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International Journal of Food Sciences and Nutrition

ISSN: 0963-7486 (Print) 1465-3478 (Online) Journal homepage: http://www.tandfonline.com/loi/iijf20

Glycaemic response of proso millet-based


(Panicum miliaceum) products

Matthew B. McSweeney, Agota Ferenc, Katarina Smolkova, Alexander Lazier,


Amy Tucker, Koushik Seetharaman, Amanda Wright, Lisa M. Duizer & D. Dan
Ramdath

To cite this article: Matthew B. McSweeney, Agota Ferenc, Katarina Smolkova, Alexander Lazier,
Amy Tucker, Koushik Seetharaman, Amanda Wright, Lisa M. Duizer & D. Dan Ramdath (2017):
Glycaemic response of proso millet-based (Panicum miliaceum) products, International Journal of
Food Sciences and Nutrition, DOI: 10.1080/09637486.2017.1301890

To link to this article: http://dx.doi.org/10.1080/09637486.2017.1301890

Published online: 14 Mar 2017.

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Download by: [FU Berlin] Date: 15 March 2017, At: 03:46


INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION, 2017
http://dx.doi.org/10.1080/09637486.2017.1301890

RESEARCH ARTICLE

Glycaemic response of proso millet-based (Panicum miliaceum) products


Matthew B. McSweeneya, Agota Ferencb, Katarina Smolkovab, Alexander Lazierb, Amy Tuckerb,
Koushik Seetharamanc, Amanda Wrightb, Lisa M. Duizerc and D. Dan Ramdathd
a
School of Nutrition and Dietetics, Acadia University, Wolfville, Nova Scotia, Canada; bHuman Nutraceutical Research Unit, Department
of Human Health & Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada; cDepartment of Food Science, University of
Guelph, Guelph, Ontario, Canada; dGuelph Research and Development Centre, Agriculture and Agri-Food Canada, Guelph, Ontario,
Canada

ABSTRACT ARTICLE HISTORY


The glycaemic response of millet foods and the effect of processing are not known. Therefore, Received 4 August 2016
decorticated proso millet was used to produce four types of common food products (biscuits, Revised 4 November 2016
couscous, porridge and an extruded snack). Postprandial blood glucose response of these prod- Accepted 28 February 2017
ucts (all containing 50 g of total starch) was compared to the same foods produced with refined
corn, in a crossover human study with 12 healthy male participants (age 26.3 ± 3.8 yr; BMI KEYWORDS
23.3 ± 2.8 kg/m2). Capillary blood samples were collected and glycaemic response was deter- Glycaemic response; proso
mined; differences were assessed using repeat measures ANOVA. Overall, the mean (±SEM) incre- millet; refined corn; gluten-
mental area under the blood glucose response curve (mmol min/l) of the proso millet products free
was different from the corn products, but individual products (couscous ¼ 66.7 ± 11.6, bis-
cuit ¼ 82.6 ± 13.7, extrudate ¼ 198.7 ± 20.9, porridge ¼ 40.1 ± 5.8) were not significantly lower
(couscous ¼ 43.5 ± 5.8, biscuit ¼ 102.0 ± 10.3, extrudate ¼ 198.7 ± 20.9, porridge ¼ 52.2 ± 8.1)
(p > .05). Glycaemic response of the products was not dependent on the grain type, but rather
product matrix.

Introduction to account for the positive effects on plasma lipid lev-


els and improved insulin sensitivity (Kingman 1991;
Nutrition related chronic non-communicable diseases
Geil & Anderson 1994; Jarvi et al. 1999).
such as type 2 diabetes mellitus (T2DM) and cardio-
Millet is a cereal crop of increasing importance
vascular disease (CVD) are significant public health
in North America, in part because it is consumed
concerns. Individuals with T2DM have a significantly
regularly among persons of the South Asian and
greater chance of developing CVD and about 75% of
African diaspora, which are growing communities in
all deaths attributed to diabetes occur as a result of North America. Millet is rich in iron, calcium and
CVD (Li et al. 2006). As such, improving glycaemic dietary fibre. Additionally, in terms of energy dens-
control can reduce the risk of CVD (Kreisberg 1998). ity, protein, fat and vitamin content, millet is super-
It is therefore imperative to explore new strategies to ior to wheat, maize and sorghum (Rathi et al.
reduce the risk of T2DM and CVD and improve dis- 2004). Millet also does not contain gluten, which
ease management and prevention. could be of interest to consumers who are inter-
Several epidemiological studies have demonstrated ested in gluten-free food products (Chandrasekara &
strong associations between consumption of diets rich Shahidi 2011).
in plant-based foods and reductions in the risk of We previously showed that incorporating millet
developing CVD and T2DM (Bazzano et al. 2001; into food products resulted in elevated levels of pro-
Joshipura et al. 2001). Diets rich in legumes, cereals tein, lipids, phenolics and dietary fibre and that
and fruits have been associated with improvements in refined proso millet-based products had a lower
glycaemic control and reduction of coronary heart dis- expected glycaemic index (eGI) than those produced
ease risk factors (Bazzano et al. 2001; Joshipura et al. using refined corn flour (McSweeney 2014). Expected
2001; Bazzano et al. 2003). In the case of legumes and glycaemic index simulates the digestion that would
cereals, fibre content and low glycaemic load appear take place in the human body and estimates the

