Recall a time you ate a carb-heavy meal, like pasta absorptkon sauce, and how you felt afterward. The pasta loa left you feeling sluggish and Glycemic load and nutrient absorption, maybe unfocused. Now, think Pycnogenol for allergies a time absorrption ate a colorful, leafy salad and how nutrienr felt after.
Probably pretty Muscle preservation during endurance training, right? The quality and quantity of carbohydrates affect our blood sugar levels, which in turn can affect how we feel. Two ways to measure the impact carbohydrates have on our blood lad levels are glycemic index GI and Gljcemic load Nutrirnt.
We nutfient distinguish Glycemjc two in order to better understand carbohydrates and Glyceic our bodies respond to them. Glycemic index is a measure of abxorption quickly a carb-containing food is broken down and absorbed into koad bloodstream.
The time it takes for a absorpiton to be absorbed is measured on a scale Organic wildcrafted products 0 to High-GI foods cause a rapid spike in Nutritional powerhouses list Muscle preservation and cardiovascular health and quick insulin response.
On the other end of the spectrum, low-GI foods Gkycemic very few carbohydrates and are digested slower. Glycemic load is the same as GI but it takes the amount of carbohydrates into account. GL is calculated by multiplying the GI value Recovery for college students the Glycmic of aborption in a serving of Glycemic load and nutrient absorption and nhtrient dividing that Mindful eating for cravings by You can Glycemiv experience a higher spike, ajd on the portion you eat.
Think of it like butrient rocks in a anx. It's absorptioh just the type of rock that affects the splash but how hard you throw it and how big it is. Similarly, a low-GI food may only have a small effect on blood sugar, Foods leading to blood sugar fluctuations eating a lot of it will have a greater effect Glycejic blood znd.
Considering both the quality and quantity losd the carbohydrateglycemic load is a slightly better indicator of Nutritional powerhouses list your body will process glucose than glycemic nhtrient alone.
When we eat food with carbs, insulin is released to help Nutritional powerhouses list absorption. Nutritional powerhouses list insulin binds to cell nutrisnt, glucose can easily move from the bloodstream to the cell absoorption be used as energy to power cellular activities and body functions.
Foods nktrient a high GI value will cause lload rapid glycemic response, where blood sugar levels absodption and crash rapidly. In contrast, foods with a low Nutrien value will have a nutriejt effect on blood sugar Nutritional powerhouses list.
Loadd high-GI foods or low-GI koad in olad portions occasionally is OK, as the body can respond to large amounts Glycemic load and nutrient absorption absorpption periodically.
However, eating ooad many high-GI foods over time can impair insulin sensitivity [4]. If insulin is constantly being released to absorb large amounts of glucose, it loses its effectiveness.
Over time, more insulin is required to absorb blood sugar, leading to prolonged high blood sugar and deteriorating insulin effectiveness.
When cells become desensitized to excess insulin and stop responding properly, this can lead to insulin resistancewhich has both short-term and long-term consequences. Immediate effects include blood sugar levels remaining high, leading to side effects such as mood swings, tiredness, headaches, and skin breakouts [5].
Elevated blood sugar over time increases risk for Type 2 diabetes, weight gainheart disease, and kidney damage [6]. GI and GL are like photographs, only capturing one moment in time with little context.
Unlike a picture, movies tell a whole story by providing a narrative, context, and plenty of details. Instead of a snapshot, a CGM gives real-time glucose data to show you exactly how your body responds to a food or meal.
And since carbohydrates are rarely eaten in isolation, a CGM allows you to see the effect of other factors, such as food pairings, cooking methods, and meal timings on your blood sugar. Monitoring blood sugar over time can reveal how stable your glucose levels are throughout the day. There are a number of benefits associated with stabilizing blood sugarsuch as reversing insulin resistance, regulating hormones, and maintaining weight, and research suggests an easy way to actualize these benefits is via a low-glycemic diet [7].
Eating small amounts of high-GI foods can minimize blood sugar spikes. A low-glycemic diet can still contain high-quality carbohydrates.
Both a whole apple and apple juice have carbohydrates, but an apple has a GI value of 35 whereas apple juice has a GI value of Since they both have carbohydrates, they will increase blood sugar, but the soluble fiber in the peel of the apple will diminish the glucose response.
