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For instance, high glycemic foods include sugar, candy, breakfast
cereal and bagels. Lower glycemic foods include legumes, whole grains, and
vegetables. When blood glucose goes up quickly, insulin usually responds
quickly. The amount of insulin released usually matches the amount of
glucose present. This has led some people to suggest that a low-GI diet is a
healthy one. While an interesting measure of the physiological response to
carbohydrate in the diet, the GI doesn’t tell the whole story. First, we don’t
eat most foods by themselves. (When was the last time you ate a plain slice
of bread as a meal?) Since protein, fat, and fiber all change GI, eating food
as part of a meal will change the GI. Then there’s what’s called the
Glycemic Load (GL).
Researchers often use the glycemic load as another, more realistic
measure. The glycemic load of a food is based on the glycemic index
multiplied by the serving size of the food. While this gives a better picture
of how fast or significantly blood sugar may go up after a meal, GL still has
some of the same problems as GI. And it too doesn’t take into account the
other elements the food may have to offer (fiber, water, phytochemicals,
macronutrients, etc.). While GI and glycemic load are somewhat useful in
determining overall glucose load, they aren’t the best predictors of insulin
response to a meal, which is the measure most closely correlated with
health.
Another index, the insulin index (II), measures the amount of insulin
the body produces in response to a particular food. Interestingly, the II does
not always match the GI. You may be surprised to know, in fact, that high-
protein and high-fat foods can stimulate greater insulin responses than you’d
expect, while some high-GI foods produce surprisingly low insulin
responses.
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