The Glycaemic Index. Information for you

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The Glycaemic Index Information for you Follow us on Twitter @NHSaaa Find us on Facebook at www.facebook.com/nhsaaa Visit our website: www.nhsaaa.net All our publications are available in other formats

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What is Glycaemic Index: Glycaemic Index is a scale of how quickly foods that contain carbohydrates affect your blood glucose level. Slow release or low Glycaemic Index carbohydrate foods are better at improving blood glucose levels. The effect different carbohydrates have on glucose levels can be different. This is because foods are digested at different rates, which has an altered effect on your blood glucose levels. The Glycaemic Index (GI) is a scale of 1-100 which measures how quickly carbohydrate foods raise blood glucose levels. Foods are ranked from high to low on the basis of their glycaemic response. A low GI food is one that raises blood glucose slowly and steadily. Choosing low GI foods rather than high GI foods can help reduce rises in your blood glucose. Many factors affect the glycaemic response to foods - the amount of carbohydrate you eat, the type of carbohydrate (sugar or starch) in the food and how the food is cooked or processed. How do I use the GI values? It is best to combine the GI values with existing advice provided to you on healthy eating. Try to include a low GI food with every meal as this will reduce the GI of the whole meal. 3

Some quick tips for using low GI: Switch to breakfast cereals with added bran and oats such as porridge or bran flakes. Choose multigrain breads including granary and those with seeds and oats over white/brown breads. Have basmati rice instead of white rice Choose oatcakes and wholegrain crackers over cream crackers and puffed crisp breads. You can also visit: www.glycemicindex.com or www.diabetes.org.uk 4

Why should I bother with a low GI diet? There are many advantages to choosing low GI foods as part of your diet: They can help you maintain steady blood glucose. They are beneficial in keeping blood glucose lower after meals. This means your body uses your insulin more effectively. Lower GI foods keep your blood glucose from fluctuating and may control your appetite so may help you to manage your weight if they are eaten as part of a calorie-controlled diet combined with regular physical activity. They can improve the levels of fat in the blood which reduces your risk of heart disease. If you need to snack before activity, a low GI snack will help maintain your blood glucose better than a high GI snack Try to include a low GI food with every meal. This will decrease the GI of the meal. 5

Use this table to see how you could improve the Glycaemic Index of your diet. Drinks Sugar-free drinks Low GI Cereals Bread, biscuits, cakes All Bran, no added sugar muesli, porridge, oat and wheat flakes, cooked puffed wheat Heavy grain bread for example, granary/ multigrain, oat bran bread, rye bread, chapattis, oatcakes, fruit loaf, sponge cake*,banana cake*, muffins* Potatoes, rice, pasta Fruit, vegetables Pulses, grains Snacks Sugars Dairy Yams, sweet potatoes, basmati rice, noodles, most types of pasta, macaroni Apples, dried apricots, bananas, cherries, grapefruit, grapes, kiwi fruits, mango, oranges, peaches (canned and fresh), pears, plums and fruit cocktail. Apple juice, orange juice, grapefruit juice, pineapple juice (small glass). Carrots, peas and sweetcorn Baked beans, butter beans, black eyed beans, chick peas, haricot beans, kidney beans, lentils and soya beans. Pearl barley, buckwheat, bulgar wheat Most chocolate*, plain popcorn, crisps*, peanuts* Fructose, lactose Low-fat ice-cream, milk, yoghurt 6

Medium GI Sports drinks, normal fizzy drinks Special K, Shreddies, Sustain, Granola, Weetabix, Shredded wheat, Branbuds, instant porridge Fibre enriched white bread, wholemeal bread, pitta bread, crumpets, Ryvita, oatmeal biscuits, shortbread*, muesli bar* or flapjack*, croissant*, digestive biscuits, tea biscuits New potatoes, boiled potatoes, long grain rice, brown rice, Arborio rice Apricots (canned), beetroot, cantaloupe melon, pineapple, papaya, squash, sultanas and raisins High GI Lucozade TM and glucose drinks Cornflakes, Cocopops, Rice Krispies, Cheerios, Crunchy nut cornflakes Brown, or white bread, French stick, bagels, morning coffee biscuits, water biscuits, puffed crispbread, rice cakes, donuts Instant potato, mashed potato, jacket potato, chips*, instant rice Parsnips, pumpkin, swede, broad beans, watermelon Couscous, cornmeal, millet Tapioca Some chocolate bars* such as a Mars Bar, taco shells Sucrose Full-fat ice-cream* 7 Jelly Babies or Beans Glucose, honey * These foods contain relatively high amounts of fat. Keep these to a minimum.

Meal suggestions Breakfast Oat based breakfast cereals for example, porridge or no added sugar muesli with low fat milk. Or two slices of multigrain toast with low fat spread and thinly spread reduced sugar jam. Or low fat yoghurt with fresh fruit or a small portion of dried fruit. Lunch Pulse based soup for example, lentil, split pea or minestrone with added beans. Jacket potato and baked beans. Wholegrain, rye, pitta or granary bread as a sandwich with cold meat and salad. Fresh fruit after a meal. 8

Evening meal Pasta-based meals. Meat or vegetable stir-fry with basmati rice or chapattis. Add pulses to casseroles and meat to potato-based meals to lower the GI of the whole meal. Remember to include plenty of vegetables or salad with your evening meal. Ideal snacks Popcorn - plain or low fat. Oatcakes with reduced fat cheese. Fresh fruit for example, apple, orange or pear. Pitta bread with reduced fat humous. Vegetable sticks for example, carrots, cucumber. 9

Try to include a low GI food with every meal. This will reduce the GI of the whole meal. For example: Baked potatoes have a high GI but when combined with a filling for example, baked beans the GI is less. This becomes a healthy meal. Weetabix and shredded wheat may not have a low GI but when combining it with low fat milk gives them an overall lower GI making them a healthy breakfast and are also valuable sources of fibre which is good for your digestive system. Chocolate has a low GI but is high in fat and calories. Despite its GI value we do not recommend it as part of a healthy diet. It is not the best choice of food to take if you have low blood glucose as blood glucose levels will rise too slowly. If you are having an occasional high GI food, try to add it at the end of the meal when it will have less of an effect on your blood glucose. 10

Notes 11

All of our publications are available in different languages, larger print, braille (English only), audio tape or another format of your choice. Tha gach sgrìobhainn againn rim faotainn ann an diofar chànanan, clò nas motha, Braille (Beurla a-mhàin), teip claistinn no riochd eile a tha sibh airson a thaghadh. 0800 169 1441 Tell us what you think... If you would like to comment on any issues raised by this document, please complete this form and return it to: Communications Department, 28 Lister Street, University Hospital Crosshouse, Crosshouse KA2 0BB. You can also email us at: comms@aaaht.scot.nhs.uk. If you provide your contact details, we will acknowledge your comments and pass them to the appropriate departments for a response. Name Address Comment Compiled by The Dietitians Last reviewed: December 2018 Leaflet reference ND07-004-CC/PIL18-0108