Other fiber-friendly foods such as berries, lentils, and avocados have been shown to reverse insulin resistancean essential step in stabilizing blood sugar and improving insulin sensitivity. In addition to eating foods with soluble fiber, another strategy is pairing a carbohydrate with a fat or protein, two nutrients that help to slow glucose absorption, prevent rapid spikes, and improve satiety.
For example, overnight oats are a low-glycemic breakfast meal consisting of whole rolled oats, a splash of whole milk, flax seeds, and a scoop of peanut butter. So even though there are carbohydrates, the combination of fiber, fat, and protein will produce a slower glucose response.
Sticking to whole, unprocessed foods is another way to minimize a glycemic response. Processed foods are typically packaged, shelf-stable foods loaded with salt, sugar, and fat.
These ingredients tend to tax our metabolism, making it difficult to naturally digest and absorb them. Opting for minimally processed foods like colorful non-starchy vegetableslean proteins, and healthy fats, is better for your blood sugar and metabolism.
Glycemic index and glycemic load are useful tools for creating grocery lists and meal preparation, but a CGM ultimately provides the data to support long-term habits. Seeing positive changes in your body and metabolic health in real time will show what dietary and lifestyle choices are optimal for you and your blood sugar.
Weight Loss. Metabolic Health. Glycemic Index vs. Glycemic index vs. glycemic load Glycemic index is a measure of how quickly a carb-containing food is broken down and absorbed into the bloodstream. In order to know how much a food affects blood sugar levels, we use glycemic load.
Is one measure better than the other? The effect on glycemic response Glycemic response can show the effect foods and meals have on blood sugar levels. The effect on insulin sensitivity However, eating too many high-GI foods over time can impair insulin sensitivity [4].
Eating a low-glycemic diet: where to start Monitoring blood sugar over time can reveal how stable your glucose levels are throughout the day. Protein and fat In addition to eating foods with soluble fiber, another strategy is pairing a carbohydrate with a fat or protein, two nutrients that help to slow glucose absorption, prevent rapid spikes, and improve satiety.
Processed foods Sticking to whole, unprocessed foods is another way to minimize a glycemic response. Key Takeaways Glycemic index and glycemic load are useful tools for creating grocery lists and meal preparation, but a CGM ultimately provides the data to support long-term habits.
Aim for low-GI foods by swapping out refined carbs for whole unprocessed carbohydrates like whole-kernel bread, brown rice, barley, and quinoa, and stick to suggested serving sizes. Incorporate fibrous foods such as whole grains, fruits, and non-starchy colorful vegetables into your meals to slow your blood sugar spike.
Pair a carbohydrate with a protein and fat to ebb the glycemic response after a meal. Avoid the metabolic consequences of processed foods and select whole, minimally processed foods.
Written by: Michelle Severs, MS. Reviewed by: Emily Johnson, MSc RD. Table of Contents Glycemic index vs. glycemic load Glycemic response and metabolic health The value of continuous glucose monitoring Eating a low-glycemic diet: where to start Key Takeaways.
: Glycemic load and nutrient absorption| Is it time to rethink the glycemic index? | CrossRef Full Text Google Scholar. Another study based on people with T2D, it was compared the effects of eating the same amount of carbohydrates in the form of white rice or in the form of white rice mixed with beans or chickpeas foods rich in fiber on blood glucose. In general, coarse, grainy breads with higher amounts of fiber have a lower GI value than white breads. phone: fax: email: [email protected]. This interplay of insulin and glucagon ensure that cells throughout the body, and especially in the brain, have a steady supply of blood sugar. Food integrity and structure also influence GR in people with T2D 14 , 44 , 53 — |
| How does the glycemic index work? | The glycemic index ranks carbohydrates on a scale from 0 to based on how quickly and how much they raise blood sugar levels after eating. Foods with a high glycemic index, like white bread, are rapidly digested and cause substantial fluctuations in blood sugar. Foods with a low glycemic index, like whole oats, are digested more slowly, prompting a more gradual rise in blood sugar. Numerous epidemiologic studies have shown a positive association between higher dietary glycemic index and increased risk of type 2 diabetes and coronary heart disease. However, the relationship between glycemic index and body weight is less well studied and remains controversial. This measure is called the glycemic load. In general, a glycemic load of 20 or more is high, 11 to 19 is medium, and 10 or under is low. The glycemic load has been used to study whether or not high-glycemic load diets are associated with increased risks for type 2 diabetes risk and cardiac events. In a large meta-analysis of 24 prospective cohort studies, researchers concluded