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Dietary Fiber pp 167-179 | Cite as

The Glycemic Index: Blood Glucose Response to Foods

  • David J. A. Jenkins
  • Thomas M. S. Wolever
  • Alexandra L. Jenkins
  • Lilian U. Thompson
  • A. Venketeshwer Rao
  • Thomas Francis

Abstract

Much of the current interest in the blood glucose responses to food evolved as a natural consequence of earlier dietary fiber studies. Considerable impetus has also come from the need to find sustained release or lente carbohydrate foods that would fit the requirements for the diabetic diet, where an increase in carbohydrate intake has been recommended [Committee of the American Diabetes Association on Food and Nutrition, 1979; Special Report Committee, 1981 (Canadian Diabetes Association); Nutrition Sub-Committee of the British Diabetic Association’s Medical Advisory Committee, 1982)]. Such studies, therefore, have focused attention on the differences among the foods and on those factors, including fiber, that were responsible for these differences. Investigation of the physiological effect of foods has proceeded in a similar fashion to what was applied to the screening of dietary fibers. Foods have been tested to determine whether there were in fact differences in digestibiity and whether the rate of nutrient release from the gastrointestinal tract might be a factor in determining the glycemic response (Jenkins et al., 1982, 1984c; 0’Dea et al., 1981). In turn, the glycemic responses to a range of foods have been studied in both normal and diabetic individuals and the foods analyzed for fiber, macronutrients, and selected antinutrients to assess whether these could account for the observed differences.

