Short answers: The difference between maltodextrin and dextrose? It's very small (but malto essentially breaks down slower than dextrose - slightly! but enough!).
The reason that people include both in their PWO shake?? Essentially, pure dextrose packs too much of a punch....and malto slows things down (relatively).
Longer, overly complex answers? Here you go....I didn't write this, credit to Venom....it goes into a lot of depth but it's a good read.
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Dextrose, also known as glucose, d-glucose, or blood sugar, occurs naturally in food, and is not very sweet. It is a monosaccharide (basic unit of carbohydrates, C6H1206) and has a high glycemic index (digested carbohydrates ability to raise blood glucose levels, also called Gl) ranking at 100.
Maltodextrin is a flavorless, easily digested carbohydrate made from cornstarch. The starch is cooked, and then acid and/or enzymes (a process similar to that used by the body to digest carbohydrates) are used to break the starch into smaller chains (3-20 chains in maltodextrin). These chains are composed of several dextrose molecules held together by very weak hydrogen bonds.
Lets do a quick review on the terms we just discussed; carbohydrates are molecules of carbon, hydrogen, and oxygen produced by plants through photosynthesis. The term saccharide is a synonym for carbohydrate; a monosaccharide (mono=1) is the fundamental unit of carbohydrates. Disaccharides (Di=2) are molecules containing 2 monosaccharide units. Di and monosaccharides are also known as sugars, simple sugars, or simple carbohydrates. Next are oligosaccharides, and polysaccharides. Oligosaccharides are made of 3-9 monosaccharide links. Polysaccharides consist of 10 to thousands of monosaccharide links. A complex carbohydrate refers to many monosaccharide units linked together. In addition, you will often hear the terms “long”, and “short” carbohydrate chains. Short carbohydrate chains are those under 10 sugar molecules. And long chains are those over 10 sugar molecules. Which fits in conjunction with the above terms, Oligosaccharides and Polysaccharides. Now, lets apply this to dextrose, and maltodextrin.
As I am sure you have heard, dextrose is labeled a simple carbohydrate and Maltodextrin complex. And now this should make perfect sense. But don’t be fooled by the word, “complex.” The bonds that compose maltodextrin are very weak, and readily broken apart in your stomach, and the chain is still extremely minimal in composition. Because of these bonds, and composition, digestion and Gl of maltodextrin is a fraction slower than dextrose. Now, before we move on, I want to establish why this is so, and what exactly hydrogen bonds are.
Our goal post workout is to maintain a prompt digestion rate so nutrients can transport swiftly, and efficiently to our muscles. With that said, it has been shown that this process slows when the ingested fluid contains a high osmolarity concentration (the second concept studied). Osmolarity again is dependent on the number of particles in a solution. That is, a100-milliliter solution with 20 glucose molecules will have a higher osmolarity then a100-millileter solution that only contains 10 molecules. The shorter chain length a carbohydrate has, the higher it raises the solution's osmolarity. Therefore, it is no surprise that a pure glucose solution (or dextrose, a monosaccharide) induces very high concentrations of solute.
Fortunately these negative effects become greatly reduced when the drink contains a glucose polymer stacked with dextrose. But we still want a carbohydrate that is easily digested, and has a high Gl. Hence we use a combination of dextrose and maltodextrin. Osmolarity will be decreased, and glucose will still enter the blood stream at a proficient rate, thus maintaining its anabolic nature.
A second factor concerning osmolarity must now be examined. From a clinical standpoint it is vital to take into consideration the fact that plasma (the liquid portion of blood) has an Osmolarity of 300 mOsm. This means that if one were to inject a solution with a greater concentration of solute into their blood, it would cause water from inside their red blood cells to leave by Osmosis (water always travels down its concentration gradient) and move into the plasma, in turn shrinking the erythrocytes (red blood cells). This is because the cells are iso-osmotic to the plasma (both have the same concentration of solute).
A similar concept can be applied to your post workout meal. If a competitor were to consume a solution that was hypertonic or had a higher concentration of solute then 300 mOsm it could dehydrate them (showing why digestion is rightfully slowed in a high concentrated solution). The addition of maltodextrin once again solves this problem.