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Glycemic Index
Overview
If you have diabetes or
prediabetes, you likely know all too well the importance of watching
your blood sugar levels and being intentional about what you eat. That’s
where the glycemic index can come in handy, as it assigns foods a number
between 0 and 100, indicating its potential effect on blood sugar
levels.
However, while helpful, the glycemic index provides a limited look at
just one factor affecting blood sugar.
Learn more about the glycemic index below, which foods tend to cause a
spike in blood sugar (or not) and the limitations of this measurement.
What Is the Glycemic Index?
The glycemic index measures how quickly foods that contain
carbohydrates can increase your blood sugar. The scale is 0
to 100.
Foods can fall into one of three categories:
-
Low: 55 and below
-
Moderate: 56 to 75
-
High: 76 and above
Foods with a low GI typically release sugar slowly when consumed,
causing a slower increase in blood sugar. Foods with a high GI release
glucose more rapidly and cause a quick increase in blood sugar levels.
A slow and steady increase in blood sugar, compared to rapid increases
and drops, also reduces sugar cravings, supports hormonal balance and
helps prevent conditions like cardiovascular disease and type
2 diabetes.
Essentially, the glycemic index shows that not everything
that contains the exact same amount of grams of carbs will
behave the same way in your body. You can measure how your
body responds to a cup of orange juice versus how it reacts
to other food items: a banana, 25 grams of candy or 25 grams
of whole-grain bread.
The reason for these differences comes from how carbs react
in your body. Simple carbohydrates — say, the sugars found
in soda and sweet desserts — are broken down faster than the
more complex carbohydrates found in some vegetables and
whole-grain foods. As a result, your blood sugar spikes and
then falls rapidly. Over time, doctors believe these
constant surges and retreats play a part in people becoming
insulin resistant.
Glycemic Index vs. Glycemic Load
To counteract some of the issues with glycemic index, researchers
developed the glycemic load (GL) measurement. Unlike GI, GL accounts for
the quantity of the food being eaten.5 The
main difference between GI and GL is:
-
Glycemic index is based on eating 50 grams of a specific
food
-
Glycemic load is based on eating a standard serving size of
a specific food
Glycemic load is calculated by multiplying the GI value by the number of
carbohydrates (in grams) per serving, then dividing that number by 100.
What is Glycemic Load?
The glycemic load (GL) is a more accurate tool for assessing the impact
of eating carbohydrates. It gives a more complete picture than does
glycemic index alone, because it accounts for the amount of carbohydrate
in a serving. A GI value indicates only how rapidly a particular
carbohydrate turns into sugar, whereas GL accounts for how much of that
carbohydrate a person would typically eat. The carbohydrate in
watermelon, for example, has a high GI. However, there is not a lot of
sugar in a serving of watermelon, since most of it is fiber and water.
Thus watermelon’s glycemic load is relatively low.
Foods that have a low GL almost always have a low GI. In contrast, foods
with an intermediate or high GL can have a GI that ranges from very low
to very high.
Glycemic Load |
Range |
Low |
0 - 10 |
Medium |
11 - 19 |
High |
20 & over |
Glycemic Load Chart for Common Foods
The following charts highlight low, medium, and high GL foods based on
data from the Linus Pauling Institute at Oregon State University.
Low-GL Foods (10 or less) |
Foods |
GL |
Apple |
6 |
Carrots, boiled |
1 |
Cashews |
2 |
Kidney beans |
8 |
Lentils, dried and boiled |
7 |
Orange |
5 |
Peanuts |
1 |
Pear |
4 |
Skim milk |
4 |
Watermelon |
8 |
White bread (wheat) |
10 |
Medium-GL Foods (11 to 19) |
Foods |
GL |
Banana |
13 |
Pearled barley, boiled |
11 |
Puffed rice cake |
17 |
Spaghetti, whole wheat |
14 |
High-GL Foods (20 or more) |
Foods |
GL |
Brown rice |
20 |
Cornflakes |
20 |
Dates |
25 |
Potato, boiled |
25 |
Spaghetti |
20 |
White Rice |
35 |
Why Are These Numbers Important?
A low glycemic index diet has been associated with improvements in:
Conversely, diets with high glycemic index or glycemic load
are strongly associated with type 2 diabetes incidence. Dietary
glycemic index is also positively associated with the prevalence of
metabolic syndrome, though according to one review, a significant
association between dietary glycemic load and metabolic syndrome has not
yet been found.
Low-Glycemic Index Foods Chart
While it’s unlikely you’ll remember the exact GI for every food, it
helps to know whether common foods are low or high on the chart.
[Low-glycemic index foods] have a lower glycemic index
because they have more fiber, protein and fat compared to
carbohydrates.