CONTACT Matthew B. McSweeney matthew.mcsweeney@acadiau.ca School of Nutrition and Dietetics, Acadia University, 12 University Avenue,
Huggins Science Hall, Wolfville, Nova Scotia, Canada B4P 2R6
ß 2017 Informa UK Limited, trading as Taylor & Francis Group
2 M. B. MCSWEENEY ET AL.

glycaemic response. These products included a cous- Corn meal was milled to produce flour by Bunge
cous and porridge made from refined proso millet (St. Louis, MO). The flour and the grains were
flour, which had a low eGI (less than 55) (McSweeney shipped to the University of Guelph (Guelph, ON) for
2014). This agreed with earlier work showing that, in storage in an 18  C freezer, until product testing.
humans, consumption of millet-based foods was asso-
ciated with significant attenuation of postprandial
Biscuit preparation
blood glucose levels, improved glycaemic control and
a significant decrease in total and LDL-C and For each biscuit, 248 g of flour was mixed with baking
improvement in lipid profile (Pathak et al. 2000; powder, egg, unsalted butter, salt and milk. Forty-
Kumari & Sumathi 2002; Shobana et al. 2009; Gupta seven grams of thoroughly mixed batter were placed
& Naga 2010). However, despite promising results, in a 7.6 cm diameter muffin mold and baked at 425  F
few millet-based human studies have been conducted, for 15 min. After manufacture the biscuits were stored
and none has used food products commonly con- in an 18  C freezer for up to 2 months. The biscuit
sumed in North America. was removed from the freezer the night before the
This study aimed to assess the glycaemic response trial.
of foods prepared from proso millet, a variety of millet
grown in North America using a rigorous design and
Porridge preparation
well characterized millet foods, to address the know-
ledge gap of the health benefits associated with millet. Porridge was prepared from refined millet flour and
To determine the effects of processing methods on corn flour: 50 g of flour was added to 490 ml of boil-
glycaemic response, four food matrices were investi- ing filtered water. The flour and water mixture was
gated, i.e. an extruded snack, porridge, a couscous-like not stirred and was allowed to simmer, for 25 min
product and a biscuit. This study also attempted to with the pot lid on and then was removed from the
advance the formulation and production of functional heat. The porridge was prepared fresh the day of
foods incorporating 100% millet. This has not been consumption.
previously reported, possibly due to technological
challenges in preparing 100% millet products,
Extruded snack preparation
although this is critical to differentiate the biological
effects of millet from those of other ingredients The extruded snacks were produced at the Bunge
(wheat, rice, etc.). Innovation Centre (Bradley, IL) using refined corn
meal and refined millet grains. Both the corn meal
and refined millet were adjusted to 14.0% moisture.
Materials Following mixing in a ribbon blender, the corn meal
Two different grains (refined proso millet and refined and millet were transferred to a weight in loss hopper/
corn) were used to prepare each product: porridge, feeder (American Extrusion International, South
biscuits, extruded snacks and couscous. Whole grain Beloit, IL). The extrudates were produced from these
proso millet was also included to produce a couscous cereals using an Advantage 50 Single Screw extrusion
like product in order to investigate the effect of decor- system (American Extrusion International, South
tication on glycaemic response. All products used dur- Beloit, IL). Extrusion conditions were optimized to
ing testing were manufactured from Colorado white produce extrudates with maximum expansion proper-
proso millet (Erker Grain, Fort Morgan, CO) and ties. A 30.5 cm screw with a single flow plate was used
corn meal (Bunge, St. Louis, MO). All ingredients with an eight-hole die. The die openings were 3.5 mm
except the corn flour and proso millet flour were pur- in diameter. Extruder conditions were held constant
chased from a local grocery store in Guelph, Ontario, throughout production and were as follows: feedstock
Canada. feed rate 90 kg/h, screw speed 325 rpm, motor amper-
age 35 amp, die temperature of 150  C and knife speed
300 rpm. The extrudates ranged from 18 to 34 mm in
Flour production
length, and 8.5 to 13.8 mm in width; they were vac-
Refined forms of the grains were used to produce the uum-sealed in foil bags and shipped at ambient tem-
couscous, while porridge and biscuits were produced perature. After transport to the University of Guelph,
using milled flours. For flour production the proso the extrudates were stored in an 18  C freezer and
millet was refined and milled by Satake-USA (Stafford, were removed from the freezer on the night before
TX) using the procedure outlined in Anderson (2014). testing.
INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION 3

