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Hypo treatments....new ideas pls?

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Find that strange about apple juice being low GI - you sure about that? I could understand maybe the cloudy juice being a bit slower releasing but we find the little calypos juice shots (10g carbs) the perfect amount, they come in apple or orange and i've never noticed the apple being any slower than the orange......
 
Hiya

Here is a GI chart I found. It clearly shows apple juice being low GI and orange juice being middle GI so neither a great idea to treat hypos.

Low-Glycemic Index Foods:
Less Than 50
Artichoke <15
Asparagus <15
Avocado < 15
Broccoli <15
Cauliflower <15
Celery <15
Cucumber <15
Eggplant <15
Green beans <15
Lettuce, all varieties <15
Low-fat yogurt, artificially sweetened <15
Peanuts <15
Peppers, all varieties <15
Snow peas <15
Spinach <15
Young summer squash <15
Zucchini <15
Tomatoes 15
Cherries 22
Peas, dried 22
Plum 24
Grapefruit 25
Pearled barley 25
Peach 28
Canned peaches, natural juice 30
Dried apricots 31
Soy milk 30
Baby lima beans, frozen 32
Fat-free milk 32
Fettuccine 32
* M&M's Chocolate Candies, Peanut 32
Low-fat yogurt, sugar sweetened 33
Apple 36
Pear 36
Whole wheat spaghetti 37
Tomato soup 38
Carrots, cooked 39
* Mars Snickers Bar 40
Apple juice 41
Spaghetti 41
All-Bran 42
Canned chickpeas 42
Custard 43
Grapes 43
Orange 43
Canned lentil soup 44
Canned pinto beans 45
Macaroni 45
Pineapple juice 46
Banana bread 47
Long-grain rice 47
Parboiled rice 47
Bulgur 48
Canned baked beans 48
Grapefruit juice 48
Green peas 48
Oat bran bread 48
* Chocolate bar, 1.5 oz 49
Old-fashioned oatmeal 49
Cheese tortellini 50
* Low-fat ice cream 50



Intermediate-Glycemic Index
Foods: 50 to 70

Canned kidney beans 52
Kiwifruit 52
Orange juice, not from concentrate 52
Banana 53
* Potato chips 54
* Pound cake 54
Special K 54
Sweet potato 54
Brown Rice 55
Canned fruit cocktail 55
Linguine 55
Oatmeal cookies 55
Popcorn 55
Sweet corn 55
Muesli 56
White rice 56
Orange juice from frozen concentrate 57
Pita bread 57
Canned peaches, heavy syrup 58
Mini shredded wheats 58
Bran Chex 58
Blueberry muffin 59
Bran muffin 60
Cheese pizza 60
Hamburger bun 61
* Ice cream 61
Kudos Whole Grain Bars (chocolate chip) 61
Beets 64
Canned apricots, light syrup 64
Canned black bean soup 64
Macaroni and cheese 64
Raisins 64
Couscous 65
Quick-cooking oatmeal 65
Rye crispbread 65
* Table sugar (sucrose) 65
Canned green pea soup 66
Instant oatmeal 66
Pineapple 66
Angel food cake 67
Grape-Nuts 67
Stoned Wheat Thins 67
American rye bread 68
Taco shells 68
Whole wheat bread 69
Life Savers 70
Melba toast 70
White bread 70


High-Glycemic Index Foods:
More Than 70


Golden Grahams 71
Bagel 72
Corn chips 72
Watermelon 72
Honey 73
Kaiser roll 73
Mashed potatoes 73
Bread stuffing mix 74
Cheerios 74
Cream of Wheat, instant 74
Graham crackers 74
Puffed wheat 74
Doughnuts 75
French fries 76
Frozen waffles 76
Total cereal 76
Vanilla wafers 77
Grape-Nuts Flakes 80
Jelly beans 80
Pretzels 81
Rice cakes 82
Rice Krispies 82
Corn Chex 83
Mashed potatoes, instant 83
Cornflakes 84
Baked potato 85
Rice Chex 89
Rice, instant 91
French bread 95
Parsnips 97
Dates 103
Tofu frozen dessert 115







Low-Glycemic Index Foods:
Less Than 50
Intermediate-Glycemic Index
Foods: 50 to 70
High-Glycemic Index Foods:
More Than 70

Artichoke <15
Asparagus <15
Avocado < 15
Broccoli <15
Cauliflower <15
Celery <15
Cucumber <15
Eggplant <15
Green beans <15
Lettuce, all varieties <15
Low-fat yogurt, artificially sweetened <15
Peanuts <15
Peppers, all varieties <15
Snow peas <15
Spinach <15
Young summer squash <15
Zucchini <15
Tomatoes 15
Cherries 22
Peas, dried 22
Plum 24
Grapefruit 25
Pearled barley 25
Peach 28
Canned peaches, natural juice 30
Dried apricots 31
Soy milk 30
Baby lima beans, frozen 32
Fat-free milk 32
Fettuccine 32
* M&M's Chocolate Candies, Peanut 32
Low-fat yogurt, sugar sweetened 33
Apple 36
Pear 36
Whole wheat spaghetti 37
Tomato soup 38
Carrots, cooked 39
* Mars Snickers Bar 40
Apple juice 41
Spaghetti 41
All-Bran 42
Canned chickpeas 42
Custard 43
Grapes 43
Orange 43
Canned lentil soup 44
Canned pinto beans 45
Macaroni 45
Pineapple juice 46
Banana bread 47
Long-grain rice 47
Parboiled rice 47
Bulgur 48
Canned baked beans 48
Grapefruit juice 48
Green peas 48
Oat bran bread 48
* Chocolate bar, 1.5 oz 49
Old-fashioned oatmeal 49
Cheese tortellini 50
* Low-fat ice cream 50

