Glycemic and insulin indexes: impact on hormonal response

Nutrition and dietetics

📊 Glycemic and insulin indexes: impact on hormonal response

How carbohydrates affect blood sugar and insulin

Glycemic index (GI) shows how quickly a food raises blood sugar. Insulin index (II) measures how much insulin the body releases in response to a food. These indicators matter for glucose control, insulin sensitivity and hormonal response after meals.

🔬 What is the glycemic index

GI is a measure of how fast a food's carbohydrates raise blood glucose relative to glucose or white bread (set at 100). The higher the GI, the faster and stronger the sugar rise.

RangeInterpretation
≤ 55Low GI
56–69Medium GI
≥ 70High GI

A related concept is glycemic load (GL), which accounts for both GI and the amount of carbohydrates in a serving. GL = (GI × grams of carbs) / 100.

💉 What is the insulin index

II measures the body's insulin response to a serving of food. Interestingly, some low-GI foods (like protein and meat) can still trigger a significant insulin release. II was introduced in 1997 by Australian researchers (Holt et al.).

  • II reflects insulin release, not only glucose.
  • Proteins and some fats also affect insulin.
  • GI and II do not always match.
  • II matters in insulin resistance.

⚖️ GI vs II

ParameterGIII
What it measuresBlood sugarInsulin release
Introduced1981 (Jenkins)1997 (Holt)
Effect of proteinsWeakSignificant
Practical useSugar controlInsulin sensitivity
Key: for weight control and metabolic health it is better to consider both GI and II, as well as total calories and serving composition.

🥗 Food tables

GI examples

FoodGIComment
Glucose100Reference
White bread~75High
Oatmeal~55Medium
Lentils~30Low
Broccoli~15Low

How to lower the GI of a meal

  • Add fiber — it slows absorption.
  • Pair carbohydrates with protein and fats.
  • Choose whole grains over refined ones.
  • Watch cooking method (overcooked foods are higher GI).

💊 Practice and nutraceuticals

In impaired insulin sensitivity, besides diet some supplements may help:

SupplementProposed action
BerberineSupport of insulin sensitivity
Chromium picolinateCarbohydrate metabolism support
Alpha-lipoic acidAntioxidant support
InositolInsulin signaling
Related: more on insulin resistance and how GLUT-4, chromium, berberine and inositol restore sensitivity — "Insulin resistance: GLUT-4 and restoring sensitivity".
❓ FAQ
What is the glycemic index?

The speed at which blood sugar rises after a food.

How does II differ from GI?

II measures insulin release, GI measures glucose.

What is glycemic load?

A measure accounting for both GI and carbs in a serving.

Which foods are low GI?

Lentils, broccoli, most vegetables, whole grains.

Does protein affect insulin?

Yes, protein can cause an insulin response even with low GI.

How to lower the GI of food?

Add fiber, protein and fats; choose whole grains.

Do supplements help with high GI?

Berberine, chromium and inositol may support insulin sensitivity.

GI and diabetes?

A low-GI diet helps control sugar in diabetes.

Is GI the same for raw and cooked food?

No, cooking usually raises the GI.

Is II important for weight loss?

Considering II helps control insulin, which matters in obesity.

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