Abstract

Background Determining the glycemic index and load of foods has significant impact on meal planning for diabetes. However, there is no data on the glycemic index (GI) and glycemic load (GL) of Ethiopian foods. Therefore, the aim of this study was to analyze the glycemic index and glycemic load of Teff Injera, Corn Injera, and White Wheat Bread. Methods Experimental study design was conducted among selected healthy adults. Teff Injera, Corn Injera, and White Wheat Bread were selected as test foods for the study, and glucose was used as the reference food. The postprandial glucose concentrations in the blood were recorded at 0, 15, 30, 45, 90, and 120 minutes. The relative glycemic index of each food was calculated, and the presence of statistical difference in glycemic index among the three foods was analyzed. Results The mean age of the participants was 23 years (±1.6 years). The glycemic indexes of Teff Injera, White Wheat Bread, and Corn Injera were 36 (low), 46 (low), and 97 (high), respectively, and the glycemic loads were 7 (low), 14 (moderate), and 22 (high), respectively. There was a significant difference in glycemic index and load among the three food items (p < 0.001). Teff Injera had a much lower glycemic index and load compared with Corn Injera (p < 0.001) and White Wheat Bread (p = 0.03). Conclusions Teff Injera and White Wheat Bread have low glycemic index and are recommended to be consumed by diabetic patients, whereas Corn Injera has high glycemic index and is not recommended for diabetic patients. Therefore, Teff Injera should be considered globally in the dietary modification programs for diabetes.

Highlights

  • The prevalence of diabetes in adult population of Ethiopia was 5.2% in 2018 [1]

  • There was a significant difference in the blood glucose increment at different time intervals when comparing Teff Injera, Corn Injera, and White Wheat Bread with glucose (p < 0:001)

  • Foods with low glycemic index and load are recommended for diabetic patients, and those foods with high glycemic index and load are not recommended for diabetic patients [4, 13]

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Summary

Introduction

The prevalence of diabetes in adult population of Ethiopia was 5.2% in 2018 [1]. Lifestyle modifications including diet are important behavior for diabetes, obesity management, and lipid control, thereby reducing the incidence of metabolic syndrome in patients without diabetes and maintaining the glycemic control in those with both type I and type II diabetes. The aim of this study was to analyze the glycemic index and glycemic load of Teff Injera, Corn Injera, and White Wheat Bread. The glycemic indexes of Teff Injera, White Wheat Bread, and Corn Injera were 36 (low), 46 (low), and 97 (high), respectively, and the glycemic loads were 7 (low), 14 (moderate), and 22 (high), respectively. Teff Injera had a much lower glycemic index and load compared with Corn Injera (p < 0:001) and White Wheat Bread (p = 0:03). Teff Injera and White Wheat Bread have low glycemic index and are recommended to be consumed by diabetic patients, whereas Corn Injera has high glycemic index and is not recommended for diabetic patients. Teff Injera should be considered globally in the dietary modification programs for diabetes

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