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Weight Loss Forum / Low Carb / March 2006

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Glycemic Index 'Unrealistic' and Not Very Useful

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Roger Zoul - 15 Mar 2006 04:13 GMT
The glycemic index, a current hot diet trend, "does not seem useful in
understanding how diet impacts health, it only makes life more complicated
for those trying to adopt a healthier lifestyle." says the author of a new
study.

http://www.diabetesincontrol.com/modules.php?name=News&file=article&sid=3552
Rick King - 15 Mar 2006 06:18 GMT
Yes...eat low fat and more gains....and watch that T2 spin out of control.
I have watched my father do this for years.

Rick
Ningi - 15 Mar 2006 14:38 GMT
> The glycemic index, a current hot diet trend, "does not seem useful in
> understanding how diet impacts health, it only makes life more complicated
> for those trying to adopt a healthier lifestyle." says the author of a new
> study.
>
> http://www.diabetesincontrol.com/modules.php?name=News&file=article&sid=3552 

These statements seem reasonable, just not very relevant to dieting.
Keeping an eye on GI does seem to help alot of people manage cravings etc.

Anyway, GI is mostly a way for all the diet gurus to promote Atkins
without looking like idiots after slagging it off for 20 years.

Pete
--
287/195/185
readandpostrosie - 16 Mar 2006 01:27 GMT
> Anyway, GI is mostly a way for all the diet gurus to promote Atkins
> without looking like idiots after slagging it off for 20 years.
>
> Pete
> --
> 287/195/185

AMEN!
Jbuch - 15 Mar 2006 14:43 GMT
> The glycemic index, a current hot diet trend, "does not seem useful in
> understanding how diet impacts health, it only makes life more complicated
> for those trying to adopt a healthier lifestyle." says the author of a new
> study.
>
> http://www.diabetesincontrol.com/modules.php?name=News&file=article&sid=3552 

Perhaps a relevant extract is:

>  The general ‘take-home’ message for consumers has been “low GI good, high GI bad.”
>
[quoted text clipped - 16 lines]
>
> “This is unrealistic because we eat throughout the day, and a certain food eaten at lunchtime can have a different impact on blood-glucose levels compared to eating that same food for breakfast after fasting overnight,” said Mayer-Davis. “In general, the GI does not seem to be useful in understanding how diet impacts health, and use of the GI may not be an effective way to identify foods for optimal health,” she said.

I remember reading that in real eating, you mix up a lot of foods of
differing GI and GL (Glycemic Indices and Glycemic Loads).... and the
resulting increase in Blood Glucose has little to do with the net
composition of the mix of foods eaten.

It has long been known that Protein or Fat eaten along with high GI/GL
foods will knock down the BG rise substantially.

The GI and GL stuff is overhyped, and gives those chemically
disadvantaged a feeling that they are able to make predictions of some sort.

In reality, the chemistry of digestion is more complex than GI/GL
because of the complexities of interactions of foods in the digestive tract.

Yes, I was foolish enough to buy into this at first myself.

Finally, my real knowledge of the difference between complex systems and
simple isolated test results took over.

We pay a high price for being scientifically semi-literate. It allows
others to manipulate our good intentions.

Jim
Roger Zoul - 15 Mar 2006 15:44 GMT
:: Yes, I was foolish enough to buy into this at first myself.

When it's all said and done, just controlling carb intake while not
overeating is mostly what's needed (exercise, too!)
Cookie Cutter - 16 Mar 2006 05:44 GMT
> I remember reading that in real eating, you mix up a lot of foods of
> differing GI and GL (Glycemic Indices and Glycemic Loads).... and the
> resulting increase in Blood Glucose has little to do with the net
> composition of the mix of foods eaten.

That is not true .... it has everything to do with it.  There is a
formula to calculate the GI of a meal based on GI's of its individual
components.

I am surprised that no one has taken this study to task.  After years of
flawed studies that bashed low carb, I would think that old-timers on
this group would be suspicous.  This study allowed diabetics to eat
low-glycemic carbs freely then measured their blood sugar.  Diabetes is
a disease of poor carbohydrate metabolism.  If you eat 300 grams of
"fast" carbs, they have to be metabolized.  If you eat 300 grams of
"slow" carbs, they have to be metabolized.  The advantage of low GI
carbs is that they   get to your blood stream over a longer period of
time than the fast ones and, because of that, you can probably eat a few
more than you could of the fast ones.  If you exchange the same number
of fast carbs for slow carbs, then you will probably have lower blood
glucose numbers because the impact is spread over a longer time period.

Cookie
trader4@optonline.net - 16 Mar 2006 12:55 GMT
It's not even clear to me what exactly they did in this study.  It
sounds like they just asked people what they ate over a long period of
time and measured there BG levels.   Now if these people were all
eating a wide assortment of different foods, some foods with high GI,
some with low GI, I'm not so surprised that it was hard to find any
difference.

