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Glycaemic responses to cereal-based Indian food preparations in patients with non-insulin-dependent diabetes mellitus and normal subjects

Published online by Cambridge University Press:  18 November 2009

Asna Urooj  and
Shashikala Puttaraj
Shashikala Puttaraj
Affiliation:
Department of Studies in Food Science and Nutrition University of Mysore, Manasagangothri, Mysore, 570 006, India
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Abstract

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The in vivo glycaemic responses to six cereal-based foods traditionally consumed in South India were evaluated in patients with non-insulin-dependent diabetes mellitus (NIDDM) and healthy volunteers. All foods contained 50 g carbohydrate and were compared with a 50 g glucose load. Also studied were the in vitro starch digestibility and nutrient composition of the foods. The postprandial responses to the foods at 30, 60 and 120 min were significantly (P < 0·05) lower than those to the reference glucose, in both groups. The peak glucose responses for three foods, i.e. chapatti, idli and poori, occurred 60 min postprandially in both groups. The glycaemic index (GI) values ranged from 67 to 90 in NIDDM and from 44 to 69 in healthy subjects with no significant differences within the groups. Significant relationships were observed between peak responses and area under the curve for foods in patients with NIDDM and in vitro rate of starch hydrolysis (r 0·83, r 0·85, P < 0·05). The GI values predicted using in vitro data were found to be similar to the GI values observed in patients with NIDDM. The GI concept is useful for identifying foods in the habitual Indian diet with attributes of the desired glycaemic effect such as delayed peak rise and low area under the curve.

Keywords

Glycaemic responseCarbohydrateDiabetesIndian foods
Type
Research Article
Information
British Journal of Nutrition , Volume 83 , Issue 5 , May 2000 , pp. 483 - 488
Copyright
Copyright © The Nutrition Society 2000

References

Asp, N-GJohansson, CG,Hallmer, H and Siljestrom, M (1983) A rapid method for the estimation of insoluble and soluble dietary fiber. Journal of Agricultural and Food Chemistry 31, 476–482.CrossRefGoogle Scholar
Association of Official Agricultural Chemists (1984) Methods of Analysis, 14th ed.Washington, DC: AOAC.Google Scholar
Collings, P,Williams, C and MacDonald I (1981) Effect of cooking on the serum glucose and insulin response to starch. British Medical Journal 282, 1032–1033.CrossRefGoogle ScholarPubMed
Collier, G and O'Dea, K (1983) The effect of co-ingestion of fat on the glucose, insulin and GIP responses to carbohydrate and protein. American Journal of Clinical Nutrition 37, 941–944.CrossRefGoogle Scholar
Crapo, PA,Reaven, G and Olefsky, J (1977) Post prandial plasma glucose and insulin responses to different complex carbohydrates.Diabetes 26, 1178–1183.CrossRefGoogle Scholar
Harter, LN (1960) Critical values for Duncan's New Multiple Range test. Biometrics 16, 671–685.CrossRefGoogle Scholar
Jenkins, DJA, Ghafari, H and Wolever, TMS (1982) Relationships between the rate of digestion of foods and post-prandial glycemia. Diabetologia 22, 450–455.CrossRefGoogle Scholar
Jenkins, DJA, Thorne, MJ and Camelon, K (1982) Effect of processing on digestibility and the blood glucose response: a study of lentils. American Journal of Clinical Nutrition 36, 1093–1101.CrossRefGoogle ScholarPubMed
Jenkins, DJA, Wolever, TMS, Leeds, AR,Gassull, MA,Haisman, P,Dilawari, J,Goff, DV,Metz, GL and Alberti, KGMM (1978) Dietary fibres, fibre analogues and glucose tolerance: importance of viscosity. British Medical Journal 1, 1392–1394.CrossRefGoogle ScholarPubMed
Jenkins, DJA, Wolever, TMS, Nineham, R,Taylor, R,Metz, GL,Bacon, S and Hockaday, TDR (1978) Guar crisp bread in the diabetic diet. British Medical Journal 2, 1744–1746.CrossRefGoogle Scholar
Jenkins, DJA, Wolever, TMS, Taylor, RH,Barker, H,Fielden, H,Baldwin, JM,Bowling, AC,Newman, HC,Jenkins, AL and Goff, DV (1981) Glycemic index of foods: a physiological basis for exchange. American Journal of Clinical Nutrition 34, 362–366.CrossRefGoogle Scholar
Jenkins, DJA, Wolever, TMS, Taylor, RH,Ghafari, H,Jenkins, AL,Barker, HM and Jenkins, MJA (1980) Rate of digestion of foods and post-prandial glycaemia in normal and diabetic subjects. British Medical Journal 2, 14–17.CrossRefGoogle Scholar
Jenkins, DJA, Wolever, TMS, Thorne, MJ,Jenkins, AL,Lee, R,Kalmusky, J,Reichert, R and Wong, GS (1983) Glycemic index of foods tested in diabetics: a new basis for carbohydrate exchange favoring the use of legumes.Diabetologia 24, 257–264.CrossRefGoogle ScholarPubMed
Jenkins, DJA, Wolever, TMS, Thorne, MJ,Jenkins, AL,Wong, GS,Josse, RG and Csima, A (1984) The relationship between glycemic response, digestibility and factors influencing the dietary habits of diabetics. American Journal of Clinical Nutrition 40, 1175–1192.CrossRefGoogle ScholarPubMed
Kurup, PG and Krishnamurthy, S (1992) Glycemic index of selected foodstuffs commonly used in South India. International Journal for Vitamin and Nutrition Research 62, 266–268.Google ScholarPubMed
Mani, UV,Pradhan, SN,Mehta, NC,Thakur, DM,Iyer, U and Mani, I (1992) Glycemic index of conventional carbohydrate meals. British Journal of Nutrition 68, 445–450.CrossRefGoogle ScholarPubMed
O'Dea, K, Snow, P and Nestel, P (1981) Rate of starch hydrolysis in vitro as a predictor of metabolic responses to complex carbohydrate in vivo.American Journal of Clinical Nutrition 34, 1991–1993.CrossRefGoogle ScholarPubMed
Raghuram, TC,Pasricha, S,Upadhyaya, AC and Krishnamurthy, K (1987) Glycemic index of Indian foods. Diabetes Bulletin 7, 64–69.Google Scholar
Sahi, A, Bijlani, RL, Karmarkar, MG and Nayar, U (1985) Modulation of glycemic response by protein, fat and fiber. Nutrition Research 5, 1431–1435.CrossRefGoogle Scholar
Trianedes, K and O'Dea, K (1986) Commercial canning increases the digestibility of beans in vitro and post-prandial metabolic responses to them in vivo. American Journal of Clinical Nutrition 44, 390–397.CrossRefGoogle Scholar
Vishwanath, M,Snehalatha, C,Ramachandran, A,Mohan, V,Revathy, M,Paul, S,Lowe, P,Indira, P and Kymal, PK (1988) Glycemic and insulin responses to some breakfast items in diabetic subjects.Nutrition Reports International 37, 409–418.Google Scholar
Wolever, TMS, Jenkins, DJA, Jenkins, AL and Josse, RG (1991) The glycemic index: methodology and clinical implications.American Journal of Clinical Nutrition 54, 846–854.CrossRefGoogle ScholarPubMed
Wootton, M,Weeden, D and Munk, N (1971) A rapid method for the estimation of starch gelatinization in processed foods. Food Technology Australia 23, 612–615.Google Scholar