Glycemic Variations after Ingestion of Different Carbohydrate-Containing Foods Assessed by Continuous Glucose Monitoring in Healthy and Diabetic Individuals in Daily Life.
Carbohydrate counting is a meal planning approach for diabetic patients,
but individual variations of the effect of glycemic index do not seem to be
well taken into account.
Here we assessed glycemic variations after the ingestion of different carbohydrate-containing
foods by continuous glucose monitoring in healthy and diabetic individuals in daily life.
After an overnight fast, seven healthy persons and four patients each of type 1 and 2 diabetes
were instructed to eat three different kinds of 40 g carbohydrate-containing breakfast within
10 minutes for three consecutive days.
The sums of glycemic increments over three hours after the ingestion of apple and cereal+milk
were significant lower than those after the rice ingestion in healthy persons, but there was no
significant difference among those in diabetic patients.
Postprandial glucose levels were suppressed in the cereal+milk meal, but the elevated
glucose levels appeared to persist in patients with type 1 diabetes.
Medical staff should be aware of controlling carbohydrate intake with glycemic
index, keeping in mind large individual variations of glycemic responses to the same amount
of carbohydrate. It may be wise for diabetic patients to develop their own personal glycemic
indexes in their respective situations.
Diabetes Res Open J. 2015; 1(2): 41-47. doi: 10.17140/DROJ-1-107