organization. WHO calls on countries to reduce sugars intake among adults and children. News release on the guideline Sugars intake for adults and children. 4 March 2015.
  6. European Food Safety Authority. Added and free sugars should be as low as possible. News story on the scientific opinion on dietary sugars. 28 February 2022.
  7. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2025-2030. January 2026.
  8. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th edition. 2020.
  9. U.S. Food and Drug Administration. Daily Value on the Nutrition and Supplement Facts Labels. FDA.gov.
  10. American Diabetes Association Professional Practice Committee. 6. Glycemic goals, hypoglycemia, and hyperglycemic crises: Standards of Care in Diabetes-2026. Diabetes Care. 2026.

Forms of glucose: absorption and effects

Glucose reaches you in many forms. There is free glucose in fruit and honey, dextrose (the same molecule, per PubChem), corn syrup, and the glucose in starch and maltodextrin. It is also half of table sugar, and part of sports drinks, tablets and gels.

The chemistry is the same in every form. So the forms differ in speed, in what comes with them (fructose, fiber, water, other starch) and in how they are used.

The honest bottom line is that the form matters for two jobs. For treating low blood sugar, tablets and solutions worked faster than gel or juice in one trial. For fueling long exercise, glucose with fructose beat glucose alone.

We found no trial that compared dextrose, corn syrup and starch-derived glucose for long-term health. Nor did we find any showing that glucose tablets help people who do not have low blood sugar.

The trials use set doses: 15 g for low blood sugar. The exercise studies used 1.2 to 2.4 g a minute, or 72 to 144 g an hour (our arithmetic). Those amounts are not typical of eating a piece of fruit.

FormWhat it isWhat studies showSource
Free glucose in fruit and honeyGlucose with fructose, water and fiber; honey is about one fructose to one glucoseUSDA lists 35.8 g of glucose per 100 g of honey and 7.2 g per 100 g of grapes. The WHO counts honey and juice sugars as free sugars and leaves out sugars in fresh fruit. We found no trial of glucose from fruit on its own.1, 2, 7
DextroseD-glucose; the same molecule as glucoseThe ADA calls pure glucose the preferred first treatment for low blood sugar. The 75 g glucose tolerance test uses a load of anhydrous glucose dissolved in water.3, 4, 5
Glucose tablets, solution and gelPure glucose, usually 15 gTablets and solutions raised blood glucose similarly in 41 adults; gel and orange juice raised it less at 10 minutes. The ADA lists tablets (long shelf life, easy dosing) and gel (easier for children and people without teeth).4, 8
Corn syrupMade by breaking corn starch down; essentially 100% glucose per the FDACounted as an added sugar. The 2025-2030 US guidelines list corn syrup among added sugar names.2, 14
High-fructose corn syrup42% or 55% fructose; the rest is glucose and waterSee the fructose page for the trials.2
MaltodextrinChains of D-glucose units, 3 to 20% reducing sugars; made from starchIts glucose is absorbed rapidly. Swapping unprocessed starch for maltodextrin may raise glycemic load. In the exercise studies it is treated like glucose.6, 10
Glucose plus fructose drinksGlucose with fructose, often 2 to 1, for different carriersIn 14 studies they improved power by 1% to 9% over glucose or maltodextrin alone; glucose helps fructose across the gut wall.10, 12, 13
StarchLong chains of glucose digested in the gut; the major source of dietary glucoseSee the starch page for types and digestion speed.11
Sucrose (table sugar)One glucose joined to one fructoseWorked as well as glucose tablets for low blood sugar in 33 children with type 1 diabetes. People on acarbose must use pure glucose.4, 9, 13
Source numbers refer to the list below. Published findings, not product advice. See the page on sucrose for table sugar.

Here are the form-specific studies, strongest evidence first, 6 in all.

