How Does Carbohydrate Affect Blood Sugar (Glucose)?

When individuals eat a food including carbohydrates, the gastrointestinal system breaks down the absorbable ones into sugar, which goes into the blood.

Effects of Carbohydrate on Blood Sugar (Glucose)

  • As blood sugar levels increase, the pancreas produces insulin, a hormone that triggers cells to take in blood glucose for energy or storage.
  • As cells absorb blood sugar, levels in the blood stream begin to fall.
  • When this occurs, the pancreas start making glucagon, a hormone that indicates the liver to start releasing stored sugar.
  • This interaction of insulin and glucagon guarantee that cells throughout the body, and particularly in the brain, have a stable supply of blood sugar.

Carbohydrate metabolic process is essential in the advancement of type 2 diabetes, which occurs when the body can’t make adequate insulin or can’t appropriately use the insulin it makes.

  • Type 2 diabetes normally establishes slowly over a number of years, beginning when muscle and other cells stop responding to insulin. This condition, called insulin resistance, causes blood glucose and insulin levels to stay high long after consuming. In time, the heavy demands made on the insulin-making cells wears them out, and insulin production ultimately stops.

Also read: Carb Counting for People with Diabetes

Glycemic index

In the past, carbs were typically classified as being either “basic” or “complex,” and described as follows:

Simple carbohydrates:

These carbs are made up of sugars (such as fructose and glucose) which have simple chemical structures composed of only one sugar (monosaccharides) or two sugars (disaccharides). Simple carbohydrates are quickly and rapidly utilized for energy by the body due to the fact that of their easy chemical structure, frequently causing a quicker rise in blood glucose and insulin secretion from the pancreas — which can have unfavorable health effects.

Complex carbohydrates:

These carbs have more complicated chemical structures, with 3 or more sugars linked together (known as oligosaccharides and polysaccharides). Many complex carbohydrate foods contain fiber, minerals and vitamins, and they take longer to digest — which suggests they have less of an instant impact on blood glucose, triggering it to rise more gradually. However other so called complex carbohydrate foods such as white bread and spuds include primarily starch but little fiber or other advantageous nutrients.

Dividing carbohydrates into basic and intricate, nevertheless, does not account for the result of carbohydrates on blood glucose and chronic illness. To describe how various sort of carbohydrate-rich foods directly affect blood sugar level, the glycemic index was established and is considered a much better way of categorizing carbohydrates, especially starchy foods.

The glycemic index ranks carbs on a scale from 0 to 100 based on how rapidly and how much they raise blood sugar levels after eating. Foods with a high glycemic index, like white bread, are rapidly absorbed and cause considerable changes in blood sugar level. Foods with a low glycemic index, like whole oats, are digested more gradually, prompting a more gradual rise in blood sugar level.

  • Low-glycemic foods have a ranking of 55 or less, and foods ranked 70-100 are thought about high-glycemic foods. Medium-level foods have a glycemic index of 56-69.
  • Consuming lots of high-glycemic-index foods — which cause effective spikes in blood sugar level — can result in an increased risk for type 2 diabetes, heart disease, and obese. There is likewise initial work linking high-glycemic diets to age-related macular degeneration, ovulatory infertility, and colorectal cancer.
  • Foods with a low glycemic index have actually been revealed to help manage type 2 diabetes and enhance weight loss.
  • A 2014 evaluation of research studies researching carbohydrate quality and chronic disease risk showed that low-glycemic-index diets may offer anti-inflammatory advantages.
  • The University of Sydney in Australia keeps a searchable database of foods and their matching glycemic indices.

Many factors can impact a food’s glycemic index, including the following:

  • Processing: Grains that have actually been grated and improved — getting rid of the bran and the bacterium — have a higher glycemic index than minimally processed entire grains.
  • Physical kind: Finely ground grain is more rapidly digested than coarsely ground grain. This is why consuming entire grains in their “entire type” like wild rice or oats can be healthier than consuming highly processed entire grain bread.
  • Fiber material: High-fiber foods don’t consist of as much digestible carb, so it slows the rate of digestion and causes a more steady and lower increase in blood sugar level.
  • Ripeness: Ripe fruits and vegetables have the tendency to have a greater glycemic index than un-ripened fruit.
  • Fat content and acid material: Meals with fat or acid are converted more gradually into sugar.

Numerous epidemiologic research studies have revealed a favorable association between greater 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 stays questionable.

Glycemic load

Something that a food’s glycemic index does not tell us is how much digestible carb — the total amount of carbs excluding fiber — it delivers. That’s why scientists developed an associated way to classify foods that takes into account both the quantity of carbohydrate in the food in relation to its influence on blood sugar levels. This measure is called the glycemic load. A food’s glycemic load is determined by increasing its glycemic index by the amount of carb the food includes. In basic, a glycemic load of 20 or more is high, 11 to 19 is medium, and 10 or under is low.

The glycemic load has actually been used to study whether high-glycemic load diets are related to increased dangers for type 2 diabetes risk and heart events. In a big meta-analysis of 24 potential associate studies, researchers concluded that people who consumed lower-glycemic load diets were at a lower risk of establishing type 2 diabetes than those who consumed a diet of higher-glycemic load foods. A similar type of meta-analysis concluded that higher-glycemic load diets were also connected with an increased risk for coronary heart disease events.

Also read: Low-Carb Foods: Diabetic Snacks

Here is a list of the glycemic index and glycemic load for the most common foods. For good health, pick foods that have a low (≤ 10) or medium (11-19) glycemic load, and limit foods that have a high (≥ 20) glycemic load.