Couscous preparation inflammatory bowel disease or other gastrointestinal


disorders; use of drugs which influence carbohydrate
After receipt, the refined proso millet and corn meal
metabolism; training or elite athletes, and inability to
were stored in an 18  C freezer. Additionally, a
adhere to study protocols. Insulin resistance (IR) was
whole grain proso millet grain was included in order
calculated from fasting glucose and insulin values
to investigate how the decortication process affected
using the Homeostasis Assessment Model 2
the composition of the grain. All couscous products
(HOMA2); a HOMA2-IR value of greater than 1.0
were manufactured at the University of Guelph by
was considered indicative of insulin resistance (Levy
addition of 90 g of grain to 250 ml of boiling filtered
et al. 1998).
water. The refined proso millet and corn meal were
Participants were recruited from the Guelph com-
allowed to simmer on the stove for 15 min with the
munity through posters and email flyers. Two hun-
pot lid on and then the pot was removed from the
dred and sixteen participants were screened by phone,
heat. The pot was then left covered for 15 min before
leading to 47 men screened in person. From this sam-
testing. The couscous was prepared fresh the day of
ple 15 healthy, non-smoking men between the ages of
consumption.
19 and 40 were enrolled into the study. Three did not
complete the study due to time complications, sched-
Methods uling conflicts and not adhering to study protocols.
The participants’ characteristics can be seen in
Food analysis
Table 1.
Proximate analysis was performed using standard
AOAC methods for total fat, protein, total dietary Study design and execution
fibre and moisture. A Megazyme assay kit (K-TSTA,
A randomized cross-over study design with different
Megazyme International Ireland Ltd., Ireland) was
treatment blocks was used; the study power with
used to measure the total starch content. Glucose pro-
twelve subjects was set at 80% to detect a 22% differ-
duced by the hydrolysis of starch was estimated using
ence in areas under the curves between the foods.
the glucose oxidase peroxidase (GOPOD) reagent and
This study was completed at the Human Nutraceutical
measuring the absorbance at 510 um (Cary 1-Bio UV
Research Unit (HNRU) of the Department of Human
visible spectrophotometer, Ontario, Canada). The gly-
Health and Nutritional Sciences at the University of
caemic carbohydrate was defined as the total starch
Guelph. It was approved by the University of Guelph
content of the product.
Research Ethics Board (REB#13AP004) and registered
at ClinicalTrials.gov (NCT02075788). All participants
Glycaemic response study provided written informed consent. The study was
blinded, where possible. Although participants were
Study participants
not told what grain their foods were made from, this
Healthy men were recruited from the University of was sometimes obvious from the appearance of the
Guelph and surrounding community. Inclusion crite- test foods. However, the investigator performing the
ria were: normal fasting plasma glucose (<5.6 mmol/l) blood and data analysis was blinded to study treat-
and body mass index (BMI) from 18.5 to 29.9 kg/m2. ment. Participants visited the trial clinic on 12 occa-
Exclusion criteria included: regular consumption of sions and completed 2-h postprandial tests, following
millet as defined by questionnaire at screening; smok- a 12–13 h overnight fast. At each visit the randomly
ing, heavy alcohol use (>3 drinks per day); very low consumed a different millet- or corn-containing prod-
fibre consumption as assessed by 24-h food diary uct, each containing 50 g of glycaemic carbohydrates
(restrained eater as defined by the Three Factor Eating (total starch). Participants also ate white bread (50 g
Questionnaire (TFEQ) at screening (Stunkard & portion) on three occasions to ensure their glycaemic
Messick 1985); recent (i.e. >4 kg in previous response did not change throughout the study dur-
3 months) or intended weight loss or gain; food aller- ation. Prior to each study visit, participants were asked
gies or any life-threatening allergy (food or otherwise); to consume a standard supper meal recommended by

Table 1. Participant characteristics (males, n ¼ 12; mean and SD).