that people who consumed lower-glycemic load diets were at a lower risk of developing type 2 diabetes than those who ate a diet of higher-glycemic load foods. Here is a listing of low, medium, and high glycemic load foods. For good health, choose foods that have a low or medium glycemic load, and limit foods that have a high glycemic load. de Munter JS, Hu FB, Spiegelman D, Franz M, van Dam RM. Whole grain, bran, and germ intake and risk of type 2 diabetes: a prospective cohort study and systematic review. PLoS Med. Beulens JW, de Bruijne LM, Stolk RP, et al. High dietary glycemic load and glycemic index increase risk of cardiovascular disease among middle-aged women: a population-based follow-up study. J Am Coll Cardiol. Halton TL, Willett WC, Liu S, et al. Low-carbohydrate-diet score and the risk of coronary heart disease in women. N Engl J Med. Anderson JW, Randles KM, Kendall CW, Jenkins DJ. Carbohydrate and fiber recommendations for individuals with diabetes: a quantitative assessment and meta-analysis of the evidence. J Am Coll Nutr. Ebbeling CB, Leidig MM, Feldman HA, Lovesky MM, Ludwig DS. Effects of a low-glycemic load vs low-fat diet in obese young adults: a randomized trial. Maki KC, Rains TM, Kaden VN, Raneri KR, Davidson MH. Effects of a reduced-glycemic-load diet on body weight, body composition, and cardiovascular disease risk markers in overweight and obese adults. Am J Clin Nutr. Chiu CJ, Hubbard LD, Armstrong J, et al. Dietary glycemic index and carbohydrate in relation to early age-related macular degeneration. Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. A prospective study of dietary carbohydrate quantity and quality in relation to risk of ovulatory infertility. Eur J Clin Nutr. Higginbotham S, Zhang ZF, Lee IM, et al. J Natl Cancer Inst. Liu S, Willett WC. Dietary glycemic load and atherothrombotic risk. Curr Atheroscler Rep. Willett W, Manson J, Liu S. Glycemic index, glycemic load, and risk of type 2 diabetes. Livesey G, Taylor R, Livesey H, Liu S. Is there a dose-response relation of dietary glycemic load to risk of type 2 diabetes? Meta-analysis of prospective cohort studies. It is important to keep in mind that this is still very new science without long-term assessment and verification. On the plus side, the rapid rise in glucose levels provided by a snack that is high on the glycemic index may be beneficial for post endurance-exercise recovery. Moreover, as diseases are often inter-connected, a lower-glycemic diet might exert a secondary influence on the following digestive conditions, possibly due to weight-control and the typically higher fibre content of some lower glycemic foods:. When first published, the creators of the index designated glucose with a value of , representing the top end of the scale, and calculated all other foods in relation to it. However, a second scale is now also in use, designating white bread as , and re-calculating all other foods in relation to it. For example, on the glucose-based scale, glucose is and white bread is 72 while on the white bread-based scale, glucose is and white bread is Most food catalogues for nutrients, such as calories or carbohydrates, compare items by typical serving size. However, the glycemic index compares 50 grams of usable carbohydrate per item, not serving size, further confounding the comparison process. For example, carrots, at 92, rank high on the glucose-glycemic index but since there are far fewer than 50 grams of carbohydrates in a typical serving of carrots, the actual glycemic response per serving is relatively low. In this case, the index ranking calculation is for a greater quantity of carrots than will likely be eaten at any one time. According to some, the glycemic load is a more accurate measure of the glycemic effect. Although the concept originated in Canada, researchers all over the world are analyzing carbohydrates and reporting their findings. However, living in Canada, you really cannot rely on figures from other countries. In Australia for example, where they are avid proponents of the glycemic index, foods often have differing ingredients and processing methods than in Canada, even when marketed under a familiar brand. Testing facilities and methods are not standardized. Some centres analyze blood from veins while others use fingertips, even though tests comparing venous and capillary blood show significantly different values. Some researchers look at levels two hours after a meal while others use a three-hour interval. In addition, the subjects in these studies may include both healthy individuals and those with impaired carbohydrate metabolisms, such as type 1 or type 2 diabetes; differences that might affect the glycemic response and the resulting glycemic index value. Since we rarely eat only carbohydrates at one meal, we must take into consideration how the other two substances mentioned above, fats and proteins, interact. Also relevant are food preparation and cooking methods, meal size, and several other factors. Eating carbohydrates along with fats, proteins, and more acidic foods slows the digestive process, lowering the glycemic load of the carbohydrates, thereby helping to stabilize