FOOD Glycemic index (glucose = 100) Serving size (grams) Glycemic load per serving
BAKERY PRODUCTS AND BREADS
Banana cake, made with sugar 47 60 14
Banana cake, made without sugar 55 60 12
Sponge cake, plain 46 63 17
Vanilla cake made from packet mix with vanilla frosting (Betty Crocker) 42 111 24
Apple muffin, made with rolled oats and sugar 44 60 13
Apple muffin, made with rolled oats and without sugar 48 60 9
Waffles, Aunt Jemima® 76 35 10
Bagel, white, frozen 72 70 25
Baguette, white, plain 95 30 14
Coarse barley bread, 80% kernels 34 30 7
Hamburger bun 61 30 9
Kaiser roll 73 30 12
Pumpernickel bread 56 30 7
50% cracked wheat kernel bread 58 30 12
White wheat flour bread, average 75 30 11
Wonder® bread, average 73 30 10
Whole wheat bread, average 69 30 9
100% Whole Grain® bread (Natural Ovens) 51 30 7
Pita bread, white 68 30 10
Corn tortilla 52 50 12
Wheat tortilla 30 50 8
BEVERAGES
Coca Cola® (US formula) 63 250 mL 16
Fanta®, orange soft drink 68 250 mL 23
Lucozade®, original (sparkling glucose drink) 95 250 mL 40
Apple juice, unsweetened 41 250 mL 12
Cranberry juice cocktail (Ocean Spray®) 68 250 mL 24
Gatorade, orange flavor (US formula) 89 250 mL 13
Orange juice, unsweetened, average 50 250 mL 12
Tomato juice, canned, no sugar added 38 250 mL 4
BREAKFAST CEREALS AND RELATED PRODUCTS
All-Bran®, average 44 30 9
Coco Pops®, average 77 30 20
Cornflakes®, average 81 30 20
Cream of Wheat® 66 250 17
Cream of Wheat®, Instant 74 250 22
Grape-Nuts® 75 30 16
Muesli, average 56 30 10
Oatmeal, average 55 250 13
Instant oatmeal, average 79 250 21
Puffed wheat cereal 80 30 17
Raisin Bran® 61 30 12
Special K® (US formula) 69 30 14
GRAINS
Pearled barley, average 25 150 11
Sweet corn on the cob 48 60 14
Couscous 65 150 9
Quinoa 53 150 13
White rice, boiled, type non-specified 72 150 29
Quick cooking white basmati 63 150 26
Brown rice, steamed 50 150 16
Parboiled Converted white rice (Uncle Ben’s®) 38 150 14
Whole wheat kernels, average 45 50 15
Bulgur, average 47 150 12
COOKIES AND CRACKERS
Graham crackers 74 25 13
Vanilla wafers 77 25 14
Shortbread 64 25 10
Rice cakes, average 82 25 17
Rye crisps, average 64 25 11
Soda crackers 74 25 12
DAIRY PRODUCTS AND ALTERNATIVES
Ice cream, regular, average 62 50 8
Ice cream, premium (Sara Lee®) 38 50 3
Milk, full-fat, average 31 250 mL 4
Milk, skim, average 31 250 mL 4
Reduced-fat yogurt with fruit, average 33 200 11
FRUITS
Apple, average 36 120 5
Banana, raw, average 48 120 11
Dates, dried, average 42 60 18
Grapefruit 25 120 3
Grapes, black 59 120 11
Oranges, raw, average 45 120 5
Peach, average 42 120 5
Peach, canned in light syrup 52 120 9
Pear, raw, average 38 120 4
Pear, canned in pear juice 44 120 5
Prunes, pitted 29 60 10
Raisins 64 60 28
Watermelon 72 120 4
BEANS AND NUTS
Baked beans 40 150 6
Black-eyed peas 50 150 15
Black beans 30 150 7
Chickpeas 10 150 3
Chickpeas, canned in brine 42 150 9
Navy beans, average 39 150 12
Kidney beans, average 34 150 9
Lentils 28 150 5
Soy beans, average 15 150 1
Cashews, salted 22 50 3
Peanuts 13 50 1
PASTA and NOODLES
Fettucini 32 180 15
Macaroni, average 50 180 24
Macaroni and Cheese (Kraft®) 64 180 33
Spaghetti, white, boiled, average 46 180 22
Spaghetti, white, boiled 20 min 58 180 26
Spaghetti, whole-grain, boiled 42 180 17
SNACK FOODS
Corn chips, plain, salted 42 50 11
Fruit Roll-Ups® 99 30 24
M & M’s®, peanut 33 30 6
Microwave popcorn, plain, average 65 20 7
Potato chips, average 56 50 12
Pretzels, oven-baked 83 30 16
Snickers Bar®, average 51 60 18
VEGETABLES
Green peas 54 80 4
Carrots, average 39 80 2
Parsnips 52 80 4
Baked russet potato 111 150 33
Boiled white potato, average 82 150 21
Instant mashed potato, average 87 150 17
Sweet potato, average 70 150 22
Yam, average 54 150 20
MISCELLANEOUS
Hummus (chickpea salad dip) 6 30 0
Chicken nuggets, frozen, reheated in microwave oven 5 min 46 100 7
Pizza, plain baked dough, served with parmesan cheese and tomato sauce 80 100 22
Pizza, Super Supreme (Pizza Hut®) 36 100 9
Honey, average 61 25 12

The complete list of the glycemic index and glycemic load for more than 1,000 foods can be discovered in the article “International tables of glycemic index and glycemic load values: 2008” by Fiona S. Atkinson, Kaye Foster-Powell, and Jennie C. Brand-Miller in the December 2008 issue of Diabetes Care, Vol. 31, number 12, pages 2281-2283.

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