Understanding the Glycemic Index
The glycemic index (GI) is a system for ranking carbohydrate-containing foods based on how quickly they raise blood sugar levels. The scale runs from 0 to 100, with pure glucose at the top. Foods are categorized as low GI (55 or less), medium GI (56-69), or high GI (70 or more). The rate of absorption is influenced by several factors, including fiber, protein, fat content, processing, and the type of starch. Low-GI foods are digested and absorbed more slowly, leading to a gradual rise in blood glucose and insulin levels, which is beneficial for managing conditions like diabetes and for weight control.
The Common Misconception About Gluten-Free Foods
Many consumers, and even some healthcare professionals, assume that a gluten-free (GF) product is inherently healthier or has a lower GI. This is often incorrect, as many processed GF foods use ingredients that compensate for the lack of gluten, frequently involving the replacement of wheat with high-GI starches that can negatively impact blood sugar management.
Why Processed Gluten-Free Products Can Have a High GI
- Refined Starch Replacements: Processed GF items often utilize refined flours and starches such as white rice flour, potato starch, tapioca starch, and cornstarch, which are low in fiber and quickly raise blood sugar.
- Lower Fiber and Protein: Many GF alternatives have less fiber and protein, both of which slow digestion and help regulate blood sugar levels.
- Added Sugars and Fats: To improve taste and texture, some processed GF foods contain added sugars and fats, contributing to a higher caloric and glycemic load.
The Higher GI of Many Gluten-Free Items
A systematic review found that over 60% of gluten-free bread samples had a high GI. Another study showed a control gluten-free biscuit had a high GI of 77. This demonstrates that the composition of many processed GF products often results in a higher GI than comparable gluten-containing items.
Finding Truly Low-GI, Gluten-Free Foods
A low-GI, gluten-free diet is achievable by focusing on whole foods. Incorporating ingredients high in fiber and resistant starches can also help lower the GI of formulated GF products.
Ingredients that can help lower the GI in GF products:
- Legume flours (lentils, chickpeas, beans)
- Pseudocereals (buckwheat, quinoa, amaranth)
- Resistant starch
- Sourdough fermentation
- Fibers and additives (psyllium, inulin)
Comparison of Gluten vs. Gluten-Free Alternatives
| Food Item | Typical Gluten-Containing GI | Typical Processed Gluten-Free GI | Low-GI Gluten-Free Alternative |
|---|---|---|---|
| White Bread | ~75 | ~77-83 | Buckwheat bread (~50) |
| Pasta | ~43 (al dente) | Often higher | Legume-based pasta (lentil, chickpea) |
| Biscuits | Varies, e.g., Oat biscuits lower | Often high GI (Digestive 83) | GF biscuits with maltitol, inulin, and resistant starch (GI as low as 33) |
| Cereal | Cornflakes (~81) | Many instant or refined options are high GI | Rolled or steel-cut oats (certified GF), quinoa porridge |
How to Manage Your Diet Effectively
For those managing blood sugar, especially individuals with both celiac disease and diabetes, it's crucial to read labels carefully rather than assuming a GF product is low GI. Resources like the Celiac Disease Foundation offer guidance.
Focus on naturally low-GI, gluten-free foods: Choose whole foods like fruits, vegetables, eggs, lean meats, and legumes.
Select high-fiber, low-GI grains: Opt for processed GF grains made with ingredients like quinoa, buckwheat, and sorghum.
Balance your meals: Combine higher-GI foods with protein, healthy fats, and low-GI foods to stabilize blood sugar.
Conclusion
Not all gluten-free products have a low GI. Many processed GF items use high-GI ingredients and lack the fiber found in whole grains, which can negatively impact blood sugar management. A genuinely low-GI, gluten-free diet emphasizes whole foods such as vegetables, legumes, and specific pseudocereals, while limiting refined GF products. Understanding ingredient differences allows for informed choices to manage health effectively while avoiding gluten.