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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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Indian food and late BG peak

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T1Steve - 20 Mar 2006 21:40 GMT
Has anyone noticed any late BG readings after eating Indian food? We
eat Indian food about once a week.  Normally we get basmati rice and
chicken or lamb entree.  Even when I measure the amount of basmati rice
at home and eat exact amount of carbs needed, I get elevated blood
sugar levels much later in the day.  Two hours after giving bolus
(Novolog) my BG reading may be normal (below 140), but it keeps rising
even after 2 hours post-meal.

I could only guess that fat content of Indian food delays the peak in
BG, but I am not 100% sure this is the cause.  Has anyone else noticed
that phenomenon?  Any idea why this could be happening?

Thanks.

T1Steve
Alice Faber - 20 Mar 2006 22:01 GMT
> Has anyone noticed any late BG readings after eating Indian food? We
> eat Indian food about once a week.  Normally we get basmati rice and
[quoted text clipped - 7 lines]
> BG, but I am not 100% sure this is the cause.  Has anyone else noticed
> that phenomenon?  Any idea why this could be happening?

When I was first diagnosed T2, the one food ingredient that could be
counted on to have a disproportionate effect on my numbers was coconut
milk. At first I assumed that the curries I had it in had *other*,
hidden ingredients, but I got the same effect from a coconut milk-based
soup in a Thai restaurant.

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AF

wmmckee@cox.net - 20 Mar 2006 22:43 GMT
>  I could only guess that fat content of Indian food delays the peak in
> > BG, but I am not 100% sure this is the cause.  Has anyone else noticed
> > that phenomenon?  Any idea why this could be happening?

I researched the GI values of different types of rice a while back.... I
don't have my book with me at the moment, but I think this is on the web at
http://www.glycemicindex.com/ which is maintained at the University of
Sydney, in Australia.

As I recall, basmati rice is one of the lowest in GI value, while jazmati is
one of the highest. If you are sure you are getting basmati, please recall
the discussions of Quentin and others a few days ago, in which the concepts
of the glycemic index and glycemic load were discussed somewhat at length in
another thread. Even if you are eating basmati, you would still have to
watch the total carb count you are consuming, as well as what you are eating
with it, since that would affect the glycemic load. Remember, carbs are
carbs.... They all convert to glucose when absorbed and broken down. Some
digest and break down more quickly than others, that's all.....

For instance, I rarely eat rice at all, and when I do, I rarely have more
than 1/2 cup. That stuff is just volatile for my BG.

Will, T2
Alice Faber - 20 Mar 2006 23:16 GMT
> >  I could only guess that fat content of Indian food delays the peak in
> > > BG, but I am not 100% sure this is the cause.  Has anyone else noticed
[quoted text clipped - 17 lines]
> For instance, I rarely eat rice at all, and when I do, I rarely have more
> than 1/2 cup. That stuff is just volatile for my BG.

I didn't write anything in what you cited! This one's innocuous, but it
isn't always...

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AF

wmmckee@cox.net - 20 Mar 2006 23:47 GMT
Sorry Alice, I guess I was responding to the original poster, who was
T1Steve....

Sorry about the mixup.... You did not write the bit about the basmati rice.
T1Steve apparently wrote that. And yet, I suppose what I had to say would
have been the same. Basmati does have a lower GI than say, Jasmine rice,
which was my main point. Most rice rates very highly on the GI scale. Both
Jasmine and basmati rice are frequently served in Indian cuisine.

Will, T2
Alice Faber - 21 Mar 2006 00:06 GMT
> Sorry Alice, I guess I was responding to the original poster, who was
> T1Steve....
[quoted text clipped - 6 lines]
>
> Will, T2

Not a problem...I had mentioned coconut milk as a possible culprit...

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AF

Jenny - 21 Mar 2006 00:49 GMT
> When I was first diagnosed T2, the one food ingredient that could be
> counted on to have a disproportionate effect on my numbers was coconut
> milk. At first I assumed that the curries I had it in had *other*,
> hidden ingredients, but I got the same effect from a coconut milk-based
> soup in a Thai restaurant.

That is very interesting. I get much worse numbers from Thai foods, but
I assumed it was because there is additional sugar and lots and lots of
garlic in all the sauces and the noodles they use are the very fast
digesting kind.

Are you sure it isn't the added sugar in the soup, not the coconut milk?

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control
Susan - 21 Mar 2006 00:53 GMT
> That is very interesting. I get much worse numbers from Thai foods, but
> I assumed it was because there is additional sugar and lots and lots of
> garlic in all the sauces and the noodles they use are the very fast
> digesting kind.
>
> Are you sure it isn't the added sugar in the soup, not the coconut milk?

I never eat the noodles, but where I live, Thai food in restaurants is
heavily sweetened with sugar, some places horribly so.

