Key Takeaway

Carbohydrates are the body's preferred fuel, especially for the brain and for hard exercise. They range from single sugars to long starch chains and fibre. Insulin and glucagon keep blood glucose in a healthy range, and extra glucose is stored as glycogen in the liver and muscles. For most people, the quality of carbohydrate — fibre-rich, minimally processed foods, and limited added sugar — matters more than cutting carbohydrate out.

Lesson 6 covered protein. This lesson turns to the macronutrient people argue about most. Carbohydrates are often blamed for weight gain, but the science is more balanced than the headlines: they're the body's most efficient fuel, and some of the most nutritious foods — fruit, vegetables, legumes and whole grains — are mostly carbohydrate.

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What Carbohydrates Do

Main functions of carbohydrates
  • Primary energy sourceGlucose is the body's preferred fuel. The brain relies on it heavily, and it's the main fuel for moderate-to-high-intensity exercise.
  • Protein sparingEating enough carbohydrate means the body doesn't need to break down protein to make glucose, leaving protein free for building and repair.
  • Energy storageExtra glucose is stored as glycogen in the liver and muscles, ready for later use.
  • Digestive healthFibre, a type of carbohydrate, supports regular digestion and feeds beneficial gut bacteria.

Types of Carbohydrates

Carbohydrates are made of sugar units called saccharides. They're grouped by how many units they contain.

TypeUnitsExamples
Monosaccharides (simple)1Glucose, fructose (fruit sugar), galactose
Disaccharides (simple)2Sucrose (table sugar) = glucose + fructose · Lactose (milk sugar) = glucose + galactose · Maltose = glucose + glucose
Oligosaccharides (complex)3–10Found in beans, onions and some other plants; partly fermented by gut bacteria
Polysaccharides (complex)ManyStarch (plants' storage form), glycogen (animals' storage form), and most fibre
Types of carbohydrates: monosaccharides (glucose, fructose, galactose) and disaccharides (sucrose, lactose, maltose) are simple; oligosaccharides and polysaccharides (starch, glycogen, fibre) are complex.

Mono- and disaccharides are called simple carbohydrates or sugars. Oligo- and polysaccharides are complex carbohydrates. "Simple" doesn't automatically mean unhealthy — whole fruit is mostly simple sugar and comes packaged with fibre, water and micronutrients — but most added sugar in the diet is simple sugar.

Fibre

Fibre is carbohydrate that human digestive enzymes can't break down. It passes into the large intestine, where some of it is fermented by gut bacteria into short-chain fatty acids that help keep the gut lining healthy.

Two types of fibre
  • Soluble fibreDissolves in water to form a gel. Slows digestion and the rise in blood glucose, and can help lower LDL cholesterol. Sources: oats, barley, beans, lentils, apples, citrus.
  • Insoluble fibreDoesn't dissolve. Adds bulk to stool and helps keep bowel movements regular. Sources: whole wheat, bran, nuts, vegetables and the skins of fruit and vegetables.
Soluble fibre forms a gel, slows digestion and can help lower LDL cholesterol (oats, beans, apples); insoluble fibre does not dissolve, adds bulk and keeps you regular (whole grains, vegetables, nuts). Aim for roughly 25 to 38 grams a day.

Commonly cited intake targets for adults sit around 25–38 g of fibre per day, or about 14 g per 1,000 kcal eaten. Most people eat well below this. Fibre also adds volume with few calories, which is one reason high-fibre foods are filling (see energy density in Lesson 5). Increase fibre gradually and drink enough fluid, as a sudden jump can cause bloating. More in our post on how much fibre you need per day.

How Carbohydrates Are Digested

Digestion starts in the mouth, where salivary amylase begins breaking starch into shorter chains. Very little happens in the stomach. In the small intestine, pancreatic amylase continues the work, and enzymes on the intestinal wall — such as sucrase, lactase and maltase — split disaccharides into monosaccharides. Only monosaccharides are absorbed into the blood.

Absorbed fructose and galactose travel to the liver, which mostly converts them to glucose. Fibre isn't digested and moves on to the large intestine. People with low lactase activity may have trouble digesting lactose; a client who suspects any food intolerance should see a doctor for proper assessment rather than self-diagnosing.