Now it would have been more interesting to divide them in two groups,
with one group eating low GI foods and the other hi GI and then see
what happens.
Aaron Baugher - 17 Mar 2006 22:03 GMT
> It's not even clear to me what exactly they did in this study.  It
> sounds like they just asked people what they ate over a long period
> of time and measured there BG levels.  Now if these people were all
> eating a wide assortment of different foods, some foods with high
> GI, some with low GI, I'm not so surprised that it was hard to find
> any difference.

And anyone who's spent much time in this newsgroup knows how reliable
asking people about their own diets is.  If they aren't externally
monitoring and measuring what the subjects are eating, I'd say the
entire study is worthless.

Signature

Aaron -- aaron_baugher@yahoo.com -- 285/235/200
        http://360.yahoo.com/aaron_baugher

Jbuch - 16 Mar 2006 15:11 GMT
>> I remember reading that in real eating, you mix up a lot of foods of
>> differing GI and GL (Glycemic Indices and Glycemic Loads).... and the
[quoted text clipped - 4 lines]
> formula to calculate the GI of a meal based on GI's of its individual
> components.

Can you show the "alleged formula" ....

And can you show any expeirment in which the ability of the formula to
PREDICT actual Blood Glucose response is VERIFIED?

I'll bet not.

The chemistry is too complex for the simple "Rule of Mixtures" type of
rule to apply.

Rule of mixtures:

Aggregate response = summation of portion weighted responses of the
components.

These simple models are based on the lack of interaction between foods
in the stomach... but there is competition for enzymes, for example, as
just one of many interactions of foods digesting in the stomach.

Anything more complicated is not useful to the average "math limited"
dieter, or would be just too much trouble even if the math could be
performed.

I am sure that there is no EXPERIMENTALLY VERIFIED formula for GI/GL
response of food mixtures.

I, of course, will follow up with any references you can provide.

> I am surprised that no one has taken this study to task.  After years of
> flawed studies that bashed low carb, I would think that old-timers on
[quoted text clipped - 10 lines]
>
> Cookie
trader4@optonline.net - 16 Mar 2006 15:57 GMT
> >> I remember reading that in real eating, you mix up a lot of foods of
> >> differing GI and GL (Glycemic Indices and Glycemic Loads).... and the
[quoted text clipped - 6 lines]
>
> Can you show the "alleged formula" ....

Yes, I'd like to see it too.

> And can you show any expeirment in which the ability of the formula to
> PREDICT actual Blood Glucose response is VERIFIED?
[quoted text clipped - 21 lines]
>
> I, of course, will follow up with any references you can provide.

Plus whatever the alleged formula is, assuming that the resulting GI
from mixing lower GI foods with higher is still a net result that is
lower than eating just high GI foods, then why didn't it show up in
this study?

I think another issue with this study is that it apparently was done
with diabetics?   Not sure how this then translates to normal subjects.

> > I am surprised that no one has taken this study to task.  After years of
> > flawed studies that bashed low carb, I would think that old-timers on
[quoted text clipped - 10 lines]
> >
> > Cookie
Roger Zoul - 16 Mar 2006 19:32 GMT
:: Jbuch wrote:
::: Cookie Cutter wrote:
[quoted text clipped - 48 lines]
:: with diabetics?   Not sure how this then translates to normal
:: subjects.

Well, for normal subjects it won't matter much, right?  They aren't IR  and
won't have insulin swings, so they can basically eat whatever.  Until the
can't, of course.

:::: I am surprised that no one has taken this study to task.  After
:::: years of flawed studies that bashed low carb, I would think that
[quoted text clipped - 12 lines]
::::
:::: Cookie
trader4@optonline.net - 16 Mar 2006 19:44 GMT
> :: Jbuch wrote:
> ::: Cookie Cutter wrote:
[quoted text clipped - 52 lines]
> won't have insulin swings, so they can basically eat whatever.  Until the
> can't, of course.

Don't people without diabetes have swings in BG depending on what they
eat?   Seems Atkins spent a lot of time talking about this, including
recommending against caffeine, because it could cause blood sugar
swings.   And I seem to recall studies done on sugar alcohol showing
how some had more impact on BG than others

> :::: I am surprised that no one has taken this study to task.  After
> :::: years of flawed studies that bashed low carb, I would think that
[quoted text clipped - 12 lines]
> ::::
> :::: Cookie
Susan - 16 Mar 2006 19:53 GMT
> Don't people without diabetes have swings in BG depending on what they
> eat?   Seems Atkins spent a lot of time talking about this, including
> recommending against caffeine, because it could cause blood sugar
> swings.   And I seem to recall studies done on sugar alcohol showing
> how some had more impact on BG than others

People with intact pancreatic function mostly stay in a tight range of
85-105 no matter what they eat.  There's a progression of worsened
glucose tolerance between completely intact and diabetic ranges during
which increased bg swings occur.