All 6 studies, strongest evidence first

Fructose-glucose drinks gave 1% to 9% more power than glucose or maltodextrin

This critical review covered 14 studies of 2.5 to 3 hours of endurance exercise. Drinks had 0.5 to 1.0 parts fructose to 1 part glucose or maltodextrin, at 1.3 to 2.4 g of carbohydrate a minute. At 1.7 g a minute or more the gain was larger (4% to 9%) than at 1.4 to 1.6 g (1% to 3%). A 0.8 to 1 ratio looked best. Most studies were in men, mostly cycling; competition, women, heat and ultra-endurance are not yet established. Two authors work for Intertek, a scientific and regulatory consultancy, and one for Nestlé Research Center.

Rowlands et al., 2015, Sports Med

How we rate evidence

Glucose or sucrose tablets and drinks beat gel and juice for lows

In this 1990 study, 41 adults with type 1 diabetes on insulin had lows induced and tried seven treatments of 15 g of carbohydrate each. These were glucose as solution, tablets and gel; sucrose as solution and tablets; a hydrolyzed polysaccharide solution; and orange juice. Blood glucose 10 minutes after tablets and solutions was similar, and symptoms eased in 14.0 ± 0.8 minutes with glucose or sucrose as solution or tablets. Gel and juice raised it less at 10 minutes, and the authors could not recommend them at the 15 g dose in their procedure. The ADA’s current text lists tablets and gels as options and notes gels may be easier for children.

Slama et al., 1990, Arch Intern Med

How we rate evidence

In 33 children, glucose tablets and sucrose candy worked equally; fructose less

In this randomized crossover trial, children with type 1 diabetes, aged 5.4 to 15.5 years, each treated 5 natural lows with each treatment. The treatments were glucose tablets, a sucrose candy and a fructose fruit snack. Success meant a meter reading of 4.0 mmol/L or higher 15 minutes later. Glucose and sucrose did not differ, and fructose was less effective than both. The authors say the candy was as effective as the more expensive tablets in this group.

Husband et al., 2010, Pediatr Diabetes

How we rate evidence

In 9 cyclists, a glucose-fructose drink beat glucose alone over 100 km

Each competitive rider did two simulated 100-km time trials 5 to 7 days apart. Every 15 minutes they drank 36 g of carbohydrate in 250 ml of water, either glucose alone or glucose with fructose, with the same calories. All 9 were faster on the mix: 204.0 versus 220.6 minutes. Blood glucose and lactate did not differ at any time point, and total carbohydrate use was not clearly different.

Triplett et al., 2010, Int J Sport Nutr Exerc Metab

How we rate evidence

In 8 trained cyclists, glucose plus fructose beat glucose alone by 8%

The men cycled 120 minutes at 55% of maximal power, then did a time trial of about an hour. They drank water, glucose alone (1.8 g a minute) or glucose with fructose in a 2 to 1 ratio (1.8 g a minute). At the same 1.8 g a minute, the mix was 8% faster than glucose alone and 19% better than water. Total carbohydrate burned was the same (2.54 versus 2.50 g a minute), which the authors read as sparing of the body’s own stores. The study was small, in trained men.

Currell and Jeukendrup, 2008, Med Sci Sports Exerc

How we rate evidence

In 8 cyclists, fructose plus glucose raised peak drink-sugar use about 55%

In this tracer trial with labeled sugars, eight trained men cycled 120 minutes at 50% of maximal power, one session each. They drank water, glucose at 1.2 or 1.8 g a minute, or 0.6 g of fructose plus 1.2 g of glucose a minute. The 0.6 plus 1.2 g mix raised peak use to 1.26 g a minute, against 0.80 and 0.83 g for glucose alone. Average use rose too, and use of the body’s own carbohydrate tended to fall, but not clearly. The authors say about 1.3 g a minute is possible with both sugars together.

