of wheat products, complex or no, might be regarded as a supercarbohydrate, a form of highly digestible carbohydrate that is more efficiently converted to blood sugar than nearly all other carbohydrate foods, simple or complex.
This means that not all complex carbohydrates are created equal, with amylopectin A-containing wheat increasing blood sugar more than other complex carbohydrates. But the uniquely digestible amylopectin A of wheat also means that the complex carbohydrate of wheat products, on a gram-for-gram basis, are no better, and are often worse, than even simple carbohydrates such as sucrose.
People are usually shocked when I tell them that whole wheat bread increases blood sugar to a higher level than sucrose. 4 Aside from some extra fiber, eating two slices of whole wheat bread is really little different, and often worse, than drinking a can of sugar-sweetened soda or eating a sugary candy bar.
This information is not new. A 1981 University of Toronto study launched the concept of the glycemic index, i.e., the comparativeblood sugar effects of carbohydrates: the higher the blood sugar after consuming a specific food compared to glucose, the higher the glycemic index (GI). The original study showed that the GI of white bread was 69, while the GI of whole grain bread was 72 and Shredded Wheat cereal was 67, while that of sucrose (table sugar) was 59. 5 Yes, the GI of whole grain bread is higher than that of sucrose. Incidentally, the GI of a Mars bar—nougat, chocolate, sugar, caramel, and all—is 68. That’s
better
than whole grain bread. The GI of a Snickers bar is 41—
far
better than whole grain bread.
In fact, the degree of processing, from a blood sugar standpoint, makes little difference: Wheat is wheat, with various forms of processing or lack of processing, simple or complex, high-fiber or low-fiber, all generating similarly high blood sugars. Just as “boys will be boys,” amylopectin A will be amylopectin A. In healthy, slender volunteers, two medium-sized slices of whole wheat bread increase blood sugar by 30 mg/dl (from 93 to 123 mg/dl), no different from white bread. 6 In people with diabetes, both white and whole grain bread increase blood sugar 70 to 120 mg/dl over starting levels. 7
One consistent observation, also made in the original University of Toronto study as well as in subsequent efforts, is that pasta has a lower two-hour GI, with whole wheat spaghetti showing a GI of 42 compared to white flour spaghetti’s GI of 50. Pasta stands apart from other wheat products, likely due, in part, to the compression of the wheat flour that occurs during the extruding process, slowing digestion by amylase. (Rolled fresh pasta, such as fettuccine, has similar glycemic properties to extruded pastas.) Pastas are also usually made from
Triticum durum
rather than
aes-tivum,
putting them genetically closer to emmer. But even the favorable GI rating of pasta is misleading, since it is only a two-hour observation and pasta has the curious ability to generate high blood sugars for periods of four to six hours after consumption, sending blood sugars up by 100 mg/dl for sustained periods in people with diabetes. 8, 9
These irksome facts have not been lost on agricultural and food scientists, who have been trying, via genetic manipulation, to increase the content of so-called resistant starch (starch that does not get fully digested) and reduce the amount of amylopectin. Amylose is the most common resistant starch, comprising as much as 40 to 70 percent by weight in some purposefully hybridized varieties of wheat. 10
Therefore, wheat products elevate blood sugar levels more than virtually any other carbohydrate, from beans to candy bars. This has important implications for body weight, since glucose is unavoidably accompanied by insulin, the hormone that allows entry of glucose into the cells of the body, converting the glucose to fat. The higher the blood glucose after consumption of food, the greater
Jean-Claude Izzo, Howard Curtis