But even without the swings in bg, we know that the high amount of
insulin secretion needed to manage high carb intake is although
unhealthy; it's associated with CVD and higher incidence of some cancers.

Susan
Cookie Cutter - 19 Mar 2006 15:44 GMT
> Can you show the "alleged formula" ....
>
> And can you show any expeirment in which the ability of the formula to
> PREDICT actual Blood Glucose response is VERIFIED?
>
> I'll bet not.

OJ = Orange Juice, 4 oz
CF = Kellogg's Corn Flakes, 1 oz
M = Milk, 4 oz
T = 1 slice of toast

Carb = Grams of Carbohydrate in the food
%Tot_Carb = %of total carbohydates supplied to the meal by this food
GI = Glycemic Index
Contribution = The GI contributed by this food to the mixed meal

Food..Carb...%Tot_Carb.....GI.....Contribution
----..----........----.....--.....------------
OJ.....13.........23.......46....23% * 46 = 11
CF.....24.........43.......84....43% * 84 = 36
M ..... 6.........11.......27....11% * 27 =  3
T .....13.........23.......70....23% * 70 = 16
............................................___

TOTAL GI for Meal .......................... 66

Mixed meals have been tested at the University of Sydney.

Formula is from "The Glucose Revolution, The Authoritative Guide to the
Glycemic index" by Jennie Brand-Miller, et al.  This edition was
published in 1999 and can be purchased at used book websites.  The
second edition called "The New Glucose Revolution" is geared to a
non-technical audience and does not have a technical chapter containing
the scientific explanations of the previous book including this formula.

Cookie
Roger Zoul - 19 Mar 2006 17:06 GMT
:: Jbuch wrote:
::
[quoted text clipped - 34 lines]
:: containing the scientific explanations of the previous book
:: including this formula.

In other words, a major BG roller coaster ride.  But we knew that from the
total carb count.
Jbuch - 20 Mar 2006 16:39 GMT
>> Can you show the "alleged formula" ....
>>
[quoted text clipped - 33 lines]
>
> Cookie

Thanks, but what is here is "that the mixed meals have been tested at
the University of Sydney".  You can test all kinds of things and that
testing doesn't mean anything if you don't explicitly REPORT RESULTS.

This text doesn't say that the meal prediction was VERIFIED. That would
be to list the prediction and the observation.

The observation would be the predicted glucose spike and the observed
glucose spike......  preferably with a graph showing the buildup and the
peak.

But at least to explicitly compare the predicted blood spike with the
observed.

Again, I can have a theory and claim to have tested something. If I
don't report that the test did/didn't verify the theory, and show the
results, then I have mislead the reader.

And, of course, one would have to verify the formula with a lot of
different mixtures to show that it is generally applicable to mixtures
of meals, and not just one lucky statistical hit.

The above meal consisted of Orange Juice, Cereal, Milk and Toast.

It didn't include fatty breakfast sausage..... which is often quoted as
slowing down the Blood Glucose spike.

It didn't include lean  meaty beef, which is also often quoted as a way
of slowing down the glucose spike.

As far as I can see.... the above shows a linear rule of mixtures
prediction --- which generally fails in many situations in real life.

I made my living as a metallurgist for a while.

Part of metallurgy involves mixing two or more metals together to create
an allow.

The simple linear rule of mixtures almost never produces an accurate
answer because nonlinear chemical reactions happen.

Anyone who could create a formula to predict the properties of mixtures
of metals could end up quite rich.

"Magic Formulas" for complex real physical situations usually don't
exist except in the minds of ..............

Thank you for presenting the source of your opinion.

I can see how you could easily have formed your opinion.

Signature

1) Eat Till SATISFIED, Not STUFFED... Atkins repeated 9 times in the book
2) Exercise: It's Non-Negotiable..... Chapter 22 title, Atkins book
3) Don't Diet Without Supplemental Nutrients... Chapter 23 title, Atkins
book
4) A sensible eating plan, and follow it. (Atkins, Self Made or Other)

Roger Zoul - 20 Mar 2006 17:44 GMT
:: The simple linear rule of mixtures almost never produces an accurate
:: answer because nonlinear chemical reactions happen.
[quoted text clipped - 4 lines]
:: "Magic Formulas" for complex real physical situations usually don't
:: exist except in the minds of ..............

GI/GL is so complicated....mixtures and non-linear effects.  A big "Argh" in
the real world with real people. Simple: limit carb intake grams.  Works
well.

KISS.
 
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