Klein 24.3 and 24.4.
While Fischer projections provide a convenient way to visualize the linear stereochemistry of monosaccharides, sugars in aqueous solution do not exist primarily as open-chain aldehydes or ketones. Instead, the internal hydroxyl groups attack the carbonyl carbon in an intramolecular reaction to form stable cyclic hemiacetals or hemiketals.
As we established in our study of carbonyl chemistry, an alcohol can add reversibly to an aldehyde or ketone to form a hemiacetal:
Depending on which hydroxyl group attacks the carbonyl, monosaccharides form different ring sizes:
When the planar carbonyl carbon ($\text{C1}$) is converted into a tetrahedral hemiacetal carbon during ring closure, a new stereocenter is created:
Because hemiacetal formation is a reversible equilibrium, cyclic sugars exhibit a fascinating physical property known as mutarotation: