930 CHAPTER 22 Carbohydrates
MEASURING THE BLOOD
GLUCOSE LEVELS OF DIABETICSGlucose reacts with an group of hemoglobin
to form an imine (Section 18.6) that subsequently undergoes anNH 2Diabetes results when the body does not produce sufficient in-
sulin or when the insulin it produces does not properly stimulate
its target cells. Because insulin is the hormone that maintains the
proper level of glucose in the blood, diabetics have increased
blood glucose levels. The amount of hemoglobin- formed is
proportional to the concentration of glucose in the blood, so dia-
betics have a higher concentration of hemoglobin-AIcthan nondi-AIcrearrangementCH 2 NH–hemoglobinHO HOHHOH
HOH
CH 2 OHHHC OHO HOHHOH
HOH
CH 2 OHHHC N–hemoglobinHO H
HOH
HOH
CH 2 OHCO
NH 2 _hemoglobinD-glucose hemoglobin-AIccatalytic
H+irreversible rearrangement to a more stable
known as hemoglobin-AIc.a-aminoketoneabetics. Thus, measuring the hemoglobin- level is a way to de-
termine whether the blood glucose level of a diabetic is being con-
trolled. Cataracts, a common complication in diabetics, are caused
by the reaction of glucose with the group of proteins in the
lens of the eye. It is thought that the arterial rigidity common in
old age may be attributable to a similar reaction of glucose with
the NH 2 group of proteins.NH 2AIcBecause the configuration of the number-2 carbon is lost during osazone formation,
C-2 epimers form identical osazones. For example,D-idose and D-gulose, which are C-2
epimers, both form the same osazone.The number-1 and number-2 carbons of ketoses react with phenylhydrazine, too. Con-
sequently,D-fructose,D-glucose, and D-mannose all form the same osazone.PROBLEM 14Name a ketose and another aldose that form the same osazone as
a.D-ribose c.L-idose
b. D-altrose d.D-galactosePROBLEM 15What monosaccharides form the same osazone as D-sorbose?C-2 epimers form identical osazones.
HO H
HOH
HOH
CH 2 OHCH 2 OHCO
HO HOHHOH
HOH
CH 2 OHHHC O
3 H 2 NNH
HO H
HOH
HOH
CH 2 OHC NNHC 6 H (^5) 3 H 2 NNH
HC NNHC 6 H 5
D-glucose the osazone of D-fructose
D-glucose and/of D-fructose
catalytic
H+
catalytic
H+
3 NH 2 NH
HOH
H
HO H
HOH
CH 2 OH
HO
HC O
HOH
OH
HO H
HOH
CH 2 OH
H
HC O
HOH
HO H
HOH
CH 2 OH
C NNHC 6 H (^5) 3 NH 2 NH
HC NNHC 6 H 5
D-idose the osazone of D-gulose
D-idose and of D-gulose
catalytic
H+
catalytic
H+