Canned kidney beans 52
Kiwifruit 52
Orange juice, not from concentrate 52
Banana 53
* Potato chips 54
* Pound cake 54
Special K 54
Sweet potato 54
Brown Rice 55
Canned fruit cocktail 55
Linguine 55
Oatmeal cookies 55
Popcorn 55
Sweet corn 55
Muesli 56
White rice 56
Orange juice from frozen concentrate 57
Pita bread 57
Canned peaches, heavy syrup 58
Mini shredded wheats 58
Bran Chex 58
Blueberry muffin 59
Bran muffin 60
Cheese pizza 60
Hamburger bun 61
* Ice cream 61
Kudos Whole Grain Bars (chocolate chip) 61
Beets 64
Canned apricots, light syrup 64
Canned black bean soup 64
Macaroni and cheese 64
Raisins 64
Couscous 65
Quick-cooking oatmeal 65
Rye crispbread 65
* Table sugar (sucrose) 65
Canned green pea soup 66
Instant oatmeal 66
Pineapple 66
Angel food cake 67
Grape-Nuts 67
Stoned Wheat Thins 67
American rye bread 68
Taco shells 68
Whole wheat bread 69
Life Savers 70
Melba toast 70
White bread 70

Golden Grahams 71
Bagel 72
Corn chips 72
Watermelon 72
Honey 73
Kaiser roll 73
Mashed potatoes 73
Bread stuffing mix 74
Cheerios 74
Cream of Wheat, instant 74
Graham crackers 74
Puffed wheat 74
Doughnuts 75
French fries 76
Frozen waffles 76
Total cereal 76
Vanilla wafers 77
Grape-Nuts Flakes 80
Jelly beans 80
Pretzels 81
Rice cakes 82
Rice Krispies 82
Corn Chex 83
Mashed potatoes, instant 83
Cornflakes 84
Baked potato 85
Rice Chex 89
Rice, instant 91
French bread 95
Parsnips 97
Dates 103
Tofu frozen dessert 115


Hope that helps.

🙂
 
Good list Adrienne, though I'm constantly confounded by supposedly 'low GI' foods being anything but for me.

As far as I've read GI is an averaged figure from the BG response of a relatively small sample (100 or so). It is also confusing to compare GI lists from different countries as recipes of some foods differ in different regions (not that this would affect fruit juices of course)

I don't use fruit juice as a hypo remedy myself but I can understand that parents might prefer it as an option to sweets. I *think* I saw a post from Bev following a conference (FFL?) that it was now being advised against by some.

All I know from my own experience is what 200ml of Orange Juice does to my BGs and that suggests that if I was low it would be a pretty good way of getting my levels up pronto!

M
 
Good list Adrienne, though I'm constantly confounded by supposedly 'low GI' foods being anything but for me.

As far as I've read GI is an averaged figure from the BG response of a relatively small sample (100 or so). It is also confusing to compare GI lists from different countries as recipes of some foods differ in different regions (not that this would affect fruit juices of course)

I don't use fruit juice as a hypo remedy myself but I can understand that parents might prefer it as an option to sweets. I *think* I saw a post from Bev following a conference (FFL?) that it was now being advised against by some.

All I know from my own experience is what 200ml of Orange Juice does to my BGs and that suggests that if I was low it would be a pretty good way of getting my levels up pronto!

M

Hi Mike

Personally I don't follow GI at all. I think on MDI it is hard to follow GI quite frankly but each to their own.

Yep you are right FFL conference, I was there too and yep juice is not recommended for hypos but that is nothing new. It has never been recommended by those switched on teams. It is just not quick enough and better to start the youngsters on something that will save their life at some point rather than something that tastes ok.

Jessica has orange juice or apple juice as a treat for a drink and we just bolus for it and its fine.

However I do know that some people do use it for hypos and again its each to their own at the end of the day. 🙂
 
I'll use OJ if I'm in the high 3s and I don't feel too bad (fingers crossed my hypo symptoms still serve me well). Anything less than 3.5 and it's straight for the lucozade for me.
 
This has got me very confused now - according to that list, you'd be better off treating a hypo with a parsnip!! Cant be right surely? Oh well juice seems to work quickly for use - usually about 5 minutes. I'd rather use that than sweets and my child doesnt like anything fizzy. Juice was also the treatment recommended at dx by our dsn & consultant.
 
This has got me very confused now - according to that list, you'd be better off treating a hypo with a parsnip!! Cant be right surely?

Thanks for that Louise. Made genuinely me LOL!