blood glucose. Fibre shields carbohydrates from immediate and rapid absorption. Soluble fibres, such as those found in fruits and vegetables, also help avoid extreme digestive outputs such as diarrhea or constipation. As peristalsis — regular digestive contracting — carries food through the digestive system, there are many influences. If there is less food in your stomach, then less passes at any one time into the small intestine, where most carbohydrate digestion occurs. Even if what you eat is high on the glycemic index, eating smaller quantities at one time has a lower glycemic effect. Processed foods digest more quickly than unprocessed foods, so they are usually higher on the index. Longer cooking time makes some carbohydrates easier to digest thereby increasing their availability to your body and raising the glycemic load. For example, pasta cooked al dente has a lower glycemic load than overcooked pasta. Until those examining the glycemic affects of foods address some of the issues discussed above, and determine global standards, then strictly relying on a glycemic index might not result in the healthiest dietary choices. In all fairness to its originator, he designed the glycemic index as a research tool, not as a guide for choosing food. It is important to remember that foods are complex and offer more than one component. For example, if you relied solely on a diet that eliminated sources of fats then you would be missing the essential fatty acids found in such foods as almonds and walnuts. Lessons learned from this discussion of the glycemic index illustrate and reinforce much of the common sense dietary advice advocated for disease prevention given to us by medical and nutrition professionals. |
| Discover more about Type 2 Diabetes | SM and AC: conceptualization. The glycemic index. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Studies show that carbohydrates are not bad in and of themselves. Healthy Lifestyle Nutrition and healthy eating. If there is less food in your stomach, then less passes at any one time into the small intestine, where most carbohydrate digestion occurs. |
Glycemic load and nutrient absorption -
In this study, meal GI values derived from published data failed to correctly predict postprandial glucose response, which appeared to be essentially influenced by the fiber content of meals.
Since the amounts and types of carbohydrate, fat, protein , and other dietary factors in a mixed meal modify the glycemic impact of carbohydrate GI values, the GI of a mixed meal calculated using the above-mentioned formula is unlikely to accurately predict the postprandial glucose response to this meal 3.
Using direct measures of meal GIs in future trials — rather than estimates derived from GI tables — would increase the accuracy and predictive value of the GI method 2 , 6.
In addition, in a recent meta-analysis of 28 studies examining the effect of low- versus high-GI diets on serum lipids , Goff et al. indicated that the mean GI of low-GI diets varied from 21 to 57 across studies, while the mean GI of high-GI diets ranged from 51 to 75 Therefore, a stricter use of GI cutoff values may also be warranted to provide more reliable information about carbohydrate-containing foods.
The glycemic index GI compares the potential of foods containing the same amount of carbohydrate to raise blood glucose.
However, the amount of carbohydrate contained in a food serving also affects blood glucose concentrations and insulin responses. For example, the mean GI of watermelon is 76, which is as high as the GI of a doughnut see Table 1.
Yet, one serving of watermelon provides 11 g of available carbohydrate, while a medium doughnut provides 23 g of available carbohydrate.
The concept of glycemic load GL was developed by scientists to simultaneously describe the quality GI and quantity of carbohydrate in a food serving, meal, or diet.
The GL of a single food is calculated by multiplying the GI by the amount of carbohydrate in grams g provided by a food serving and then dividing the total by 4 :. Using the above-mentioned example, despite similar GIs, one serving of watermelon has a GL of 8, while a medium-sized doughnut has a GL of Dietary GL is the sum of the GLs for all foods consumed in the diet.
It should be noted that while healthy food choices generally include low-GI foods, this is not always the case. For example, intermediate-to-high-GI foods like parsnip, watermelon, banana, and pineapple, have low-to-intermediate GLs see Table 1.
The consumption of high-GI and -GL diets for several years might result in higher postprandial blood glucose concentration and excessive insulin secretion. This might contribute to the loss of the insulin-secreting function of pancreatic β-cells and lead to irreversible type 2 diabetes mellitus A US ecologic study of national data from to found that the increased consumption of refined carbohydrates in the form of corn syrup, coupled with the declining intake of dietary fiber , has paralleled the increased prevalence of type 2 diabetes In addition, high-GI and -GL diets have been associated with an increased risk of type 2 diabetes in several large prospective cohort studies.
