Diabetes and Metabolism Journal

Korean Diabetes Association (대한당뇨병학회)
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Glycemic Index Revisited

혈당지수의 재조명

Kim, In-Joo
김인주

  • Published : 20090800
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Abstract

The implementation of effective dietary strategies is important for diabetes management. Dietary carbohydrate is the main factor determining blood sugar level, especially in the postprandial period. Carbohydrate-rich diets can have deleterious effects on glycemic control in diabetic patients and may play an important role in the development of cardiovascular diseases. Low glycemic diets have been reported to have beneficial effects for diabetes control and cardiovascular risk factors. However, according to the American Diabetes Association recommendations for medical nutrition therapy, monitoring carbohydrate intake, whether by carbohydrate counting, exchange, or experience-based estimation, remains a key strategy for achieving glycemic control, with the use of the glycemic index and glycemic load recommended only as an auxiliary method that may provide a modest additional benefit for glycemic control over the effects observed when total carbohydrate is considered alone. Recently, an increasing amount of clinical evidence supports the efficacy of low glycemic diets for the management of diabetes. The development of practical methods to apply the glycemic index and glycemic load to the management of diabetes in clinical settings is warranted.

Keywords

References

  1. American Diabetes Association: Standards of medical care in diabetes- 2007. Diabetes Care 30(suppl 1):S4-41, 2007 https://doi.org/10.2337/dc07-S004
  2. American Diabetes Association: Nutrition recommendations and interventions for diabetes. Diabetes Care 31(suppl 1):S61-78, 2008 https://doi.org/10.2337/dc08-S061
  3. American Diabetes Association: Standards of medical care in diabetes- 2009. Diabetes Care 32(suppl 1):S13-61, 2009 https://doi.org/10.2337/dc09-S013
  4. Jenkins DJ, Wolever TM, Taylor RH, Barker H, Fielden H, Baldwin JM, Bowling AC, Newman HC, Jenkins AL, Goff DV: Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr 34:362-6, 1981
  5. Atkinson FS, Foster-Powell K, Brand-Miller JC: International Tables of Glycemic Index and Glycemic Load Values: 2008. Diabetes Care 31:2281-3, 2008 https://doi.org/10.2337/dc08-1239
  6. Granfeldt Y, Bjorck I, Hagander B: On the importance of processing conditions, product thickness and egg addition for the glycaemic and hormonal responses to pasta: a comparison with bread made from 'pasta ingredients'. Eur J Clin Nutr 45:489-99, 1991
  7. Bjorck I, Granfeldt Y, Lilijeberg H, Tovar J, Asp NG: Food properties affecting the digestion and absorption of carbohydrates. Am J Clin Nutr 59:699-705, 1994 https://doi.org/10.1093/ajcn/59.3.699S
  8. Crapo PA, ReavenG, Olefsky J: Postprandial plasma-glucose and -insulin responses to different complex carbohydrates. Diabetes 26:1178-83, 1977 https://doi.org/10.2337/diabetes.26.12.1178
  9. Wolever TM: Dietary carbohydrates and insulin action in humans. Br J Nutr 83(suppl 1):S97-102, 2000 https://doi.org/10.1017/S0007114500001021
  10. Livesey G, Taylor R, Hulshof T, Howlett J: Glycemic response and health-a systematic review and meta-analysis: relations between dietary glycemic properties and health outcomes. Am J Clin Nutr 87:258S-68S, 2008 https://doi.org/10.1093/ajcn/87.1.258S
  11. Salmer$\acute{o}$n J, Manson JE, Stampfer MJ, Colditz GA, Wing AL, Willett WC: Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA 277:472-7, 1997 https://doi.org/10.1001/jama.277.6.4721538-3598
  12. Salmeron J, Ascherio A, Rimm EB, Colditz G, Spiegelman D, Jenkins DJ, Stampfer MJ, Wing AL, Willett WC: Dietary Fiber, Glycemic Load, and Risk of NIDDM in Men. Diabetes Care 20:545-50, 1997 https://doi.org/10.2337/diacare.20.4.545
  13. Barclay AW, Petocz P, McMillan-Price J, Flood VM, Prvan T, Mitchell P, Brand-Miller JC: Glycemic index, glycemic load, and chronic disease risk-a meta-analysis of observational studies. Am J Clin Nutr 87:627-37, 2008 https://doi.org/10.1093/ajcn/87.3.627
  14. Halton TL, Liu S, Manson JE, Hu FB: Low-carbohydrate-diet and risk of type 2 diabetes in women. Am J Clin Nutr 87:339-46, 2008 https://doi.org/10.1093/ajcn/87.2.339
  15. Riccardi G, Rivellese AA, Giacco R: Role of glycemic index and glycemic load in the healthy state, in prediabetes, and in diabetes. Am J Clin Nutr 87(suppl 1):S269-74, 2008 https://doi.org/10.1093/ajcn/87.1.269S
  16. Ma Y, Oldendzki BC, Merriam PA, Chiriboga DE, Culver AL, Li W, Hebert JR, Ockene IS, Griffith JA, Pagoto SL: A randomized clinical trial comparing low–glycemic index versus ADA dietary education among individuals with type 2 diabetes. Nutrition 24:45-56, 2008 https://doi.org/10.1016/j.nut.2007.10.008
  17. Jenkins DJ, Kendall CW, McKeown-Eyssen G, Josse RG, Silverberg J, Booth GL, Vidgen E, Josse AR, Nguyen TH, Corrigan S, Banach MS, Ares S, Mitchell S, Emam A, Augustin LS, Parker TL, Leiter LA: Effect of a low-glycemic index or a high-cereal fiber diet on type 2 diabetes: a randomized trial. JAMA 300:2742-53, 2008 https://doi.org/10.1001/jama.2008.808
  18. Thomas D, Elliott EJ: Low glycaemic index, or low glycaemic load, diets for diabetes mellitus. Cochrane Database of Syst Rev. 21:CD006296, 2009

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