One bowl, two cans A bowl of rice has more than twice the carbohydrate content of a can of sweetened drink, eliciting a higher blood glucose response. Blood glucose levels (millimole per litre) 9 8.5 8 7.5 A bowl of rice 7 6.5 6 5.5 A can of sweetened drink 5 4.5 4 3.5 0 15 30 45 60 75 90 Time (minutes after consumption) 105 120 Asians’ carbohydrate intake as a proportion of calories consumed is higher than in the West. Much of this is refined carbohydrates. This explains the higher prevalence of diabetes across Asia. Most of the refined carbohydrates we consume is contributed by starchy staples such as rice and noodles. What’s in your bowl Food Higher risk Glycaemic Index White rice short grain Noodle White rice long grain (Jasmine) Red rice long grain ** Brown rice (short grain) White bread Whole grain/meal bread * Nasi lemak (rice only) Chicken rice (rice only) Brown rice (long grain) Basmati white rice Soda drink Red unpolished basmati rice Fruit juice 98 82 78 78 76 75 53-70 69 67 65 64 63 55 At the same body mass index (BMI)*, there is a much higher prevalence of Type 2 diabetes sufferers among Asians compared to Europeans. Asian Indian Diabetes prevalence (%) Chinese Japanese Europeans 30 25 Men Women 20 15 10 50 NOTES: * Varies with amount of wholegrain or wholemeal in bread. **Has more fibre and phytochemicals than white jasmine rice. Glycemic index (GI) measures how food raises the glucose level in blood. The higher the index, the more blood sugar is produced. Generally, food that breaks down faster has higher GI than food that takes longer to digest. A GI of 70 or more is considered high, while a GI of 55 or less is considered low and better. 5 0 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 BMI • An Indian woman with healthy weight (BMI below 20) has a similar risk of diabetes as a European woman who is obese (BMI more than 30). 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 BMI • A Chinese woman with healthy weight (BMI below 20) has a similar risk of diabetes as a European woman who is overweight (BMI more than 25). NOTE: *BMI is a person’s weight in kilograms divided by the square of height in metres. What you can do Replacing 20 per cent of your white rice with brown rice lowers your risk of diabetes by 16 per cent Tip: Soak the brown rice in water for at least 15 minutes before cooking with the white rice. A 15-minute walk (2,000 steps) every day can cut your risk of death from diabetes by 4 per cent SOURCES: ACCREDITED GLYCEMIC INDEX RESEARCH UNIT AT TEMASEK POLYTECHNIC, HEALTH PROMOTION BOARD PHOTOS: LIM SIN THAI, ISTOCKPHOTOS STRAITS TIMES GRAPHICS
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