Below are several foods that have a low average GI, per research
published by the ADA’s Diabetes
Care and the Journal
of Ethnic Foods.
Food |
Average GI |
Carrots
(and other non-starchy vegetables) |
39 |
Strawberry jam/jelly |
49 |
Legumes and beans |
16-32 |
Apples |
44 |
Avocados |
40 |
Bananas |
51 |
Tomatoes |
38 |
Other common low-GI foods include unrefined grains, peanuts, squash,
cauliflower, nuts and seeds.
High-Glycemic Index Foods Chart
Common foods that have a high GI (about 76 and higher) are listed
below, with their average GI per research in ADA’s Diabetes
Care.
Food |
Average GI |
White bread |
75 |
Cornflakes
(and other common breakfast cereals) |
81 |
White rice |
73 |
Potatoes |
78 |
Rice crackers |
87 |
Other common high-GI foods include cake, pastries, bagels, processed
snacks and maple syrup.
How Is Glycemic Index Measured?
A food’s glycemic index number is determined through a series of
clinical trials with a small number of human test subjects. In these
tests, participants’ blood sugar levels are measured before and after
eating a serving of food that equals 50 grams of carbohydrates. For
example, if potatoes are being tested, each participant would eat
however many potatoes are required to meet 50 grams of carbohydrates.
After consuming the food source, blood glucose levels are
measured at intervals of usually 15, 30, 45, 60, 90 and 120
minutes.
These varying blood sugar levels are then graphed. At that point, the
area under the blood glucose curve (AUC) is calculated, which represents
the rise and fall of blood glucose over the two-hour period, The glycemic index is then determined by dividing the AUC of
the food being tested by the AUC of the reference food source, then
multiplying by 100.
Limitations of Glycemic Index
Although perhaps a helpful starting point for understanding how certain
foods may affect glucose levels, the glycemic index should not be used
alone; instead, it should be considered alongside a food’s energy
density and macronutrient profile, recommends the ADA.
The GI isn’t a perfect measurement and it faces a few limitations:
-
Fluctuating numbers. The GI of some foods, including porridge
oats, has produced variable results, notes the ADA, suggesting this may
be due to differences in cooking methods over the years.
-
Limited effect. Blood sugar is affected by not only a food’s
carbohydrate content, but also by the type of carbohydrate (refined or
unrefined) and other foods eaten at the same time.
-
Individual variability. GI measurement testing in a handful of
individuals does not account for the variability across the population,
as there are differences in gut microbiome, genetics, metabolic rate,
daily activity, stress and medications, experts note.
-
Inconsistent portion size. A food’s GI is determined based on
its serving size that equates to 50 grams of carbohydrates. In reality,
most people are likely eating portion sizes that don’t equal the test
size, meaning the GI won’t realistically depict the food’s glucose
effect.
-
Preparation variability. Even the way a food is prepared alters
its GI. For example, a boiled potato has an average GI of 78, instant
mashed potato has a GI of 87 and French fries have a GI of 63, per the
ADA’s measurements.
Although GI can be a good starting point, Rand and Jones recommend
focusing more on eating well-balanced meals to keep your blood sugar in
check. Starting a meal with a salad or vegetables or eating fibers, fats
and proteins alongside sugars and starches helps slow down digestion and
the absorption of carbs, they say.
Eating balanced meals not only helps regulate blood sugar levels, but
can also lower your risk for type 2 diabetes or help manage it in the
long term, according to Jones. That way, you can focus on enjoying a
wide-ranging, healthy meal instead of committing GI numbers to memory.
For those with diabetes, more care and attention should be paid to
total grams of carbohydrates at each meal and snacks, as well as
regularity in their meal and snack timing, it is recommended to
work with a registered dietitian who is a certified diabetes educator
(CDE), who can help you create a plan for the timing and amounts of
carbs that should be consumed.
Glycemic index chart
When it comes to how to calculate glycemic index numbers,
doctors have measured only certain foods or classes of foods
(foods like meats, fats and oil don’t contain carbs).
To determine glycemic index numbers, doctors observe how
healthy people’s blood sugar levels change after ingesting
carb-containing foods. By measuring subsequent blood sugar
levels — and comparing it to a baseline — they can determine
where a food falls on a scale of zero to 100, where 100
represents pure glucose and zero is a food with no sugar at
all.
Use this glycemic index food chart as a starting point.
