Insulinemic and glycemic indexes of six starch-rich foods taken alone and in a mixed meal by type 2 diabetics
Abstract
The glycemic index concept neglects the insulin secretion factor and has not been systematically studied during mixed meals. Six starch-rich foods were tested alone and in an isoglucido-lipido-protidic meal in 18 NIDDs and compared with a glucose challenge. These test meals were randomly assigned using a three factor experiment design. All three tests contained 50 g carbohydrate; mixed meals were adjusted to bring the same amount of fat (20 g), protein (24 g), water (300 mL), and calories (475 kcal) but not the same amount of fiber. Whatever the tested meals, foods elicited a growing glycemic index hierarchy from beans to lentils, rice, spaghetti, potato, and bread (mean range: 0.21 +/- 0.12-92 +/- 0.12, p less than 0.001). Mixing the meals significantly increased the insulinemic indexes (p less than 0.05) and introduced a positive correlation between glycemic and insulinemic indexes (n = 6, r = 0.903; p less than 0.05). The glycemic index concept remains discriminating, even in the context of an iso-glucido-lipido-protidic meal. Insulinemic indexes do not improve discrimination between foods taken alone in type 2 diabetics: they only discriminate between foods during mixed meals, similarly to glycemic indexes.
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The GI concept remains discriminating in the context of a meal.
“This means that the GI concept remains discriminating in the context of a meal (Bornet et al. 1987).”
From Glycaemic index methodology (2005) · cites this paper as Bornet et al. 1987
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- Authors
- Bornet, F. R., Costagliola, D., Rizkalla, S. W., Blayo, A., Fontvieille, A. M., Haardt, M. J., Letanoux, M., Tchobroutsky, G., & Slama, G.
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1987-03
- Volume
- 45
- Issue
- 3
- Pages
- 588-595
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1806494436
- Cited by
- 202
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 10 · 2015: 2 · 2014: 8 · 2013: 6 · 2012: 10
- FWCI
- 6.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- 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 › Natural Antidiabetic Agents Studies
- Keywords
- glycemic index, type 2 diabetes, mixed meal, insulin secretion, food comparison, beans, lentil, rice, spaghetti, potato, bread, glucose tolerance
- MeSH terms
- Adult, Aged, Blood Glucose, Diabetes Mellitus, Type 2, Diet, Diabetic, Dietary Carbohydrates, Female, Humans, Insulin, Male, Middle Aged, Random Allocation, Starch
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