The glycemic index, what is it for?

Candies are the foods highest in sugar. © Freepik – ArtPhoto_studio

The glycemic index (GI) is an essential concept in nutrition that measures the effect of carbohydrate-containing foods on blood sugar levels. Introduced in the 1980s, it quickly became a vital tool for understanding how sugars affect the body. In a modern diet often rich in rapidly absorbed carbohydrates, being aware of the glycemic index of foods can help foster a more balanced and healthful approach to eating. This knowledge is also beneficial for managing several conditions, such as diabetes and obesity.

With the rise of conditions like type 2 diabetes and obesity, the quality of consumed carbohydrates has become a major nutritional concern. While attention has traditionally focused on the quantity of carbohydrates, it is now understood that their impact on the body also depends on how quickly they are absorbed.

In the past, carbohydrates were generally divided into two categories: fast-acting carbohydrates and slow-acting carbohydrates, based on their supposed absorption rates. However, this categorization proved too simplistic, as it did not always accurately reflect the real effects of foods on blood sugar levels.

Today, the glycemic index has become the standard tool for assessing the glycemic response of foods more accurately. The glycemic index (GI) was developed to classify foods according to their effect on blood sugar levels.

Understanding and utilizing this indicator not only aids in daily energy management but also helps prevent certain chronic conditions. But how does the glycemic index actually work, and why is it crucial to consider it in our dietary choices?

Understanding Glycemic Index

The glycemic index (GI) is a scale that ranks carbohydrate-containing foods by their ability to affect blood sugar over a period of 2 to 3 hours. The higher the GI of a food, the more rapidly it raises blood sugar after consumption.

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A food with a high glycemic index prompts greater insulin secretion and vice versa. In simple terms, a food’s impact on blood sugar is more pronounced the closer its glycemic index is to that of glucose.

On a scale of 0 to 100, foods are classified as follows:

  • High glycemic index above 70: leading to a significant glycemic response.
  • Medium glycemic index between 59 and 69: resulting in a moderate glycemic response.
  • Low glycemic index below 55: causing a minimal or negligible glycemic response.

What Causes Variations in Glycemic Index?

  • Cooking method increases the glycemic index (e.g., overcooked pasta has a higher glycemic index than al dente pasta).
  • The ripeness of fruits elevates the glycemic index (e.g., a ripe banana has a higher glycemic index than a green banana).
  • Food processing raises the glycemic index (e.g., whole fruit has a lower glycemic index than fruit juice).
  • Fiber, protein, and fats lower the glycemic index (e.g., whole grain bread has a lower glycemic index than white bread).

Managing Blood Sugar, Weight, and Cholesterol

Opting for low glycemic index (GI) foods offers various health benefits. These foods help stabilize blood sugar levels, preventing sharp spikes followed by drastic drops that can cause fatigue, cravings, and reduced concentration.

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By demanding less insulin, they improve sensitivity to this hormone, thereby decreasing the risk of developing insulin resistance and ultimately type 2 diabetes.

Low GI foods assist with weight management. By limiting excessive insulin release, they hinder fat storage and promote satiety—helping regulate appetite and deter snacking. Furthermore, these foods provide more stable and sustained energy, enhancing physical and cognitive performance throughout the day.

Lastly, a diet rich in low GI foods may benefit cardiovascular health by reducing inflammation and improving lipid profiles (lowering triglycerides and raising “good” HDL cholesterol). For these reasons, favoring foods such as legumes, whole grains, vegetables, and certain fruits can optimize metabolic health and help prevent various chronic diseases.

Limitations of Glycemic Index

  • Variability among individuals: the impact of carbohydrates on blood sugar can vary based on insulin sensitivity, health status, or other physiological factors.
  • GI is calculated based on isolated foods: real meals often comprise multiple foods, which can influence the glycemic response, making it less predictable.
  • Standardized portions: the glycemic index is based on 50 grams of carbohydrates, a quantity that may not represent typical serving sizes, complicating its application in real-life situations.
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In conclusion, a diet generally rich in low GI foods positively impacts post-meal insulin responses. Therefore, it is recommended that the population, particularly diabetic patients, consume a diet high in foods with low glycemic indices, rich in fiber (whole grains and legumes), while emphasizing minimally processed foods (al dente cooking, whole and unprocessed foods).

It is also crucial to pay attention to meal quality, as all nutrients involved relate to the glycemic response. To achieve this, a varied and balanced diet (for both meals and snacks) rich in fiber is essential.

IMPORTANT TO KNOW

Practical tips for everyday life:
– Combine high glycemic index foods with low glycemic index foods (e.g., have a glass of milk with sugary cookies).
– Include vegetables with every meal to slow carbohydrate absorption.
– Choose whole grains (brown rice, whole wheat, whole grain flour, whole wheat bread, quinoa, oats) over refined grains (white rice, white bread).
– Avoid sodas, commercial fruit juices, and baked goods, which rapidly spike blood sugar.