Jentjens et al., 2004, J Appl Physiol

How we rate evidence

Sources

  1. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central. Values as shown in the ranking above.
  2. U.S. Food and Drug Administration. High fructose corn syrup questions and answers. FDA.gov.
  3. National Center for Biotechnology Information. D-Glucose. PubChem Compound Summary for CID 5793 (the name “dextrose” resolves to this record).
  4. American Diabetes Association Professional Practice Committee. 6. Glycemic goals, hypoglycemia, and hyperglycemic crises: Standards of Care in Diabetes-2026. Diabetes Care. 2026.
  5. American Diabetes Association Professional Practice Committee. 2. Diagnosis and classification of diabetes: Standards of Care in Diabetes-2026. Diabetes Care. 2026.
  6. Hofman DL, van Buul VJ, Brouns FJ. Nutrition, health, and regulatory aspects of digestible maltodextrins. Crit Rev Food Sci Nutr. 2016.
  7. World Health Organization. WHO calls on countries to reduce sugars intake among adults and children. News release on the guideline Sugars intake for adults and children. 4 March 2015.
  8. Slama G, Traynard PY, Desplanque N, et al. The search for an optimized treatment of hypoglycemia. Carbohydrates in tablets, solution, or gel for the correction of insulin reactions. Arch Intern Med. 1990.
  9. Husband AC, Crawford S, McCoy LA, Pacaud D. The effectiveness of glucose, sucrose, and fructose in treating hypoglycemia in children with type 1 diabetes. Pediatr Diabetes. 2010.
  10. Rowlands DS, Houltham S, Musa-Veloso K, Brown F, Paulionis L, Bailey D. Fructose-glucose composite carbohydrates and endurance performance: critical review and future perspectives. Sports Med. 2015.
  11. Quezada-Calvillo R, Robayo-Torres CC, Ao Z, et al. Luminal substrate “brake” on mucosal maltase-glucoamylase activity regulates total rate of starch digestion to glucose. J Pediatr Gastroenterol Nutr. 2007.
  12. Jeukendrup AE. Carbohydrate and exercise performance: the role of multiple transportable carbohydrates. Curr Opin Clin Nutr Metab Care. 2010.
  13. Rumessen JJ, Gudmand-Høyer E. Absorption capacity of fructose in healthy adults. Comparison with sucrose and its constituent monosaccharides. Gut. 1986.
  14. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2025-2030. January 2026.

Is glucose safe? Low blood sugar, tests and who should watch it

Glucose from food is not a safety concern for most people. No tolerable upper intake level (the most you can take daily without harm) exists for glucose or for dietary sugars as a whole. EFSA could not set one in 2022, and says added and free sugars should be as low as possible.

EFSA adds that sugar is a known cause of dental caries (tooth decay). The WHO limit of free sugars under 10% of energy covers glucose syrups and dextrose added to food. It leaves out fresh fruit, vegetables and milk.

  • Low blood sugar. The ADA says to treat a reading under 70 mg/dL with glucose, 15 g for most people. Check again after 15 minutes and repeat if it is still low. Give oral glucose only to an alert person, and call emergency services for someone who is unalert or cannot take carbohydrate by mouth. Added fat slows and prolongs the rise, and protein should not be used for treatment.
  • Acarbose and pure glucose. People taking acarbose, a diabetes drug that blocks sucrose breakdown, should treat low blood sugar with pure glucose only, since sucrose may delay the correction.
  • Glucose tolerance tests. The 75 g test diagnoses diabetes when the 2-hour reading is 200 mg/dL or more. The ADA advises at least 150 g of carbohydrate a day for 3 days before the test. In pregnancy it screens at 24 to 28 weeks. These are standard thresholds, and your clinician interprets your result.
  • Diabetes and high blood sugar. People with diabetes should plan sugar and carbohydrate changes with their care team. The glycemic index gave only small gains in trials, and individual responses vary.
  • Rare inherited conditions. Glucose-galactose malabsorption, a defect of the SGLT1 carrier, stops absorption of glucose and galactose. In mice without SGLT1, the animals thrived on a diet free of both sugars.
  • Sports drinks. A review of glucose-fructose drinks reports better gut comfort than with single-sugar drinks. Its authors include staff of a consultancy and of Nestlé Research Center. Mixes are for long events, not for everyday drinking.
  • Wearing a glucose sensor without diabetes. Sensors give normal-range data for healthy people, and the same meal can give different readings for different people. A 2026 systematic review of 12 studies found low certainty for diet changes. Certainty was very low for mood, activity and device burden. Its authors say large, lasting benefits, or benefit from the sensor on its own, are not established.