Blood Glucose, Insulin and Glycogen

The body works to keep blood glucose within a narrow healthy range. Two hormones from the pancreas do most of the work:

The two key hormones
  • Insulin — lowers blood glucoseReleased after eating when blood glucose rises. Helps cells take up glucose and promotes storing it as glycogen (and, when stores are full and energy intake is high, as fat).
  • Glucagon — raises blood glucoseReleased when blood glucose falls, such as between meals. Signals the liver to break down glycogen and release glucose into the blood.
Blood glucose regulation: after a meal glucose rises and insulin lowers it; between meals glucose falls and glucagon raises it by telling the liver to release stored glucose. Both hormones are made by the pancreas.

Glycogen is how the body stores carbohydrate. The liver holds roughly 100 g, and muscles hold roughly 300–500 g depending on body size and training. The difference in their jobs is a classic exam point:

  • Liver glycogen maintains blood glucose for the whole body, including the brain.
  • Muscle glycogen fuels only the muscle it's stored in — it can't be released into the blood.
Liver glycogen, about 100 grams, releases glucose into the blood for the whole body; muscle glycogen, about 300 to 500 grams, fuels only the muscle it is stored in. Each gram of glycogen holds about 3 grams of water.

Each gram of glycogen is stored with roughly 3 g of water, which is why weight often drops quickly at the start of a low-carbohydrate diet: much of it is water, not fat. For a practical look at glucose after meals, see our post on blood sugar after eating.

Glycaemic Index and Glycaemic Load

The glycaemic index (GI) ranks how quickly a carbohydrate food raises blood glucose compared with pure glucose, which scores 100.

MeasureLowMediumHigh
Glycaemic index (GI)55 or less56–6970 or more
Glycaemic load (GL, per serving)10 or less11–1920 or more

GI has a big limitation: it ignores how much carbohydrate a normal serving actually contains. The glycaemic load (GL) fixes that:

GL = GI × grams of carbohydrate per serving ÷ 100

Worked Example: High GI, Low GL

Watermelon has a high GI of roughly 75, but a typical 120 g serving contains only about 6 g of carbohydrate.

GL = 75 × 6 ÷ 100 ≈ 4.5 — a low glycaemic load.

So a food's GI alone can be misleading. What's eaten with it matters too: fibre, fat and protein in a meal slow digestion and blunt the glucose rise, while ripeness, processing and cooking can raise a food's GI.

Watermelon has a high glycaemic index of about 75 but a low glycaemic load of about 4.5 per 120 gram serving, because GL equals GI times grams of carbohydrate per serving divided by 100.

Added Sugars

Sugars naturally present in whole fruit, vegetables and plain milk come with fibre, water, protein or micronutrients. Added sugars — sugars and syrups added during processing or preparation — add energy without much else. The World Health Organization recommends keeping free sugars (added sugars plus those in honey, syrups and fruit juice) below 10% of total energy, with further benefits below 5%. Sugary drinks are usually the biggest single source. Our posts on fruit juice vs whole fruit and sugar cravings are good client-friendly reads.

How Much Carbohydrate Do People Need?

MeasureCommonly cited figure
RDA (minimum to supply the brain with glucose)130 g/day
Acceptable Macronutrient Distribution Range (AMDR)45–65% of total calories
Athletes and very active peopleSet in g/kg of body weight, rising with training volume — from roughly 3–5 g/kg for light training to 8–12 g/kg for very high volumes
Worked Example (Fictional Client)

Priya eats about 2,000 kcal a day and wants carbohydrates to supply 50% of her energy — within the AMDR.

Calories from carbohydrate = 2,000 × 0.50 = 1,000 kcal

Grams of carbohydrate = 1,000 ÷ 4 kcal per gram = 250 g/day

Fibre target ≈ 14 g per 1,000 kcal × 2 = about 28 g/day

Very low-carbohydrate and ketogenic diets are covered in Lesson 21. Managing blood glucose for a medical condition such as diabetes is outside a coach's scope — those clients should get carbohydrate guidance from their doctor or a registered dietitian.

