The glycemic index (GI) is a means of expressing the bioavailability of the carbohydrate in a food. A food with a higher glycemic index will cause a greater surge in serum glucose following ingestion.
Procedure (see Jenkins et al):
(1) Ingest 50 grams of a reference carbohydrate (usually glucose or white bread) and monitor the serum glucose for 2 hours after eating.
(2) Draw a curve connecting the serum glucose values and determine the area under the curve using the pre-ingestion serum glucose as the baseline.
(3) On a separate day ingest 50 grams of carbohydrate in a portion of the food being evaluated. Monitor the serum glucose for 2 hours after eating.
(4) Draw a curve connecting the serum glucose values and determine the area under the curve using the pre-ingestion serum glucose as the baseline.
glycemic index for food =
= (area under curve for carbohydrate load from food) / (area under curve for reference carbohydrate source) * 100%
Interpretation:
• minimum glycemic index for most foods using glucose as reference source: 0
• maximum glycemic index for most foods using glucose as reference source: 100
• maximum glycemic index for most foods using white bread as reference source: 142
Level of Glycemic Index |
GI referenced to glucose |
GI referenced to white bread |
high (Class I) |
> 63 |
> 90 |
intermediate (Class II) |
49 – 63 |
70 – 90 |
low (Class III) |
< 49 |
< 70 |
from Table 86.9, Anderson; adapted from Wolever and Jenkins (1995)
Specialty: Nutrition
ICD-10: ,