Not just a diabetes thing.
The glycemic index (GI) measures how fast a food raises your blood sugar after you eat it. It is expressed relative to a reference food assigned the value 100: here glucose = 100, the most widely used convention, which you can change in your preferences (some studies use white bread as the reference, which gives values roughly 1.4 times higher for the same food).
â ī¸ That 100 is a benchmark, not a ceiling: it is a ratio to the reference food, not a percentage. A food absorbed faster than the reference therefore goes past 100. On the white bread scale, pure glucose reaches 143, which is why the "high" threshold lands exactly on 100 there: above it, you raise blood sugar faster than white bread does.
A food can be low in carbs but high GI, high in carbs but moderate GI, or both at once. These are two complementary measures, not interchangeable ones.
GI has a limit: it says nothing about how many carbs you actually eat. That is where glycemic load (GL) comes in, combining the two:
Take watermelon again: high GI (72), but so few available carbs (7.5g/100g) per serving that the real glycemic load stays low. Conversely, a food with a moderate GI but very high in carbs can carry a high glycemic load.
You can compare the GL of every fruit on the Fruit page (column hidden by default, switch it on under "Filters").
A high GI triggers a strong insulin release to bring blood sugar back down. That rapid drop brings on fatigue, a dip in focus, sometimes irritability: the familiar afternoon slump. Over the long run, repeated spikes encourage insulin resistance and weight gain.
Normally, insulin acts as a key that opens cells to let glucose in from the blood. With repeated blood sugar spikes, the pancreas has to produce more and more insulin to do the same job. In time, cells get used to it and "ignore" the signal: that is insulin resistance.
It is a silent process that sets in over years, often with no visible symptoms at first. You can develop insulin resistance long before being diagnosed with diabetes.
âšī¸ Sources
âĸ Atkinson et al., International Tables of Glycemic Index and Glycemic Load Values, Diabetes Care, 2008
âĸ Atkinson et al., 2021 update, American Journal of Clinical Nutrition
âĸ Searchable online database at the University of Sydney