Keywords

Glycemic Index Glycaemic Index Mixed Meal High Fiber Diet Glycemic Response 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Albrink, M. J., Newman, T., and Davidson, P. C., 1979, Effect of high and low-fiber diets on plasma lipids and insulin, Am. J. Clin. Nutr. 32: 1486–1491.Google Scholar
  2. Anderson, I. H., Levine, A. S., and Levitt, M. D., 1981, Incomplete absorption of the carbohydrate in all purpose wheat flour, N. Engl. J. Med. 304: 891–892.CrossRefGoogle Scholar
  3. Anderson, J. W., and Ward, K.,1978, Long term effects of high carbohydrate, high fiber diets on glucose and lipid metabolism: A preliminary report on patients with diabetes, Diabetes Care 1: 77–82.CrossRefGoogle Scholar
  4. Anderson, J. W., and Ward, K., 1979, High carbohydrate, high fiber diets for insulin treated men with diabetes mellitus, Am. J. Clin. Nutr. 32: 2312–2321.Google Scholar
  5. Anderson, J., Story, C., Sibling, B., and Chen, W.-J. L.; 1984, Hypocholesterolemic effects of high fiber diets rich in water-soluble plant fibers: Long term studies with oatbran and bean supplemented diets for hypercholesterolemic men, Can. Dietet. J. 45: 140–148.Google Scholar
  6. Bantle, J. P., Laine, D. C., Castle, G. W., Thomas, J. W., Hoogwerf, B.J., and Goetz, F. C., 1983, Postprandial glucose and insulin responses to meals containing different carbohydrates in normal and diabetic subjects, N. Engl. J. Med. 309: 7–12.Google Scholar
  7. Bingwen, L., Zhaofeny, W., Wanshen, L., and Rongjue, Z., 1981, Effects of bean meal on serum cholesterol and triglycerides, Chinese Med. J. 94: 455–8.Google Scholar
  8. Committee of the American Diabetes Association on Food and Nutrition, 1979, Special Report: Principles of nutrition and dietary recommendations for individuals with diabetes mellitus, Diabetes Care 2: 520–523.Google Scholar
  9. Crapo, P. A., Reaven, G., and Olefsky, J., 1977, Post-prandial plasma-glucose and insulin responses to different complex carbohydrates, Diabetes 26: 1178–1183.CrossRefGoogle Scholar
  10. Crapo, P. A., Insel, J., Sperling, M., and Kolterman, O. G., 1981, Comparison of serum glucose, insulin and glucagon responses to different types of complex carbohydrate in non- insulin-dependent diabetic patients, Am. J. Clin. Nutr. 34:184–190.Google Scholar
  11. Fagans, S. S., Floyd, J. C., Knopf, R. F., and Conn, J. W., 1967, Effect of amino acids and proteins on insulin secretion in man, Rec. Prog. Horm. Res. 23: 617–656.Google Scholar
  12. Grande, F., Anderson, J. T., and Keys, A., 1965, Effect of carbohydrates of leguminous seeds, wheat and potatoes on serum cholesterol in man, J. Nutr. 86: 313–317.Google Scholar
  13. Haber, G. B., Heaton, K. W., Murphy, D., and Burroughs, L. F., 1977, Depletion and disruption of dietary fibre: Effects on satiety, plasma-glucose, and insulin Lancet 2:679–682.Google Scholar
  14. Jenkins, D. J. A., and Wolever, T. M. S., 1981, Slow release carbohydrate and the treatment of diabetes, Proc. Nutr. Soc. 40: 227–235.Google Scholar
  15. Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Barker, H. M., Fielden, H., Baldwin, J. M., Bowling, A. C., Newman, H. C., Jenkins, A. L., and Goff, D. V., 1981a, Glycemic index of foods: A physiological basis for carbohydrate exchange, Am. J. Clin. Nutr. 34: 362–366.Google Scholar
  16. Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Barker, H. M., Fielden, H., and Gassull, M. A., 1981b, Lack of effect of refining on the glycemic response to cereals, Diabetes Care 4:509–513.Google Scholar
  17. Jenkins, D. J. A., Ghafari, H., Wolever, T. M. S., Taylor, R. H., Barker, H. M., Fielden, H., Jenkins, A. L., and Bowling, A. C., 1982, Relationship between the rate of digestion of foods and post-prandial glycemia, Diabetologia 22: 450–455.CrossRefGoogle Scholar
  18. Jenkins, D. J. A., Wong, G. S., Patten, R., Bird, J., Hall, M., Buckley, G. C., McGuire, V., Reichert, R., and Little, J. A., 1983a, Leguminous seeds in the dietary management of hyperlipidemia, Am. J. Clin. Nutr. 38: 567–573.Google Scholar
  19. Jenkins, D. J. A., Wolever, T. M. S., Jenkins, A. L., Lee, R., Wong, G. S., and Josse, R., 1983b, Glycemic response to wheat products: Reduced response to pasta but no effect of fiber, Diabetes Care 6: 155–159.CrossRefGoogle Scholar
  20. Jenkins, D. J. A., Wolever, T. M. S., Jenkins, A. L., Thorne, M. J., Lee, R., Kalmusky, J., Reichert, R., and Wong, G. S., 1983c, The glycaemic index of foods tested in diabetic patients: A new basis for carbohydrate exchange favouring the use of legumes, Diabetolgia 24:257–264.CrossRefGoogle Scholar
  21. Jenkins, D. J. A., Wolever, T. M. S., Jenkins, A. L., Josse, R. G., and Wong, G. S., 1984a, The glycaemic response to carbohydráte foods, Lancet 2: 388–391.CrossRefGoogle Scholar
