Effect of redesigned Indian mixed meals on blood glucose and insulin levels in normal versus type 2 diabetic subjects–a comparative study

Abstract

This study reports the glycemic as well as insulinemic response of seven types of Indian vegetarian mixed meals (MMs). Each of the seven MMs was given at weekly intervals to both normal and type 2 diabetic subjects on the same day to reduce variations in food preparations. In this Indian study, each MM consisted of five to six food items with a low glycemic index (GI) ranging from 28.98 to 46.12%, glycemic load ranging from 15.58 to 23.8 g and energy value (calculated) from each test meal ranging from 403 to 502 kcal. All the seven meals were found to have postprandial glycemic control in normal subjects which ranged from 86 to 102.4 mg%, and a good postprandial glycemic control in type 2 diabetic subjects which ranged from 132.8 to 148.4 mg%, and hence appropriate for routine consumption by diabetic subjects. The glycemic and insulinemic pattern of all these MMs was similar in normal and diabetic subjects. Sustained intake of such low GI MMs by diabetic can result in good glycemic control.

Keywords::

• Low glycemic index (LGI)
• glycemic response
• insulinemic response
• type 2 diabetes
• Indian vegetarian mixed meal

Declaration of interest: The authors gratefully acknowledge the SJRF of LTMMC and LTMGH for financial assistance, ethics committee of our Institution and Dr Avinash Phadke of Piramal Diagnostic Pvt. Ltd for providing analytical facility and each of the volunteers who participated in this study. The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.