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Tables for:
Improved Glycemic Control and Lipid Profile and Normalized Fibrinolytic Activity on a Low-Glycemic Index Diet in Type 2 Diabetic Patients

[Diabetes Care 22(1):10-18, 1999. © 1999 American Diabetes Association, Inc]


Table 1. Nutrient composition


NutrientLow-GI dietHigh-GI diet
Carbohydrate (g/% of energy)255/55239/54
Starch (g)215205
Dietary fiber, corrected for resistant starch (g)3834
Glucose (g)1110
Fructose (g)1312
Sucrose (g)98
Protein (g/% of energy)84/1878/18
Fat (g/% of energy)57/2760/29
Fatty acids
   Saturated (g/% of energy)19/918/9
   Monounsaturated (g/% of energy)25/1226/12
   Polyunsaturated(g/%of energy)14/715/7
Energy
   kcal1,8801,820
   IF kJ7,870760

Data represent the mean for all 7 days of three analyses for each diet. Chemical analyses were performed on a menu calculated to contain 2,000 kcal (8,370 kJ). Calculations of % of energy were based on the energy levels calculated from the analysis of carbohydrates, protein, and fat. Fatty acids were calculated from the relative fatty acid composition and the energy levels calculated from the analysis of carbohydrates, protein, and fat. Energy was calculated from the analysis of carbohydrates, protein, and fat.


Table 2. Gls of starchy foods included in the two test diets


Starchy foodContribution % (carbohydrate basis)Low-GI diet (ref. no.)High-GI diet (ref. no.)
Whole grain barley bread2358 (22) 
Whole meal barley bread23 100 (22)
White durum pasta2167 (23) 
White durum bread21 100 (23)
Parboiled rice2165* 
Sticky rice21 86*
Whole grain barley porridge335 (24) 
Whole meal barley porridge3 98 (25)
Whole red lentils236 (26) 
Ground red lentils2 70
Whole white beans240 (26) 
Ground white beans2 74
Whole red kidney beans236 (30) 
Ground red kidney beans2 70 (30)
Whole brown beans240 
Ground brown beans2 74
Ordinary maize starch muffins168* 
High-amylose maize starch muffins1 96*
Ordinary maize flour0.550* 
High-amylose maize flour0.5 81*

The structure of the starchy foods was changed with the purpose of varying the Gl (with white bread as reference) of the diets while maintaining an identical gross nutrient composition. All other dietary constituents were kept identical in both test diets.

*GI predicted from in vitro assay according to Granfeldt et al.[30]
Estimated assuming an increase in Gl due to milling, as in red kidney beans.
Properties assumed to be similar to those in the corresponding white bean product.[27] Ordinary maize products are 25% amylose; high-amylose products are 70% amylose.


Table 3. Menu for 1 day on the low- and high-GI diets at the 2,000-kcal level


MealLow-GI dayHigh-GI day
BreakfastPasta porridge:

  • 73 g durum pasta*
  • 18 g margarine
  • 30 g strawberries
  • 3 g sugar
127 g bread made from durum wheat*
18 g margarine
30 g strawberries
3 g sugar
150 ml low-fat milk150 ml low-fat milk
Lunch54 g durum pasta*95 g bread made from durum wheat*
Salmon sauce:

  • 5 g flour
  • 10 g margarine
  • 100 ml low-fat milk
  • 50 g salmon
  • 10 g leek
Salmon sauce:

  • 5 g flour
  • 10 g margarine
  • 100 ml low-fat milk
  • 50 g salmon
  • 10 g leek
45 g green beans45 g green beans
45 g bread made of whole barley seeds*45 g bread made of whole barley seeds*
3 g margarine3 g margarine
105 g orange105 g orange
DinnerChili con carne:

  • 40 g white beans, whole*
  • 50 g minced meat
  • 30 g onion
  • 3 g garlic
  • 60 g tomato, crushed
  • 10 g tomato, puree
  • 15 g margarine
Chili con carne:

  • 40 g white beans, whole*
  • 50 g minced meat
  • 30 g onion
  • 3 g garlic
  • 60 g tomato, crushed
  • 10 g tomato, puree
  • 15 g margarine
47 g parboiled rice*47 g sticky rice*
Tomato salad:

  • 65 g tomato
  • 5 g canola oil
  • 2 g vinegar
Tomato salad:

  • 65 g tomato
  • 5 g canola oil
  • 2 g vinegar
Snack75 g bread made of whole barley seeds*75 g bread made of ground barley seeds*
6 g margarine6 g margarine
150 ml low-fat milk150 ml low-fat milk
Apple rice:

  • 32 g parboiled rice*
  • 5 g honey
  • 40 g apple
  • 5 g lemon juice
Apple rice:

  • 32 g sticky rice*
  • 5 g honey
  • 40 g apple
  • 5 g lemon juice

*Foods with different Gl values.


Table 4. Effects on glucose and insulin metabolism after 3 weeks on low- and high-GI diets


 BaselineLow GI% ChangeHigh GI% ChangeP
Fasting plasma glucose (mmol/l)10.3 ± 3.28.8 ± 3.1- 14.6*9.0 ± 3.1- 13.3*0.471
HbA1c (%)7.2 ± 1 46.7 ± 1.3- 5.96.9 ± 1.3- 3.60.107
Fructosamine (µmol/l)353 ± 78347 ± 72- 1.8356 ± 750.80.050
Fasting plasma insulin (mU/l)13.6 ± 8.412.5 ± 4.5- 8.312.7 ± 5.0-6.30.930
Insulin sensitivity (M/l)4.3 ± 2.85.6 ± 2.8305.2 ± 2.5210.305

Data are means ± SD. P includes values for differences between the low- and high-GI diets. Significant changes during the dietary periods when compared with baseline:

*P < 0 001
P < 0.01
P < 0.05


Table 5. Serum lipoprotein and serum apo concentrations at baseline and aiter 3 weeks on diets with low- and high-GI diets


 BaselineLow GI% ChangeHigh GI% Changep
Serum cholesterol (mmol/l)5.79 ± 0.784.23 + 0.73-27*4.46 ± 0.87-23*0.002
Serum triglycerides (mmol/l)1.80 ± 1.001.25 ± 0.58-30*1.22 ± 0.57-32*0.877
HDL cholesterol (mmol/l)1.06 ± 0.260.88 ± 0.28-17t0.87 + 0.27-19t0.700
HDL triglycerides (mmol/l)0.10 ± 0.050.09 ± 0.06-100.07 ± 0.04-350.086
VLDL cholesterol (mmol/l)0.56 ± 0.480.37 ± 0.21-340.41 + 0.27-270.494
VLDL triglycerides (mmol/l)1.28 ± 0.980.94 ± 0.47-270.99 ± 0.57-230.117
LDL cholesterol (mmol/l)4.03 ± 0.782.87 + 0.70-29*3.13 ± 0.90-22*0.003
LDL triglycerides (mmol/l)0.42 ± 0.100.33 ± 0.09-20*0.34 ± 0.09-180.573
LDL/HDL cholesterol3.96 ± 1.153.66 ± 1.57-83.84 ± 1.24-30.121
ApoA-1 (mg/dl)125.8 ± 16.2499.3 ± 17.95-21*102.5 ± 15.56- 19*0.036
ApoB (mg/dl)104.3 ± 16.2578.9 ± 15.61-24*84.3 ± 14.67- 19*0.006
Apo(a) (U/l)39.8 ± 296.2307.0 ± 329.6128*304.2 ± 33S.3627*0.222

Data are means ± SD. P includes values for differences between the low- and high-GI diets. Significant changes during the dietary periods when compared with baseline:

*P < 0 001
P < 0.01