How to use glucose wisely

  • Treat a low as your care team advised. For most people the ADA names 15 g of carbohydrate, with pure glucose preferred, checked again after 15 minutes. Keep tablets or gel where you can reach them, since the ADA says first aid kits should include oral glucose.
  • Count the starch and the free sugars. Most dietary glucose comes from starch. For added glucose, syrups and honey, the limit that matters is free sugars under 10% of energy (WHO). The glycemic index is a weak guide: the OmniCarb trial found no gain from low-index foods on a DASH-type diet.
  • Match the drink to the exercise. For about an hour, a mouth rinse or small amounts of carbohydrate worked. From 2 to 3 hours, a single carbohydrate is used at up to about 60 g an hour. Rates up to about 90 g an hour call for glucose with fructose.

Sources

  1. American Diabetes Association Professional Practice Committee. 6. Glycemic goals, hypoglycemia, and hyperglycemic crises: Standards of Care in Diabetes-2026. Diabetes Care. 2026.
  2. American Diabetes Association Professional Practice Committee. 2. Diagnosis and classification of diabetes: Standards of Care in Diabetes-2026. Diabetes Care. 2026.
  3. European Food Safety Authority. Added and free sugars should be as low as possible. News story on the scientific opinion on dietary sugars. 28 February 2022.
  4. World Health Organization. WHO calls on countries to reduce sugars intake among adults and children. News release on the guideline Sugars intake for adults and children. 4 March 2015.
  5. Moynihan PJ, Kelly SA. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res. 2014.
  6. Wright EM, Loo DD, Hirayama BA. Biology of human sodium glucose transporters. Physiol Rev. 2011.
  7. Gorboulev V, Schürmann A, Vallon V, et al. Na+-D-glucose cotransporter SGLT1 is pivotal for intestinal glucose absorption and glucose-dependent incretin secretion. Diabetes. 2012.
  8. Rowlands DS, Houltham S, Musa-Veloso K, Brown F, Paulionis L, Bailey D. Fructose-glucose composite carbohydrates and endurance performance: critical review and future perspectives. Sports Med. 2015.
  9. Stellingwerff T, Cox GR. Systematic review: carbohydrate supplementation on exercise performance or capacity of varying durations. Appl Physiol Nutr Metab. 2014.
  10. Jeukendrup A. A step towards personalized sports nutrition: carbohydrate intake during exercise. Sports Med. 2014. The author is affiliated with the Gatorade Sports Science Institute.
  11. Sacks FM, Carey VJ, Anderson CA, et al. Effects of high vs low glycemic index of dietary carbohydrate on cardiovascular disease risk factors and insulin sensitivity: the OmniCarb randomized clinical trial. JAMA. 2014.
  12. Makkena HB, Nimmagadda Y, Boinapelly N, et al. Behavioral and psychosocial effects of participant-visible continuous glucose monitoring in adults without diabetes: a systematic review. Medicina (Kaunas). 2026.

History of glucose

In 1811 the chemist Constantin Kirchhoff, working at the Imperial Court Apothecary in St. Petersburg, turned starch into grape sugar (glucose) with sulfuric acid. He showed that a small amount of acid converted all of the starch and was left unchanged at the end. He also made crystalline sugar from potato starch.

A 2026 essay calls this the first recorded homogeneous catalytic reaction in organic chemistry, a quarter century before the word catalysis existed. A catalyst speeds up a reaction without being used up. Breaking starch down into glucose is still how the FDA says corn syrup is made, now with enzymes.

The physiology came next. In Paris in 1845, the young chemist Barreswil set up a way to measure glucose and became Claude Bernard’s collaborator. In 1848 they reported that the liver contained sugar and other tissues did not, and that year Bernard established the liver’s glucose-making function.

In 1855 a delayed measurement led Bernard to see that a washed liver went on forming glucose. In 1857 he isolated glycogen, which he called animal starch. He also introduced the idea that the body keeps its internal environment constant, which we now call homeostasis.

