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Glycemie index — a review and implications for the Potato industry

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Abstract

Glycemic index (GI) ranks carbohydrate foods according to the postprandial impact on blood glucose. High glycemie index carbohydrates cause a rapid rise in blood glucose and are not recommended for consumption by diabetics, who have inadequate insulin production and are susceptible to hyperglycemia. The clinical value of glycemie index as a tool for controlling diet-induced glycemie response in diabetic patients is endorsed by the World Health Organization, the Canadian Diabetes Association, the European Association for the Study of Diabetes and the Dietitians Association of Australia. Currently the American Diabetes Association considers GI as primarily a tool for researchers. Potato is a carbohydrate food with no fat, rich in vitamin C and potassium and a good source of dietary fibre. However, the starch of cooked potato is rapidly broken down to glucose by amylolitic enzymes, resulting in a rapid elevation of blood glucose, and therefore potato products in general have a moderate to high GI. Glycemie load (GL) takes into account the actual amount of carbohydrate consumed per serving. The GL of potato is generally moderate and seldom high because of potato—s high moisture content. GI and GL provide useful guides for diabetics to control the glycemie response associated with the consumption of carbohydrate sources. GI and GL differ between cultivars and can be modified by processing methods. GI is also influenced by other components of the meal, even a previous meal. More research is required to adequately define GI and GL of potato cultivars and identify the impact of the composition of the starch (amylose/amylopectin ratio), processing techniques that contribute to a lower GI, and the effect of other meal components on the GI of potato.

Resumen

El índice glicémico (GI) figura en los alimentos carbohidratados de acuerdo al impacto pos comida sobre la glucosa de la sangre. El alto índice de los carbohidratos glicémicos causa un rápido incremento de glucosa en la sangre y no es recomendado para diabéticos que tienen una inadecuada producción de insulina y son susceptibles a la hiperglicemia. El valor clínico del índice glicémico en pacientes como instrumento para controlar la dieta indujo a una respuesta glicémica en pacientes diabéticos está respaldado por la Organización Mundial de la Salud, la Asociación Canadiense de Diabetes, la Asociación Europea para el Estudio de la Diabetes y la Asociación Dietética de Australia. Actualmente la Asociación Americana de Diabetes considera al GI principalmente como instrumento para investigadores. La papa es un alimento hidrocarbonato sin grasa, rico en vitamina C y potasio y una fuente de fibra, sin embargo, el almidón de la papa cocida se transforma rápidamente en glucosa por acción de enzimas amilolíticas, resultando en una rápida elevación de glucosa de la sangre. Los productos de papa tienen en general un moderado a alto GI. La carga glicémica (GL), toma en cuenta la cantidad Accepted for publication 30 August 2006. Additional Keywords: diabetes, glycemie load, starch, amylose, amylopectin, retrogradation, cultivar, processing real de carbohidratos consumidos por ración, pero la GL de la papa es generalmente moderada y raramente alta debido a su alto contenido de humedad. GI y GL proporcionan guías útiles para el control de la respuesta glicémica asociada con el consumo de fuentes carbohidratadas. GI y GL difieren entre cultivares y pueden ser modificadas por los métodos de procesamiento. El GI está también influenciado por otros componentes del alimento y aún de alimentos consumidos con anterioridad. Se requiere mayor investigación para definir adecuadamente los GI y GL de cultivares de papa, identificar el impacto de la composición del almidón (proporción anulosa/ amilopectina) y las técnicas de procesamiento que contribuyan a disminuir el GI y el impacto de los componentes de otros alimentos sobre el GI de la papa.

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Lynch, D.R., Liu, Q., Tarn, T.R. et al. Glycemie index — a review and implications for the Potato industry. Amer J of Potato Res 84, 179–190 (2007). https://doi.org/10.1007/BF02987141

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