The paper proposes that Alzheimer's disease may be the consequence of a maladaptation to an evolutionary-based survival pathway triggered by fructose metabolism, which initially helps preserve critical brain functioning during starvation but becomes injurious when engaged for extensive periods. Although more studies are needed on the role of fructose metabolism and its metabolite, uric acid, in Alzheimer’s disease, it is suggested that both dietary and pharmacologic trials to reduce fructose exposure or block fructose metabolism should be performed to determine whether there is potential benefit in the prevention, management, or treatment of this disease.