Low-glycemic index foods
GI of 55 or less include:
|
Medium-glycemic index foods
GI of 56-69 include:
|
High-glycemic index foods
GI of 70 or more include:
|
-
Apple
-
Banana
-
Barley
-
Broccoli
-
Carrots
-
Cashews
-
Chickpeas
-
Dark chocolate
-
Eggplant
-
Lemons
-
Lettuce
-
Limes
-
Mango
-
Oranges
-
Peanuts
-
Pears
-
Peppers
|
-
Corn Tortilla
-
Pasta
-
Soy Milk
-
Grapes
-
Corn
-
Peas
-
Most Vegetables
-
Kidney Beans
-
Black Beans
-
Plain yogurt
-
Skim milk
-
Strawberries
-
Tomatoes
-
Whole milk
|
-
Brown rice
-
Couscous
-
Pineapple
-
Popcorn
-
Potato chips
-
Soda
-
Sweet potato
-
Oatmeal
-
Raisins
-
Peach
-
Sucrose
-
Short Bread
-
Pita Bread
-
Wholemeal bread
|
-
Cereal
-
Cheeseburger
-
Corn chips
-
Doughnuts
-
French fries
-
Fried chicken
-
Mashed potatoes
-
Pizza
-
Pretzels
-
Sports drink
-
White bread
-
Bagel
-
Baked Potato
-
Wheat Bread
-
White Rice
-
Rice Milk
-
Watermelon
|
The University of Sydney has a useful Glycemic
Index Database you can search.
Another useful
FoodStruct Glycemic Index Chart you can search
Why calculating the index isn’t exact
Determining the glycemic index ratings for individual foods
is an imperfect science. Factors like how food is processed
or prepared plays a role.
For example, one study of instant oatmeal shows that it had
a glycemic index of 79, which is the high range. Yet
steel-cut rolled oats have a glycemic index of 55, which
puts it in a low glycemic index.
Different versions of the same food will also vary due to
ingredients. For example, yogurt that’s marketed for kids is
going to taste delicious because it has a lot of sugar or
artificial sweeteners, like high fructose corn syrup —
versus plain Greek, regular fat yogurt.
They might have very similar amounts of carbs, but the
glycemic index is very different because of the number of
proteins and fats and the quality and quantity of the sugar
that’s in there.
How much you eat of a certain carb-heavy food can also have
an effect. For example, a small sip or two of soda won’t
have as big an impact on your body as a large portion of
whole-grain rice — even though the latter is generally
perceived as healthier.
As with many diets moderation is key, as is striking a
balance between eating low and high glycemic index foods.
Food
Group |
Food |
GI |
Serving Size |
GL
(Per Serving) |
Vegetables |
Spinach |
0 |
30g (1 cup) |
0.0 |
Mushrooms |
0 |
70g (1 cup) |
0.0 |
Green Beans |
0 |
135g (1 cup) |
0.0 |
Cauliflower |
0 |
100g (1 cup) |
0.0 |
Celery, raw |
0 |
62g (1 stalk) |
0.0 |
Cabbage, cooked |
0 |
75g (1/2 cup) |
0.0 |
Broccoli, cooked |
0 |
78g (1/2 cup) |
0.0 |
Tomato |
38 |
123g (medium) |
1.5 |
Frozen Peas |
48 |
72g (1/2 cup) |
3.4 |
Yams |
51 |
136g (1 cup) |
16.8 |
Sweet Potatoes |
54 |
133g (1 cup) |
12.4 |
Yellow Corn |
55 |
166g (1 cup) |
61.5 |
Potato |
104 |
213g (medium) |
36.4 |
Potato, baked |
111 |
150g |
33.0 |
Potato, boiled |
82 |
150g |
21.0 |
Parsnips |
97 |
78g (1/2 cup) |
11.6 |
Beets, canned |
64 |
246g (1/2 cup) |
9.6 |
Fruits |
Sweet Cherries, raw |
22 |
117g (1 cup) |
3.7 |
Plum |
24 |
66g (1 fruit) |
1.7 |
Grapefruit |
25 |
123g (1/2 fruit) |
2.8 |
Peach |
28 |
98g (medium) |
2.2 |
Prunes |
29 |