GI seems to be better understood alongside GL (glycaemic load) which accounts for things which are quick absorbed, but which you'd rarely eat much of in CHO terms (watermelon for example).

And of course as with all 'averaged' figures it can only be a guide. Some people will be at the fast, and others at the slow end of the results.

Can't really see that you'd have much joy forcing a parship down a littlun in a medical emergency!

M
 
This has got me very confused now - according to that list, you'd be better off treating a hypo with a parsnip!! Cant be right surely? Oh well juice seems to work quickly for use - usually about 5 minutes. I'd rather use that than sweets and my child doesnt like anything fizzy. Juice was also the treatment recommended at dx by our dsn & consultant.

Hahaha don't worry. Like I said everyone is different. If juice works for you then that is fine. All I say is be aware that things can change and one day juice may not work as well.

I am not directing this at you personally by the way. We cannot use glucotabs or hypofit as they don't work at all when hypo but they used to. Some people can use those things and for others they stop working. So just be aware that things change with time.

I just pulled that list of the internet, I don't use it at all.
 
Hey thanks for posting that list, always good to be aware of these things. Like you we dont use glucose tablets cos he doesnt chew them up and they dont dissolve in the mouth very quickly - he mostly ends up spitting them out! He does love a jelly baby but dont want to use on a regular basis, but they are my back-up plan if the juice dosent work for some reason.
 
I love the idea of using a parsnip as a hypo remedy. I think GI is very misleading in this respect because it doesn't account for quantity consumed. The GI of a parsnip is high but you'd have to eat more than your bodyweight I think to get the requisite number of carbs in your system (OK, maybe not quite!). Hypos need to be treated by the smallest amounts of fast-acting carbs available, so when comparing similar quantities containing similar carbs, then you can use GI as a comparison 🙂
 
I love the idea of using a parsnip as a hypo remedy.
the trouble is you'd need to eat 80g to get 8g of carbohydrate and you'd to wait whilst you boiled it. ( though I bet roasting would be higher GI, never seems to have been tested)

Just out of interest I looked up the highest ranking foods that have been teste for the GI index.(glucose is 100)
Number 3 was a frozen tofu dessert with high fructose corn syrup at 115
Number 2 was a variety of potato (Sava) boiled for 20min at 118
and your fastest sugar

Cornflakes (kellogs US) at 132.

and whilst it wasn't quite as high the UK version was 93.(compared with lucozade at 95)
(without milk though, that would lower it down to the 60s)
Supermarket type French baguette also has a GI of around 95.
interesting, I might experiment on myself, I wouldn't with a child.
 
So is this right? - the GI of a given food is how quickly it gets digested and into the blood stream (what size portion??) and GI load is how quickly a standard portion gets into the bloodstream? Is there another index which shows how quickly a set amount say 10grams of CHO (an amount recommended to treat a mild hypo in a child) gets into the bloodstream as this is what is really important I suppose.
 
For hypos with a child when acting quickly is possibly crucial, I'd go for tried and tested remedies. Things that work fast and are always easily available and easy to 'get down'

For reference about the GI.
To determine a food's GI rating, measured portions of the food containing 10 - 50 grams of carbohydrate are fed to 10 healthy people after an overnight fast. Finger-prick blood samples are taken at 15-30 minute intervals over the next two hours. These blood samples are used to construct a blood sugar response curve for the two hour period. The area under the curve (AUC) is calculated to reflect the total rise in blood glucose levels after eating the test food. The GI rating (%) is calculated by dividing the AUC for the test food by the AUC for the reference food (same amount of glucose) and multiplying by 100 (see Figure 1). The use of a standard food is essential for reducing the confounding influence of differences in the physical characteristics of the subjects. The average of the GI ratings from all ten subjects is published as the GI of that food
http://www.glycemicindex.com/

The amount of carbs used depends upon the amount in a food that a volunteer could comfortably eat so for example they are never going to calculate the GI of something like celery. The GI site has a data base, including foods that have been tested by reputale sources. It isn't actually true that all the subjects are 'normal''. There have been many tests including people with both T1 and T2, these are in the data base and also in a separate list (the second table)http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584181/bin/dc08-1239_index.html

GL = (GI x the amount of carbohydrate) divided by 100
so takes into account the portion size.
 
thanks for the v. comprehensive reply, was just wondering hypothetically what the fastest food / drink was, will stick to what we've been doing, but interesting nonetheless.
 
thanks for the v. comprehensive reply, was just wondering hypothetically what the fastest food / drink was, will stick to what we've been doing, but interesting nonetheless.

Its lucozade unless anyone can come up with anything scientifically of course 🙂

Lucozade is even faster than full sugar coke and you don't need as much.
 
Glucose powder in water or squash is the quickest thing to use. slightly warm is even better.
 
Glucose powder in water or squash is the quickest thing to use. slightly warm is even better.

We used to use Maxijul 500 soluable when Jessica was little, but we didn't know any better and mixed it in her warmed up bottle of milk so quick and slow altogether !!
 
try a teaspoon full of honey, use to work when my son was 3, now he's older (5) we stick to lucozade.
 
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