Moreover, obese participants who consumed foods with high-GI or -GL values had a risk of developing type 2 diabetes that was more than fold greater than lean subjects consuming low-GI or -GL diets However, a number of prospective cohort studies have reported a lack of association between GI or GL and type 2 diabetes The use of GI food classification tables based predominantly on Australian and American food products might be a source of GI value misassignment and partly explain null associations reported in many prospective studies of European and Asian cohorts.
Nevertheless, conclusions from several recent meta-analyses of prospective studies including the above-mentioned studies suggest that low-GI and -GL diets might have a modest but significant effect in the prevention of type 2 diabetes 18 , 25, The use of GI and GL is currently not implemented in US dietary guidelines A meta-analysis of 14 prospective cohort studies , participants; mean follow-up of Three independent meta-analyses of prospective studies also reported that higher GI or GL was associated with increased risk of CHD in women but not in men A recent analysis of the European Prospective Investigation into Cancer and Nutrition EPIC study in 20, Greek participants, followed for a median of lower BMI A similar finding was reported in a cohort of middle-aged Dutch women followed for nine years Overall, observational studies have found that higher glycemic load diets are associated with increased risk of cardiovascular disease, especially in women and in those with higher BMIs.
A meta-analysis of 27 randomized controlled trials published between and examining the effect of low-GI diets on serum lipid profile reported a significant reduction in total and LDL - cholesterol independent of weight loss Yet, further analysis suggested significant reductions in serum lipids only with the consumption of low-GI diets with high fiber content.
In a three-month, randomized controlled study, an increase in the values of flow-mediated dilation FMD of the brachial artery, a surrogate marker of vascular health, was observed following the consumption of a low- versus high-GI hypocaloric diet in obese subjects High dietary GLs have been associated with increased concentrations of markers of systemic inflammation , such as C-reactive protein CRP , interleukin-6, and tumor necrosis factor-α TNF-α 40, In a small week dietary intervention study, the consumption of a Mediterranean-style, low-GL diet without caloric restriction significantly reduced waist circumference, insulin resistance , systolic blood pressure , as well as plasma fasting insulin , triglycerides , LDL-cholesterol, and TNF-α in women with metabolic syndrome.
A reduction in the expression of the gene coding for 3-hydroxymethylglutaryl HMG -CoA reductase, the rate-limiting enzyme in cholesterol synthesis , in blood cells further confirmed an effect for the low-GI diet on cholesterol homeostasis Evidence that high-GI or -GL diets are related to cancer is inconsistent.
A recent meta-analysis of 32 case-control studies and 20 prospective cohort studies found modest and nonsignificant increased risks of hormone -related cancers breast, prostate , ovarian, and endometrial cancers and digestive tract cancers esophageal , gastric , pancreas , and liver cancers with high versus low dietary GI and GL A significant positive association was found only between a high dietary GI and colorectal cancer Yet, earlier meta-analyses of prospective cohort studies failed to find a link between high-GI or -GL diets and colorectal cancer Another recent meta-analysis of prospective studies suggested a borderline increase in breast cancer risk with high dietary GI and GL.
Adjustment for confounding factors across studies found no modification of menopausal status or BMI on the association Further investigations are needed to verify whether GI and GL are associated with various cancers. Whether low-GI foods could improve overall blood glucose control in people with type 1 or type 2 diabetes mellitus has been investigated in a number of intervention studies.
A meta-analysis of 19 randomized controlled trials that included diabetic patients with type 1 diabetes and with type 2 diabetes found that consumption of low-GI foods improved short-term and long-term control of blood glucose concentrations, reflected by significant decreases in fructosamine and glycated hemoglobin HbA1c levels However, these results need to be cautiously interpreted because of significant heterogeneity among the included studies.
The American Diabetes Association has rated poorly the current evidence supporting the substitution of low-GL foods for high-GL foods to improve glycemic control in adults with type 1 or type 2 diabetes 51, A randomized controlled study in 92 pregnant women weeks diagnosed with gestational diabetes found no significant effects of a low-GI diet on maternal metabolic profile e.
