<<Disclaimer: Verify this information before applying it to your situation.>>

Several have complained from the diabetic standpoint about the high
glycemic index of corn and rice. It's only a problem if blood glucose
continues to stay high for hours: certainly not true for Type 1s without
gastroparesis (treatable) and there are simple solutions for Type 2s. The
DCCT study showed that it's time average blood glucose as measured by
glycosolated hemoglobin (A1c) that matters for complications. As long as
you're within 1% of the high end of normal on A1C, I see no reason to
worry about peaks after meals. Remember, the odds of hypoglycemic
reactions goes up fast as average blood glucose is lowered. Choose short
term safety over a small decrease in long term risk.

 As a practical matter for Type 1s, measuring the peak is very inaccurate
anyway because the glucose is changing so rapidly. As for gastroparesis
(nerve damage to digestive nerves and muscles) it shows up first in blood
glucose, not in stomach or intestinal distress.  A slower rise in blood
glucose after a meal followed by a peak whose timing varies wildly.
"Irregular blood sugars" the well-known symptom for doctors. Propulsid and
Domperidome are effective treatments. If you have gastroparesis, then
cutting down those peaks is important as the damaged digestive system is
stalling at high glucose, BTW.

BUT the corn/rice complaint is still a bum rap if you're eating a well
balanced meal with other foods to slow down digestion. FURTHERMORE there
are alternative carbohydrates with lower glycemic index. So here's the
solution for Type 2's and for Type 1s who appreciate some variety in their
diet. Except for wild, I don't like rice, for example. (Too bland!)

To be continued.

                        Kemp Randolph
                        Long Island
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