Age (year) Height (cm) Weight (kg) BMI (kg/m2) Fasting plasma glucose (mmol/l) Fasting serum insulin (pmol/l) HOMA2-IR
a
Mean 26.3 ± 3.8 177.4 ± 7.7 73.3 ± 10.7 23.3 ± 2.8 4.6 ± 0.3 42 ± 12.2 0.8 ± 0.2
a
Values were evaluated during screening visit.
4 M. B. MCSWEENEY ET AL.

a study coordinator (based on each participant’s food Table 2. Means and SEM for area under the blood glucose
diary and preferences) and to avoid alcohol consump- response curve.
tion and strenuous activity. At each study visit, the Food Glycaemic response (AUC) (mmol min/l)
Whole grain millet couscous 53.3 ± 7.51a,b,c
participant’s body weight was first determined. Body Refined millet couscous 66.7 ± 11.61
composition by bioelectrical impedance analysis, Refined corn couscous 43.5 ± 5.81
height and blood pressure were also determined at the Refined millet biscuit 82.6 ± 13.71#
Refined corn biscuit 102.0 ± 10.31#
first, sixth and final study visits. Refined millet extruded snacks 189.3 ± 16.41
Refined corn extruded snacks 198.7 ± 20.91
Refined millet porridge 40.1 ± 5.81^
Blood collection and analysis Refined corn porridge 52.2 ± 8.11^
a
n ¼ 12.
At baseline, all measurements were taken in duplicate b
Means in the same column with the same superscript numbers are not
in two separate fingers (Wolever et al. 2008). The par- significantly different at p < .05.
c
Means in the same product category (couscous, biscuit, extruded snacks,
ticipant was then asked to consume the test product porridge) with the same symbol are not significantly different at p < .05.
within 10 min and duplicate blood samples were ana-
lyzed from one fingerprick at each of 15, 30, 45, 60,
90 and 120 min following the start of food ingestion. to assess significant differences in blood glucose
The participants were instructed to drink a cup responses across time points for the different product
(250 ml) of room temperature water within 5 min fol- types. A paired t-test (Microsoft ExcelTM 2011) was
lowing consumption of the test product. During each conducted to compare the means of the AUC values
study visit, participants were asked to remain seated of each product type based on grain type (millet ver-
with minimal activity, either watching movies or read- sus corn).
ing in the research unit. Study personnel and/or a
medically trained technician supervised participants at Results and discussion
all times throughout the trial. After the 120 min sam-
pling, participants were provided with a light lunch Participants
(sandwich, fruit, juice or milk) before leaving the unit. The characteristics of the 12 participants who com-
At each study visit, a department-approved phlebot- pleted the study can be seen in Table 1. All partici-
omist or a trained graduate student took finger prick pants had normal fasting blood glucose levels
blood samples. A Pink SurgiLance Safety Lancet (4.6 ± 0.03 mmol/l) and an average BMI of
(Model: SLN300; Depth: 2.8 mm; Gauge: G21, 23.3 ± 2.8 kg/m2.
Georgia, United States) was used to perform the fin-
gerprick from the side of the fingertip. Approximately
5 ll of blood was collected directly into a HemoCue Glycaemic response
Glucose 201 microcuvette (Angelholm, Sweden) in a The mean blood glucose AUC values (Table 2) were
continuous process and blood glucose determined in calculated from the response curves shown in Figures
duplicate using the HemoCue Glucose 201 system. 1 and 2 for all of the products. For both millet and
Once filled, any excess blood on the microcuvette was corn, the extruded snacks had the highest AUCs and
wiped off with a KimwipeTM (Wisconsin, United this may be due to the degree of gelatinization of the
States) and the microcuvettes were analyzed. products. Extrusion is a high heat, high shear process-
ing condition, which can cause a high amount of gel-
atinization (Svihus et al. 2005). Gelatinization is
Data analysis
directly related to glycaemic response and as the
Whole blood glucose was plotted as a function of time degree of gelatinization increases, so does the gly-
and the 2-h area under the curve (AUC) calculated for caemic response of the food (Parada & Aguilera
each test food using SAS 9.4 (SAS Institute, Inc., Cary, 2009). The relationship between cooked or gelatinized
NC), ignoring the area below fasting as outlined by starch and raw starch and their respective effects on
Wolever et al. (1991) using the trapezoid method. For glucose and insulin response has been investigated in
the AUC calculation, fasting blood glucose was taken wheat (Berthold & Mohamed 1976), oat and barley
to be the average of the two different values measured flakes (Granfedlt et al. 2000), corn (Collings et al.
at baseline. All data was subjected to a repeated meas- 1981) and potato (Vaaler et al. 1984). Gelatinization is
ures one-way Analysis of Variance (ANOVA) and a affected by time, temperature, pressure and moisture
Tukey’s Honest Significant Difference (HSD) Test (IBM during the treatment and since this these parameters
SPSS STATISTICS Version 20, IBM, New York, NY) were consistent for the two grains used in this study,
INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION 5

