
Originally Posted by
pklopp
First, the empirical answer is this: anyone that is capable of surviving a Crossfit metcon workout, irrespective of diet, is doing quite well. The proof of that pudding is in the hypoglycemia that fails to materialize. Were carbohydrates essential for athletic performance, you would immediately know it as you would hit the wall hard ( pass out, actually ). Anyone who has experienced hypoglycemia can tell you that it is very difficult to mistake it for anything else.
For the scientific explanation: if you are not eating a lot of carbohydrates, then you are necessarily either eating a high fat ketogenic diet, or if you are not in ketosis, then you are eating a high protein diet.
Ketones are a more efficient fuel than glucose actually, requiring less oxygen to provide the same energy yield as an equivalent amount of glucose. Your heart will preferentially use ketones over glucose precisely for this reason. In addition, this is why the heart is surrounded by fat, both to provide cushioning against shocks, and a ready source of fuel. Moreover, when you are oxidizing fat for energy, you are breaking down triglyceride molecules into free fatty acids and a glycerol backbone. Luckily for you, that gives you a whole raft of circulating glycerol that can then be converted by the liver into glucose via hepatic gluconeogenesis. Further, anyone who has exercised strenuously knows the burn of lactic acid. Well, it turns out that lactic acid is another substrate for gluconeogenesis. So, you say that you are not in a state of nutritional ketosis? No matter, if your diet is high in protein, then you can feed that into the gluconeogenetic cycle.
I agree with your friend that glucose is an important substrate for energy metabolism, so important, in fact, that the body does not leave it up to the vagaries of diet for its supply. Rather, we all embody exquisite biochemical machinery to regulate glucose availability with all manner of inputs.
-PK