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Record W4415717739 · doi:10.1016/j.cdnut.2025.107594

Equivalent Glycemic Load and Insulinemic Responses Elicited by Low-Carbohydrate Foods: A Randomized Trial in Healthy Adults

2025· article· en· W4415717739 on OpenAlexaff
Thomas M.S. Wolever, Kevin B. Miller, Taylor Banh

Bibliographic record

VenueCurrent Developments in Nutrition · 2025
Typearticle
Languageen
FieldNursing
TopicFood composition and properties
Canadian institutionsSystems, Applications & Products in Data Processing (Canada)
FundersGeneral Mills
KeywordsRandomized controlled trialGlycemicInsulinMeasure (data warehouse)Diabetes mellitusPancreatic hormone

Abstract

fetched live from OpenAlex

Background: The information on the Nutrition Facts Label may overestimate the available-carbohydrate (avCHO) content and glycemic impact of some low-carbohydrate foods containing novel carbohydrates. Objectives: The primary objective was to test the hypothesis that the glycemic impact of low-carbohydrate foods, quantified as equivalent-glycemic-load (EGL), measures their avCHO content accurately and precisely (within ±1g). The secondary objectives were to measure the glycemic and insulinemic responses elicited by 7 low-carbohydrate foods. Methods: = mean iAUC after WB20.8]; the mean of the resulting values (excluding outliers) was the test-food EGL. Results: The expected EGL of WB5.2 was 5.2 g and the measured value was 4.0 g (95% margin of error = 0.6 g). On the basis of the food-label, the test-products contained 3-12 g avCHO (total-carbohydrate minus dietary-fiber). However, because 5 of the test-products contained allulose, which is not included in dietary-fiber and not quantified on the food-label, their content of netCHO (avCHO minus allulose) ranged from 3 to 6 g; even so, their EGL values varied from just 0.6 to 2.4 g. The mean insulin responses elicited by the test-products were positively related to their protein content, but none differed significantly from that elicited by WB5.2. Conclusions: The results support the hypothesis that the EGL measure is accurate and precise to within ∼±1 g. The EGLs of the 7 test-products were 20%-90% less than expected from their food-labels. The test-products elicited small insulin responses that were positively related to their protein content.This trial was registered at clinicaltrials.gov as NCT05870891 (https://clinicaltrials.gov/study/NCT05870891).

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.030
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.019
GPT teacher head0.312
Teacher spread0.293 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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