Susan
Alice Faber - 21 Mar 2006 05:52 GMT
> > When I was first diagnosed T2, the one food ingredient that could be
> > counted on to have a disproportionate effect on my numbers was coconut
[quoted text clipped - 8 lines]
>
> Are you sure it isn't the added sugar in the soup, not the coconut milk?

It didn't taste at all sweet (I know..), and, because of the effect on
my blood sugar, I wasn't inclined to try again. For what it's worth,
though, I've had less of a spike from obviously sweetened sauces (like
sriracha) than from coconut-milk-based curries that were less obviously
sweetened. Just one of the mysteries. YMMV.

The message to the original poster would be not to assume what's going
to cause spikes but to try food in various combinations. He was assuming
his problem was from the rice (not unreasonable), but not considering
various ingredients in the curry he was eating. In an Indian restaurant,
for instance, I'd suspect hidden potatoes!

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AF
"Non Sequitur U has a really, really lousy debate team."
             --artyw raises the bar on rec.sport.baseball

Cookie Cutter - 21 Mar 2006 14:55 GMT
Indian Cuisine uses basmati rice which has a GI of 58

Thai Cuisine uses Jamine rice which has a GI of 109

Coconut milk is very "fat" which would slow digestion and possibly
acount for a late BG rise.

Cookie

>> When I was first diagnosed T2, the one food ingredient that could be
>> counted on to have a disproportionate effect on my numbers was coconut
[quoted text clipped - 15 lines]
> http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
> Sugar Under Control
Jenny - 21 Mar 2006 16:37 GMT
> Indian Cuisine uses basmati rice which has a GI of 58
>
> Thai Cuisine uses Jamine rice which has a GI of 109
>
> Coconut milk is very "fat" which would slow digestion and possibly
> acount for a late BG rise.

I eat neither form of rice though and have substituted bean sprouts for
noodles with Thai cuisine and have still seen shockingly high blood
sugars afterwards.

There either is sugar in things that don't taste sugary, or it may be
the concentrated garlic. Garlic is much higher in carbohydrate than
people realize and seeing the gallons of chopped garlic in the kitchen
at our local Thai takeout I'm wondering if that might explain the high
response to the "doesn't taste like sugar" foods.

It's a shame. Done right Pad Thai is one of the most delicious foods
possible. <Sigh>

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control
W. Baker - 20 Mar 2006 23:03 GMT
: Has anyone noticed any late BG readings after eating Indian food? We
: eat Indian food about once a week.  Normally we get basmati rice and
[quoted text clipped - 3 lines]
: (Novolog) my BG reading may be normal (below 140), but it keeps rising
: even after 2 hours post-meal.

: I could only guess that fat content of Indian food delays the peak in
: BG, but I am not 100% sure this is the cause.  Has anyone else noticed
: that phenomenon?  Any idea why this could be happening?

: Thanks.

: T1Steve
I am not type 1 and insulin dependent, but could the high fat content of
the Indian food delay the absorbion of teh carbs in teh rice?  tis would
be my best bet.

Wendy
Uncle Enrico - 20 Mar 2006 23:24 GMT
Indian cuisine has wonderfully rich sauces. One never quite knows what is in
a sauce, but I know from years of preparing sauces before I was DX'd that
sugar almost always makes them taste better.

There is a real possibility that dried fruit is used in the sauces or you're
getting a fair amount of carb from the chutney.

> Has anyone noticed any late BG readings after eating Indian food? We
> eat Indian food about once a week.  Normally we get basmati rice and
[quoted text clipped - 11 lines]
>
> T1Steve
Anil - 21 Mar 2006 00:33 GMT
Steve,

I too have similar experience. Some of these joints make great spinach
dish. When I am forced to eat out in these places I eat this dish with
a nan or roti (indian bread mostly white flour!). I never get a spike
eating this. So I became curious and asked  the cook what went in the
Spinach disk. There was at least twp spoon of butter and plenty of milk
fat (heavy cream) that was used to make the dish. So I do suspect its
the fat.

Knowing the ingredients and looking at what I am ready to handle on
long term basis I am not going to indulge in eating this food.

Most of you may not know but many dishes in Indian restaurants at least
are made have sugar added. So do check your meter after you eat. That
is the golden rule no matter what and especially when you eat at an
unknown place.

Anil
T2
T1Steve - 21 Mar 2006 20:33 GMT
Great discussion!  Thanks guys.  I was wondering maybe I am in some way
weird or something.  In general I would agree that indian sauces have
some sugar (not sure how much though but will try to find out).  Sugar
in my situation is not the problem here.  Sugar metabolizes quickly and
it would simply cause elevated BG 2 hours post-meal, not the delayed
peak that I am noticing.  I would think that the fat content of indian
food is most likely the problem here - it delays the peak.  I just
never thought it could delay the peak that much.

I also ate that spinach dish that is mentioned above - saag paneer and
never thought it's THAT fatty.  But I guess I was wrong.

I will try next time choosing tomato-based sauces that are less heavy
and will try to account for some sugar in the sauces as well.
 
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