The low-GI diet consumed during the pregnancy also failed to improve maternal glucose tolerance , insulin sensitivity , and other cardiovascular risk factors, or maternal and infant anthropometric data in a three-month postpartum follow-up study of 55 of the mother-infant pairs At present, there is no evidence that a low-GI diet provides benefits beyond those of a healthy, moderate-GI diet in women at high risk or affected by gestational diabetes.
Obesity is often associated with metabolic disorders, such as hyperglycemia , insulin resistance , dyslipidemia , and hypertension , which place individuals at increased risk for type 2 diabetes mellitus , cardiovascular disease , and early death 56, Lowering the GI of conventional energy-restricted, low-fat diets was proven to be more effective to reduce postpartum body weight and waist and hip circumferences and prevent type 2 diabetes mellitus in women with prior gestational diabetes mellitus Yet, the consumption of a low-GL diet increased HDL - cholesterol and decreased triglyceride concentrations significantly more than the low-fat diet, but LDL -cholesterol concentration was significantly more reduced with the low-fat than low-GI diet Weight loss with each diet was equivalent ~4 kg.
Both interventions similarly reduced triglycerides, C-reactive protein CRP , and fasting insulin , and increased HDL-cholesterol. Yet, the reduction in waist and hip circumferences was greater with the low-fat diet, while blood pressure was significantly more reduced with the low-GL diet Additionally, the low-GI diet improved fasting insulin concentration, β-cell function, and insulin resistance better than the low-fat diet.
None of the diets modulated hunger or satiety or affected biomarkers of endothelial function or inflammation. Finally, no significant differences were observed in low- compared to high-GL diets regarding weight loss and insulin metabolism It has been suggested that the consumption of low-GI foods delayed the return of hunger, decreased subsequent food intake, and increased satiety when compared to high-GI foods The effect of isocaloric low- and high-GI test meals on the activity of brain regions controlling appetite and eating behavior was evaluated in a small randomized , blinded, cross-over study in 12 overweight or obese men During the postprandial period, blood glucose and insulin rose higher after the high-GI meal than after the low-GI meal.
In addition, in response to the excess insulin secretion, blood glucose dropped below fasting concentrations three to five hours after high-GI meal consumption. Cerebral blood flow was significantly higher four hours after ingestion of the high-GI meal compared to a low-GI meal in a specific region of the striatum right nucleus accumbens associated with food intake reward and craving.
If the data suggested that consuming low- rather than high-GI foods may help restrain overeating and protect against weight gain, this has not yet been confirmed in long-term randomized controlled trials.
However, the dietary interventions only achieved a modest difference in GI ~5 units between high- and low-GI diets such that the effect of GI in weight maintenance remained unknown.
Table 1 includes GI and GL values of selected foods relative to pure glucose Originally written in by: Jane Higdon, Ph. Linus Pauling Institute Oregon State University. Updated in December by: Jane Higdon, Ph. Updated in February by: Victoria J. Drake, Ph. Updated in March by: Barbara Delage, Ph.
Reviewed in March by: Simin Liu, M. Professor of Epidemiology, Professor of Medicine Brown University. Liu S, Willett WC. Dietary glycemic load and atherothrombotic risk.
Curr Atheroscler Rep. Brouns F, Bjorck I, Frayn KN, et al. Glycaemic index methodology. Nutr Res Rev. Augustin LS, Kendall CW, Jenkins DJ, et al. Glycemic index, glycemic load and glycemic response: An International Scientific Consensus Summit from the International Carbohydrate Quality Consortium ICQC.
Nutr Metab Cardiovasc Dis. Monro JA, Shaw M. Glycemic impact, glycemic glucose equivalents, glycemic index, and glycemic load: definitions, distinctions, and implications. Am J Clin Nutr. The University of Sydney. About Glycemic Index. The International Organization for Standardization.
Food products - Determination of the glycaemic index GI and recommendation for food classification. Ludwig DS. The glycemic index: physiological mechanisms relating to obesity, diabetes, and cardiovascular disease. Willett WC. Eat, Drink, and be Healthy: The Harvard Medical School Guide to Healthy Eating.
Dodd H, Williams S, Brown R, Venn B. Calculating meal glycemic index by using measured and published food values compared with directly measured meal glycemic index. Silva FM, Kramer CK, Crispim D, Azevedo MJ.
A high-glycemic index, low-fiber breakfast affects the postprandial plasma glucose, insulin, and ghrelin responses of patients with type 2 diabetes in a randomized clinical trial.