Food Sources and Coaching Takeaways

Mostly chooseLimit
Whole grains (oats, brown rice, whole wheat, millets, quinoa)Refined grains (white bread, many breakfast cereals)
Whole fruit and vegetablesFruit juice and sugary drinks
Legumes (beans, lentils, chickpeas)Sweets, pastries and foods high in added sugar
Plain dairy and dairy alternativesFlavoured, sweetened dairy products

The practical coaching message: focus on the quality and amount of carbohydrate to match the person's activity, rather than fearing carbohydrate itself. This chapter overlaps with PN Level 1's macronutrients chapter — useful extra practice.

📍 Exam lookup tip — Chapter 7. Know these without looking: 4 kcal per gram, RDA 130 g, AMDR 45–65%, insulin lowers and glucagon raises blood glucose, and that muscle glycogen can't leave the muscle. Know where to find these fast: the disaccharide pairs (sucrose, lactose, maltose), the GI and GL cut-offs, the GL formula, and fibre sources by type.
Knowledge Check · ~4 Minutes
🧠 Lesson 7 Knowledge Check

12 questions in the style of the CNC exam. Score 70%+ to mark this lesson complete.

🎯 Key Takeaways from Lesson 7
  • Carbohydrates are the body's preferred fuel, spare protein, and include fibre for gut health.
  • Mono- and disaccharides are simple sugars; oligo- and polysaccharides (starch, glycogen, fibre) are complex.
  • Soluble fibre forms a gel and can help lower LDL cholesterol; insoluble fibre adds bulk.
  • Insulin lowers blood glucose; glucagon raises it. Liver glycogen supports blood glucose; muscle glycogen fuels only that muscle.
  • GL = GI × carbs per serving ÷ 100 — a high-GI food can still have a low GL.
  • RDA 130 g/day, AMDR 45–65% of calories; keep free sugars under 10% of energy. Diabetes → doctor or dietitian.
✅ Your Lesson 7 Action Steps

Before moving to Lesson 8:

  1. Write out the three disaccharides and the two monosaccharides each one is made from.
  2. Estimate your own fibre intake for a typical day and compare it with 14 g per 1,000 kcal.
  3. Pick a food you eat often, look up its GI, and work out its GL for your usual serving.
  4. Complete the knowledge check above and review any question you missed.
RS
Written By
Riya Sharma
Fitness & wellness writer at The Flex Cult, working through NASM's Certified Nutrition Coach material after NASM-CPT and Precision Nutrition Level 1. Based in Pune, Maharashtra.
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Independent study resource. The Flex Cult is not affiliated with, endorsed by, or acting on behalf of NASM. This lesson is free exam-prep content, written originally based on NASM's publicly described CNC curriculum — not a substitute for NASM's official course. General education only — not medical or dietary advice. Rules on who may give nutrition advice vary by country and region; consult a doctor or registered dietitian for individual health needs.
Frequently Asked Questions
What does Chapter 7 of the NASM CNC cover?
What carbohydrates do, the difference between simple and complex carbohydrates, soluble and insoluble fibre, how carbohydrates are digested, how insulin, glucagon and glycogen regulate blood glucose, glycaemic index and glycaemic load, added sugars, carbohydrate needs and food sources.
What is the difference between glycaemic index and glycaemic load?
Glycaemic index ranks how quickly a food raises blood glucose compared with pure glucose. Glycaemic load also accounts for how much carbohydrate is in a normal serving: GL = GI × grams of carbohydrate ÷ 100. A food can have a high GI but a low GL if a serving contains little carbohydrate.
How much carbohydrate do people need?
The RDA is 130 g per day — the amount needed to supply the brain with glucose. The Acceptable Macronutrient Distribution Range is 45–65% of total calories. Needs rise with training volume, so athletes are often given targets in grams per kilogram of body weight.
What is the difference between soluble and insoluble fibre?
Soluble fibre dissolves in water to form a gel, which slows digestion and can help lower LDL cholesterol; oats, beans and apples are good sources. Insoluble fibre doesn't dissolve; it adds bulk and helps keep bowel movements regular; whole grains, bran and vegetable skins are good sources.
Can a nutrition coach give carbohydrate advice to someone with diabetes?
Managing blood glucose for a medical condition such as diabetes is medical nutrition therapy, which is outside a coach's scope in many places. Clients with diabetes should get carbohydrate guidance from their doctor or a registered dietitian.