  22. Jenkins, D. J. A., Wolever, T. M. S., Wong, G. S., Kenshole, A., Josse, R. G., Thompson, L. U., and Lam, K. Y., 1984b, Glycemic responses to foods: Possible differences between insulin-dependent and non-insulin-dependent diabetics, Am. J. Clin. Nutr., 40: 971–981.Google Scholar
  23. Jenkins, D. J. A., Wolever, T. M. S., Thorne, M. J., Jenkins, A. L., Wong, G. S., and Josse, R. G., 1984c, The relationship between glycemic response, digestibility and factors influencing the dietary habits of diabetics, Am. J. Clin. Nutr., 40: 1175–1191.Google Scholar
  24. Jenkins, D. J. A., Wolever, T. M. S., Thorne, M. J., Jenkins, A. L., Wong, G. S., and Josse, R. G., 1984c, The relationship between glycemic response, digestibility and factors influencing the dietary habits of diabetics, Am. J. Clin. Nutr., 40: 1175–1191.Google Scholar
  25. Kiehm, T. G., Anderson, J. W., and Ward, K., 1978, Beneficial effects of a high carbohydrate high fiber diet in hyperglycemic men, Am. J. Clin. Nutr. 29: 895–899.Google Scholar
  26. Kirby, R. W., Anderson, J. W., Sieling, B., Rees, E. D., Chen, W.-J. L., Miller, R. E., Kay, R. M., 1981, Oat-bran intake selectively lowers serum low-density lipoprotein cholesterol concentrations of hypercholesterolemic men, Am. J. Clin. Nutr. 34: 824–829.Google Scholar
  27. Nutrition Sub-Committee of the British Diabetic Association’s Medical Advisory Committee, 1982, Dietary recommendations for diabetics for the 1980s—A Policy Statement by the British Diabetic Association, Hum. Nutr. Appl. Nutr. 36A: 378–394.Google Scholar
  28. Nuttall, F. Q., Mooradian, A. D., DeMarais, R., and Parker, S., 1983, The glycemic effect of different meals approximately isocaloric and similar in protein, carbohydrate, and fat content as calculated using the Ada exchange lists, Diabetes Care 6: 432–435.CrossRefGoogle Scholar
  29. O’Dea, K., Nestol, P. J., and Antonoff, L., 1980, Physical factors influencing postprandial glucose and insulin responses to starch, Am. J. Clin. Nutr. 33: 760–765.Google Scholar
  30. O’Dea, K., Snow, P., and Nestel, P., 1981, Rate of starch hydrolysis in vitro as a predictor of metabolic responses to complex carbohydrate in vivo, Am. J. Clin. Nutr 34: 1991–1993.Google Scholar
  31. Otto, H, Bleyer, G., Pennartz, M., Sabin, G., Schauberger, G., and Spaethe, K., 1973, Kohlen- hydrataustausch nach Biologischen Äquivalenten, in: Diätetik bei Diabetes Mellitus ( H. Otto and R. Spaethe, eds.), Hans Huber, Bern, pp. 41–50.Google Scholar
  32. Potter, J. G., Coffman, K. P., Reid, R. L., Krall, J. M., and Albrink, M. J., 1981, Effect of test meals of varying dietary fiber content on plasma insulin and glucose response, Am. J. Clin. Nutr. 34: 328–334.Google Scholar
  33. Rivellese, A., Riccardi, G., Giacco, A., Pacioni, D., Genovese, S., Mattioli, P. L., and Mancini, M., 1980, Effect of dietary fibre on glucose control and serum lipoproteins in diabetic patients, Lancet 2: 447–450.CrossRefGoogle Scholar
  34. Simpson, H. C. R, Simpson, R. W, Lousley, S., Carter, R. D., Geekie, M., Hockaday, T. D. R., and Mann, J. I., 1981, A high carbohydrate leguminous fibre diet improves all aspects of diabetic control, Lancet 1: 1 - 5.CrossRefGoogle Scholar
  35. Special Report Committee, 1981, Guidelines for the nutritional management of diabetes mellitus: A special report from the Canadian Diabetes Association, J. Can. Dietet. Assoc. 42: 110–118.Google Scholar
  36. Thomas, E. J., 1957, Mechanics and regulation of gastric emptying, Physiol. Rev. 37: 453–474.Google Scholar
  37. Walker, A. R. P., and Walker, B. F., 1984, Glycaemic index of South African foods determined in rural blacks—A population at low risk to diabetes, Hum. Nutr. Clin. Nutr., 36C: 215–222.Google Scholar
  38. Walker, A. R. P., and Walker, B. F., 1984, Glycaemic index of South African foods determined in rural blacks—A population at low risk to diabetes, Hum. Nutr. Clin. Nutr., 36C: 215–222.Google Scholar
  39. Yoon, J. H., Thompson, L. U., and Jenkins, D. J. A., 1983, The effect of phytic acid on in vitro rate of starch digestibility and blood glucose response, Am. J. Clin. Nutr. 38: 835–842.Google Scholar

Copyright information

© Plenum Press, New York 1986

Authors and Affiliations

  • David J. A. Jenkins
    • 1
  • Thomas M. S. Wolever
    • 1
  • Alexandra L. Jenkins
    • 1
  • Lilian U. Thompson
    • 2
  • A. Venketeshwer Rao
    • 2
  • Thomas Francis
    • 2
  1. 1.Department of Nutritional Sciences, Faculty of Medicine, and Division of Endocrinology and MetabolismSt. Michael’s Hospital, University of TorontoTorontoCanada
  2. 2.Department of Nutritional Sciences, Faculty of MedicineUniversity of TorontoTorontoCanada

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