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David J. A. Jenkins, MD

JAMA. 1984;251(21):2829-2831.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Different carbohydrate foods produce different glycemic responses, as has been recognized for many years.^1-5 However, in terms of dietary advice to diabetics, emphasis has remained on the relative virtue of "complex" carbohydrates (starch) over "simple sugars." The evidence has never been this clear-cut, as indicated by a report in the current issue of THE JOURNAL⁶ on the modest postprandial blood glucose response to ice cream.

Different Glycemic Responses to Different Foods

Studies by Crapo and colleagues^2,5 demonstrated that the glycemic response to glucose was similar to certain starchy foods. Sucrose, with a lower blood glucose response than glucose,^1,3,7-10 produced a rise in blood glucose levels similar to those produced by many commonly eaten starchy foods.^{1,3,7-9,11,12} In addition, the blood glucose and insulin responses seen in healthy volunteers were similar when a range of carbohydrates of differing complexity were compared; these included liquid starch, caloreen (a . . . [Full Text PDF of this Article]

Author Affiliations
Department of Nutritional Sciences Faculty of Medicine Division of Endocrinology and Metabolism St Michael's Hospital, University of Toronto

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