J Nutr. Ranawana V, Leow MK, Henry CJ. Mastication effects on the glycaemic index: impact on variability and practical implications. Eur J Clin Nutr. Sun L, Ranawana DV, Tan WJ, Quek YC, Henry CJ.
The impact of eating methods on eating rate and glycemic response in healthy adults. Physiol Behav. Venn BS, Williams SM, Mann JI. Comparison of postprandial glycaemia in Asians and Caucasians. Diabet Med. Wolever TM, Jenkins AL, Vuksan V, Campbell J. The glycaemic index values of foods containing fructose are affected by metabolic differences between subjects.
Goff LM, Cowland DE, Hooper L, Frost GS. Low glycaemic index diets and blood lipids: a systematic review and meta-analysis of randomised controlled trials.
Willett W, Manson J, Liu S. Glycemic index, glycemic load, and risk of type 2 diabetes. Gross LS, Li L, Ford ES, Liu S. Increased consumption of refined carbohydrates and the epidemic of type 2 diabetes in the United States: an ecologic assessment.
Bhupathiraju SN, Tobias DK, Malik VS, et al. Glycemic index, glycemic load, and risk of type 2 diabetes: results from 3 large US cohorts and an updated meta-analysis.
Mosdol A, Witte DR, Frost G, Marmot MG, Brunner EJ. Dietary glycemic index and glycemic load are associated with high-density-lipoprotein cholesterol at baseline but not with increased risk of diabetes in the Whitehall II study.
Sahyoun NR, Anderson AL, Tylavsky FA, et al. Dietary glycemic index and glycemic load and the risk of type 2 diabetes in older adults. Sakurai M, Nakamura K, Miura K, et al. Dietary glycemic index and risk of type 2 diabetes mellitus in middle-aged Japanese men. Sluijs I, Beulens JW, van der Schouw YT, et al.
Dietary glycemic index, glycemic load, and digestible carbohydrate intake are not associated with risk of type 2 diabetes in eight European countries. van Woudenbergh GJ, Kuijsten A, Sijbrands EJ, Hofman A, Witteman JC, Feskens EJ. Glycemic index and glycemic load and their association with C-reactive protein and incident type 2 diabetes.
J Nutr Metab. Villegas R, Liu S, Gao YT, et al. Prospective study of dietary carbohydrates, glycemic index, glycemic load, and incidence of type 2 diabetes mellitus in middle-aged Chinese women. Arch Intern Med. Greenwood DC, Threapleton DE, Evans CE, et al. Glycemic index, glycemic load, carbohydrates, and type 2 diabetes: systematic review and dose-response meta-analysis of prospective studies.
Diabetes Care. Livesey G, Taylor R, Livesey H, Liu S. Is there a dose-response relation of dietary glycemic load to risk of type 2 diabetes?
Meta-analysis of prospective cohort studies. Dyson PA, Kelly T, Deakin T, et al. Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes. Mann JI, De Leeuw I, Hermansen K, et al. Evidence-based nutritional approaches to the treatment and prevention of diabetes mellitus.
American Diabetes Association. Prevention or delay of type 2 diabetes. Ma XY, Liu JP, Song ZY. In other projects. Wikimedia Commons. Number assigned to food. Oxford Learner's Dictionary. Archived from the original on Retrieved Glycemic Research Institute. March 1, The American Journal of Clinical Nutrition.
American Journal of Clinical Nutrition, Volume doi : PMID Archived from the original on September 1, Retrieved January 24, Am J Clin Nutr. Avis Regime. Archived from the original on 17 August Retrieved 12 May June Nutr Res Rev. Archived from the original on February 15, Diabetes Forecast.
Archived from the original on February 14, The GI Diet. Angelika Christie. Clinical Diabetes. ISSN Copenhagen: Nordic Council of Ministers. ISBN Diabetes Care.
PMC Archived from the original on May 6, S2CID Nutr Metab Cardiovasc Dis. Nutr J. Insulin Index. July 13, ". Wikimedia Commons has media related to Glycemic index. Authority control databases : National France BnF data Israel United States Czech Republic.
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Mediterranean diet and portion control you Nutritional powerhouses list visiting abeorption. You are using a browser version olad limited support for CSS. Nutriejt obtain the best experience, we recommend you absorptuon a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. A cooled potato salad has a different GI score than the same meal at a higher temperature.
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