132g (1 cup) |
34.2 |
Dried Apricots |
32 |
130g (1 cup) |
23.0 |
Pear |
33 |
166g (medium) |
6.9 |
Apple, with skin |
39 |
138g (medium) |
6.2 |
Strawberries |
40 |
152g (1 cup) |
3.6 |
Grapes |
43 |
92g (1 cup) |
6.5 |
Pears, canned |
44 |
248g (1 cup) |
12.3 |
Orange |
48 |
140g (1 fruit) |
7.2 |
Banana |
51 |
118g (medium) |
12.2 |
Mangos |
51 |
165g (1 cup) |
12.8 |
Peaches, canned |
52 |
251g (1 cup) |
17.7 |
Fruit Cocktail |
55 |
214g (1 cup) |
19.8 |
Kiwi, with skin |
58 |
76g (1 fruit) |
5.2 |
Papayas |
60 |
140g (1 cup) |
6.6 |
Raisins |
64 |
43g (small box) |
20.5 |
Apricots, canned |
64 |
253g (1 cup) |
24.3 |
Cantaloupe |
65 |
177g (1 cup) |
7.8 |
Pineapple |
66 |
155g (1 cup) |
11.9 |
Watermelon |
72 |
152g (1 cup) |
7.2 |
Legumes |
Peanuts |
13 |
146g (1 cup) |
1.6 |
Soy Beans |
20 |
172 (1 cup) |
1.4 |
Kidney Beans |
27 |
256g (1 cup) |
7.0 |
Lentils |
29 |
198g (1 cup) |
7.0 |
Chickpeas, boiled |
31 |
240g (1 cup) |
11.3 |
Pinto Beans |
39 |
171g (1 cup) |
11.7 |
Lima Beans |
31 |
241g (1 cup) |
7.4 |
Baked Beans |
48 |
254g (1 cup) |
18.2 |
Nuts |
Cashews |
22 |
N/A |
N/A |
Hazelnuts |
0 |
N/A |
N/A |
Almonds |
0 |
N/A |
N/A |
Macadamia Nuts |
0 |
N/A |
N/A |
Pecans |
0 |
N/A |
N/A |
Walnuts |
0 |
N/A |
N/A |
Dairy |
Ice Cream |
38 |
72g (1/2 cup) |
6.0 |
Low-Fat Ice Cream |
47 |
76g (1/2 cup) |
9.4 |
Whole Milk |
40 |
244g (1 cup) |
4.4 |
Plain Yogurt |
36 |
245g (1 cup) |
6.1 |
Beverages |
Tomato Juice |
38 |
243g (1 cup) |
3.4 |
Apple Juice |
41 |
248g (1 cup) |
11.9 |
Soy Milk |
44 |
245g (1 cup) |
4.0 |
Grapefruit Juice |
48 |
250g (1 cup) |
13.4 |
Orange Juice |
57 |
249g (1 cup) |
14.25 |
Cola |
63 |
370g (12 oz.) |
25.2 |
Hot Chocolate |
51 |
28g (1 packet) |
11.7 |
Cranberry Juice |
68 |
253g (1 cup) |
24.5 |
Gatorade |
78 |
16g (3/4 scoop) |
11.7 |
Candy/Sweets |
Peanut M&Ms |
33 |
30g (1 ounce) |
5.6 |
Strawberry Jam |
51 |
2 tablespoons |
10.1 |
Jelly Beans |
78 |
1 ounce |
22 |
Honey |
87 |
2 tablespoons |
17.9 |
Snickers Bar |
68 |
60g (1/2 bar) |
23.0 |
Table Sugar |
68 |
2 tablespoons |
7.0 |
Grains |
Quinoa |
53 |
150g (1 cup) |
13.0 |
White Rice |
89 |
150g (1 cup) |
43.0 |
Brown Rice |
50 |
150g (1 cup) |
16.0 |
Bulgur |
48 |
150g (1 cup) |
12.0 |
Couscous |
65 |
150g (1 cup) |
9.0 |
Pearled Barley |
28 |
150g (1 cup) |
12.0 |
Cereals |
Oatmeal |
55 |
250g (1 cup) |
13.0 |
Muesli |
66 |
30g (1 cup) |
16.0 |
Bran Cereal |
55 |
30g (1 cup) |
12.0 |
Puffed Wheat |
80 |
30g (1 cup) |
17.0 |
Cheerios |
74 |
30g (1 cup) |
13.3 |
Rice Krispies |
82 |
33g (1.25 cup) |
23.0 |
Baked Goods |
Graham Cracker |
74 |
14g (1 squares) |
8.1 |
Kaiser Roll |
73 |
57g (1 roll) |
21.2 |
Bagel |
72 |
89g (1/4 in.) |
33.0 |
Glazed donut |
76 |
75g (large) |
24.3 |
White Bread |
70 |
25g (1 slice) |
8.4 |
Wheat Bread |
70 |
28g (1 slice) |
7.7 |
Banana cake
w/sugar |
47 |
60g |
14 |
Banana cake
w/o sugar) |
55 |
60g |
12 |
Sponge cake (plain) |
46 |
63g |
17 |
Pita bread, white |
68 |
30g |
10 |
Corn tortilla |
52 |
50g |
12 |
Wheat tortilla |
30 |
50g |
8 |
Hamburger bun |
61 |
30g |
9 |
Miscellaneous |
Hummus |
6 |
30g |
0.0 |
Popcorn |
55 |
8g (1 cup) |
2.8 |
Cheese Pizza |
80 |
100g |
22.0 |
|