Glycemic Load & Glycemic Index

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Load & Index When food is consumed it is converted to fuel for our bodies. One type of fuel is glucose and different foods impact blood glucose levels differently. A driver of this is the amount and type of carbohydrates consumed. The glycemic looks at foods which contain the same amount of carbohydrate to raise blood sugar within a range of 1-100. It ranks their effect on blood glucose relative to pure glucose which has a rating of 100. Generally speaking foods which are easily digested, absorbed and metabolized by the body will have a high glycemic rating 70. Foods however which have carbohydrates which are more slowly digested, and may be complex carbohydrates which have more fiber content, will have a low glycemic rating of 55. There are then some foods in between these two ends which are referred to as intermediate- glycemic foods which have a rating of between 56-69. But it isn t that simple. There are some foods which may score high on the glycemic in terms of their carbohydrate content but when you look at a single serving of these foods, the available carbohydrate content makes the impact on the body lower. One example might be watermelon which has a glycemic similar to a doughnut. But when a single serving is examined, there are more available carbohydrates in a doughnut than there are in a serving of watermelon. To address this difference, there is another measure of glycemic impact called glycemic load which looks at both the quantity and the quality of carbohydrate consumed. load also ranks carbohydrate-rich foods but it measures the amount of carbohydrate in a single serving. Low glycemic load (GL) foods are those which have a GL 10 and those which have little impact on blood sugar. Those foods with a GL of between11-19 are considered moderate GL foods and have a moderate impact on blood glucose. Then there are the high GL foods which cause blood sugar to spike. High GL foods are rated 20. Going back to the example of the watermelon and the doughnut. While they rank similarly on the glycemic, they have very different glycemic loads. One serving of a medium-sized doughnut carries a glycemic load of 17 whereas one serving of watermelon has a significantly lower glycemic load of 8. The high glycemic rating is based on 5 cups of watermelon, not what would be contained in a 1 cup serving.

While a good general rule of thumb is that most of the healthier foods will carry a lower glycemic and a similar low glycemic load. However certain foods such as bananas, pineapples, watermelon and parsnips have intermediate-to-high glycemic ratings, but actually have low-to-intermediate glycemic loads. Since the glycemic is not based on single standard service sizes, but rather on how quickly the carbohydrate can be absorbed, a better indicator of how a food will impact blood sugar would be glycemic load. Eating a balanced diet of quality protein and fat as well as foods with a lower glycemic load and even lower on the glycemic is recommended and will help you feel satiated longer with more sustained energy.

Focus on consuming low to medium glycemic load foods. Rating of 1 10= low glycemic load Rating of 11 19= medium glycemic load Rating of 20+= high glycemic load-- AVOID/MINIMIZE CONSUMPTION OF THESE S load 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 1

load 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 2

load 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 3

load 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 4

load 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 5

load 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 6

load 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 7

load 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 S 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 8

load 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 9

load 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 Obtained from: http://www.health.harvard.edu/diseases and conditions/glycemic and_glycemic_load_for_100_foods 10