Is whole grain bread difficult to digest?
Hello, Director Fan.
Thank you for taking the time to address my concerns.
I am 52 years old, 172 cm tall, and weigh 73.5 kg.
Although I have no history of diabetes, I pay close attention to my blood pressure and blood sugar levels.
Currently, my fasting blood sugar remains between 84-91 mg/dL, and my postprandial blood sugar is stable at 100-110 mg/dL.
Recently, I replaced the main carbohydrate in my dinner (rice) with Mr.
Marco's Golden Crispy Multigrain Bread (two slices per meal).
Since making this change, my postprandial blood sugar has risen and is now consistently high (121-124 mg/dL), while my side dishes remain the same, consisting of steamed vegetables and a boiled egg.
Additionally, I experience a feeling of fullness that lasts for two and a half hours after eating.
I would like to ask:
1.
Should I revert to my original rice-based meal, or would it suffice to reduce the quantity (from two slices to one slice)?
2.
Is multigrain bread truly difficult to digest, or could there be an issue with my digestive function?
I appreciate your guidance on these matters.
Thank you, and I wish you a good day!
Lao Xia, 50~59 year old female. Ask Date: 2021/11/03
Dr. Fan Chunmei reply Nutrition
Hello, dear netizen: The digestion process of whole grain bread is slower, which can help maintain a feeling of fullness for a longer period.
If you replace your usual rice with two slices of whole grain bread for dinner, it's important to note that 100 grams of white rice contains about 140 calories, while the crispy rye whole grain bread from the Marco Guan website has approximately 284.1 calories per 100 grams.
Commercial white toast typically has around 280 calories per 100 grams.
Since we cannot clearly determine the weight of your two slices of whole grain bread, it is possible that you are consuming more carbohydrates than usual, leading to an increase in blood sugar levels.
I recommend that for dinner, you consider switching to brown rice or multigrain rice, both of which are low glycemic index foods.
Wishing you health and happiness! Sincerely, Dietitian Fan Chun-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2021/11/03
More Info
Whole grain bread is often considered a healthier alternative to white bread due to its higher fiber content and nutritional value. However, the impact of whole grain bread on blood sugar levels can vary from person to person, and it appears that in your case, switching from rice to whole grain bread has resulted in a noticeable increase in post-meal blood sugar levels.
Firstly, let's address the question of whether whole grain bread is hard to digest. Whole grain bread is made from flour that contains the entire grain kernel, including the bran, germ, and endosperm. This means it retains more nutrients and fiber compared to refined white bread. The fiber in whole grain bread can slow down the digestion process, which is generally beneficial as it helps maintain steady blood sugar levels. However, for some individuals, particularly those who may have a sensitivity to certain fibers or gluten, whole grain bread can lead to digestive discomfort or slower digestion, which might contribute to elevated blood sugar levels after meals.
In your situation, the increase in post-meal blood sugar levels after switching to whole grain bread could be attributed to several factors:
1. Portion Size: You mentioned consuming two slices of whole grain bread, which may contain more carbohydrates than the equivalent portion of rice you were consuming. It's essential to consider the carbohydrate content of the bread compared to rice. For instance, if two slices of whole grain bread contain more carbohydrates than the amount of rice you were eating, this could lead to higher blood sugar levels.
2. Glycemic Index: Whole grain bread typically has a lower glycemic index (GI) than white bread, but the GI can vary significantly among different types of whole grain products. If the specific whole grain bread you are consuming has a higher GI, it could cause a more significant spike in blood sugar levels.
3. Individual Metabolism: Each person's metabolism and insulin response can differ. Factors such as age, weight, activity level, and overall health can influence how your body processes carbohydrates. Even if you do not have a history of diabetes, your body may respond differently to whole grains compared to rice.
4. Digestive Health: If you are experiencing prolonged feelings of fullness after meals, it may indicate that your body is taking longer to digest the whole grain bread. This could be due to the fiber content, which can be beneficial for some but may cause discomfort or digestive issues for others.
Now, regarding your questions:
1. Should you revert to rice or reduce the portion of whole grain bread? It may be beneficial to experiment with portion sizes. You could try reducing the amount of whole grain bread to one slice and monitor your blood sugar levels to see if that helps maintain them within your desired range. Alternatively, you might consider incorporating other low-GI carbohydrate sources, such as brown rice or quinoa, which may provide a better balance for your blood sugar levels.
2. Is whole grain bread hard to digest? While whole grain bread is not inherently hard to digest, individual responses can vary. If you suspect that your digestive system is struggling with the whole grain bread, you might want to consult with a healthcare professional or a registered dietitian. They can help assess your digestive health and provide personalized recommendations.
In conclusion, while whole grain bread is generally a healthy choice, its impact on blood sugar can vary based on portion size, individual metabolism, and digestive health. Monitoring your blood sugar levels and adjusting your diet accordingly can help you find the best balance for your health. Always consult with a healthcare provider for personalized advice tailored to your specific situation.
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