The glycemic index: similarity of values derived in insulin-dependent and non-insulin-dependent diabetic patients.
Abstract
To see whether relative differences in the glycemic responses to different foods were similar in insulin-dependent (IDDM) and non-insulin-dependent diabetic patients (NIDDM) we determined the glycemic index (GI) of a total of 20 foods and mixed test meals in groups of IDDM and NIDDM volunteers. The mean GI values ranged from 32 in NIDDM and 41 in IDDM (pearled barley) to 105 in NIDDM and 111 in IDDM (bread with cheese and tomato). The correlation between the mean GI values in IDDM and NIDDM was highly significant (r = 0.927, p less than 0.001). The mean GI values for 15 of the 20 test meals was greater in IDDM than in NIDDM (mean of GI for all 20 foods, 76 in IDDM compared with 68 in NIDDM, p less than 0.005). However, the difference in GI between IDDM and NIDDM was t statistically significant for 19 of the 20 individual test meals. Greater within-individual variability of glycemic responses in IDDM probably accounts for the slightly greater mean GI value seen in IDDM compared with NIDDM. The addition of 32 g cheddar cheese to four foods which were also fed without cheese had no significant effect on the GI in NIDDM (mean GI of 68 without cheese compared with 72 for the meals with cheese), but had a small effect in IDDM where the mean GI was increased from 72 to 87 (p less than 0.05). However, despite small increases in glycemic response to foods with added cheese, the relative differences between foods were unaffected by the addition of cheese in both IDDM and NIDDM. It is concluded that mean GI values for foods are very similar in IDDM and NIDDM patients.
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Subject characteristics including normal versus diabetic status, type 2 versus type 1 diabetes, oral agents versus insulin, good versus poor metabolic control, children versus adults with type 1 diabetes, rural African versus Western subjects, and glucose tolerance status and BMI have no significant effect on mean glycaemic index values.
“Subject characteristics that have been examined specifically and were found to have no significant effect on mean GI include: normal v. diabetic subjects (Jenkins et al. 1983); individuals with type 2 diabetes v. individuals with type 1 diabetes (Wolever et al. 1987;Livesey, 2002);”
From Glycaemic index methodology (2005) · cites this paper as Wolever et al. 1987
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Franklin, J. (2009) · doi:10.1002/9781444307627.ch21 · Cited by 4 · see citing works
Lukito, W. (2001) · Asia Pacific Journal of Clinical Nutrition · doi:10.1111/j.1440-6047.2001.00240.x · Cited by 23 · see citing works
Effects of kefirs on glycemic, insulinemic and satiety responses
Kong, K. L. (2009) · doi:10.31274/etd-180810-2109 · Cited by 3 · see citing works
Lan‐Pidhainy, X. (2012) · TSpace (University of Toronto) · Cited by 2 · see citing works
Fibers: Healthy Component in Whole Wheat and Rye Flours
Castro, M. L. G., Larregain, C. C., Coscarello, E. N., & Aguerre, R. J. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.83341 · Cited by 1 · see citing works
Dietary fiber in the Management of Diabetes
Wolever, T. M. S. (1990) · Springer eBooks · doi:10.1007/978-1-4613-0519-4_22 · Cited by 1 · see citing works
Self-citationDevelopment of a rapid assessment method for the glycaemic index
Gibson, N. (2011) · Cited by 1 · see citing works
Structure of Whole Grain Breads: Sensory Perception and Health Effects
Autio, K., Liukkonen, K. H., Mykkänen, H. M., Katina, I., Roininen, K., & Poutanen, K. S. (2007) · doi:10.1002/9780470277607.ch9
Predicting the Glycaemic Index of Mixed Meals
Dodd, H. (2011) · Otago University Research Archive (University of Otago)
Challenges in measuring glycaemic index
Hätönen, K. A. (2014) · STM:n Hallinnonalan avoin julkaisuarkisto (Julkari)
Glycemic Responses of Premature Varieties of Plantain Meals
Ekpo, A., Jimmy, E. O., & Eseyin, O. R. (2014)
GIycemic Index and Women’s Health
Philippou, E. (2016) · CRC Press eBooks · doi:10.1201/9781315371764-11
Measuring the Glycemic Index of Foods
(2016) · CRC Press eBooks · doi:10.1201/9781315371764-4
- Authors
- Wolever, T. M., Jenkins, D. J., Josse, R. G., Wong, G. S., & Lee, R.
- Venue
- Journal of the American College of Nutrition
- Publisher
- Informa UK Limited
- Published
- 1987-08
- Volume
- 6
- Issue
- 4
- Pages
- 295-305
- ISSN
- 0731-5724 (ISSN-L)
- 1541-1087
- OpenAlex
- W1965476752
- Cited by
- 63
- References
- 38
- Citations by year
- 2023: 1 · 2020: 1 · 2019: 3 · 2016: 3 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American College of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- glycemic index, type 1 diabetes, type 2 diabetes, glycemic response, test meal, cheese, Cheddar cheese, within-person variability, food comparison
- MeSH terms
- Adult, Analysis of Variance, Blood Glucose, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Dietary Carbohydrates, Female, Food, Humans, Male, Mathematical Computing, Middle Aged
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