Insulin followed. In 1921 Frederick Banting produced a pancreas extract that lowered blood sugar in diabetic dogs. He worked in J.J.R. Macleod’s laboratory in Toronto with the student Charles Best.

J.B. Collip did much of the purification, and a method to measure blood sugar in small samples helped the work. The Nobel Prize went to Banting and Macleod, which strained relations among the team.

The most lifesaving glucose story is rehydration. In 1968 Hirschhorn and colleagues showed in 8 cholera patients that glucose in a salt solution run through the gut cut stool output. Oral rehydration solution has been recommended since the 1970s. A review of 157 studies later estimated that it may prevent 93% of diarrhea deaths in children under 5.

The research argument around the glycemic index is much younger. Several of its main authors disclose food-industry ties, which this page notes on each card.

Frequently asked questions about glucose

Is glucose the same as dextrose?

Yes. Dextrose is the name for D-glucose: PubChem files “dextrose” under D-glucose (C6H12O6, molecular weight 180.16). The 2025-2030 Dietary Guidelines for Americans list glucose and dextrose among the names of added sugars on labels. Tablets, test drinks and some sports products use it. See our page on sugars.

What foods contain glucose?

Fruit and honey have free glucose; per serving in our USDA ranking, dates lead with 16.2 g in 2 dates. Grapes (10.9 g in 1 cup) and cherries (10.1 g in 1 cup) come next. Honey (7.51 g in 1 tbsp) and blueberries (7.22 g in 1 cup) follow.

Starchy foods hold little free glucose, but a digestion study calls starches the major source of dietary glucose. See starch.

How much glucose does the body need per day?

No amount of glucose itself is set. The US recommended allowance, 130 g of carbohydrate a day for adults and children, rests on the average minimum glucose use of the brain. The brain can partly use ketoacids, and the liver makes glucose during fasting. EFSA’s reference range for total carbohydrates is 45 to 60% of energy.

How much glucose should you take for low blood sugar?

Most people need 15 g of carbohydrate, preferably pure glucose, says the American Diabetes Association; recheck after 15 minutes and repeat if still low. People on automated insulin delivery usually need 5 to 10 g, and people taking acarbose should use pure glucose only. Call emergency services for someone who is unalert. This is guidance for people with diabetes, so ask your care team for your own plan.

What is a normal blood glucose level?

The ADA diagnoses diabetes from a fasting reading of 126 mg/dL or more. A 2-hour reading of 200 mg/dL or more in a 75 g test also counts (confirmed). A fasting 100 to 125 mg/dL is the prediabetes range.

In 153 healthy people wearing sensors, average glucose was 98 to 99 mg/dL. Readings sat between 70 and 140 mg/dL for a median 96% of the time. Your clinician interprets your own tests.

What is the glucose test in pregnancy?

The ADA describes two ways to screen at 24 to 28 weeks, so ask your clinician which test is used. The one-step 75 g test makes the diagnosis at fasting 92, 1-hour 180 or 2-hour 153 mg/dL or higher. The two-step approach uses a nonfasting 50 g screen followed by a 100 g test. The one-step cut points come from the HAPO study of 25,505 women, where risk rose steadily with glucose and no threshold was seen.

Is glucose or fructose worse for you?

The trials give no simple winner. With 25% of energy as drinks for 10 weeks, fructose added visceral fat and cut insulin sensitivity. Glucose did not, but it raised fasting triglycerides by about 10%.

In 32 men given extra calories, liver fat rose alike on both. Fructose lowers the blood glucose peak after a meal compared with glucose. See fructose.

Do sports drinks need glucose and fructose?

For about an hour, a mouth rinse or small amounts of carbohydrate worked in a review of 61 studies, so the sugar type hardly matters. Past 2 to 3 hours, a single carbohydrate is used at up to about 60 g an hour. Mixing glucose with fructose allows about 90 g an hour. In 14 studies, mixes improved mean power by 1% to 9% over glucose or maltodextrin alone.