(A) 7.5

Blood glucose (mmol/L)


6.5

5.5

4.5
0 20 40 60 80 100 120 140
Time (minutes)
Whole Grain Millet Couscous Corn Couscous Millet Couscous

(B) 7.5
Blood Glucose (mmol/L)

6.5

5.5

4.5
0 20 40 60 80 100 120
Time (Minutes)
Millet Porridge Corn Porridge
Figure 1. Postprandial glucose response shown by areas under the blood glucose curves of couscous (A) and porridge (B).

the only other factor affecting the gelatinization would Srivastava 2014). However, our results did not support
be the grain itself (Altan et al. 2009). Based on the this hypothesis as the AUC of the whole grain cous-
similar blood glucose responses for millet and corn cous (53.3 ± 7.5 mmol min/l) was not significantly dif-
extrudates in Figures 1 and 2, it is likely the grains ferent from that of the refined millet couscous
experienced the same amount of gelatinization. (66.7 ± 11.6 mmol min/l) (p < .05). The whole grain
The millet extruded snack produced a relatively millet contained a higher fibre, fat and protein content
high AUC (189 ± 16.4 mmol min/l), as can be seen in than the decorticated millet (Table 3). These nutri-
Table 2. The extruded snack was produced from the tional components usually lead to a lower glycaemic
same decorticated proso millet as the porridge, biscuit response (Parada & Aguilera 2009), however that was
and couscous and yet its glycaemic response was not found in this study. This finding once again indi-
much higher than those products (p < .05). This was cates that the product matrix affects the glycaemic
also seen in the refined corn flour products, with the response of a food item.
product type dictating the glycaemic response. These Overall, no statistically significant differences were
results indicate that, independent of the grain utilized, observed in the AUC between the corn and millet
the product matrix and processing plays a crucial role products, however it is still important to investigate
in the glycaemic response of cereal grains and specific- the individual postprandial blood glucose responses
ally of proso millet in this study. elicited by the same products produced with different
It was hypothesized that the decortication would be grains. The postprandial curves can be seen in Figures
associated with a higher glycaemic response. This 1 and 2. It can be seen that there is no significant dif-
agrees with many other studies indicating that decorti- ference (p < .05) at any of the time points (0, 15, 30,
cation leads to an increase in glycaemic response 45, 60, 90 and 120 min) for the biscuit, couscous and
(Foster-Powell et al. 2002; Slavin 2003; Shukla & porridge products. The only significant difference
6 M. B. MCSWEENEY ET AL.

(A) 9
8.5

Blood glucose (mmol/L)


8
7.5
7
6.5
6
5.5
5
4.5
0 20 40 60 80 100 120
Time (minutes)
Millet Extrusion Corn Extrusion

(B) 8.5
8
Blood glucose (mmol/L)

7.5
7
6.5
6
5.5
5
4.5
0 20 40 60 80 100 120
Time (minutes)

Millet Biscuit Corn Biscuit


Figure 2. Postprandial glucose response shown by areas under the blood glucose curves of extrudates (A) and biscuits (B).

Table 3. Profile of 50 g glycaemic carbohydrate of test foods.


Food Weight eaten (g) Moisture Content (g) Fat (g) Protein (g) Ash (g) Glycaemic carbohydrate (g) TDF (g)
100% Millet
Biscuit 80.1 13.0 4.9 6.1 0.3 50.0 5.6
Extruded snack 63.4 1.3 2.0 7.2 1.3 50.0 5.6
Porridge 71.1 9.1 0.9 5.2 0.6 50.0 5.3
Couscous 63.6 3.6 2.4 6.6 1.0 50.0 1.9
Whole grain couscous 82.5 3.1 3.1 9.6 3.5 50.0 12.5
100% Corn
Biscuit 77.8 18.7 3.1 2.0 2.2 50.0 1.6
Extruded snack 61.0 2.2 0.4 5.5 0.4 50.0 2.5
Porridge 75.0 10.5 0.7 3.0 2.9 50.0 2.0
Couscous 55.9 2.6 0.3 4.0 0.3 50.0 1.7

found when comparing the glucose response was that and millet both peaked at minute 45 and then
for the extruded snacks at 60 min; the corn extrudates decreased (Figure 2(B)). Furthermore, the extrudates
elicited a significantly higher response than the millet produced from millet and corn were the only products
extrudates (Figure 2(A)). Otherwise, there were no sig- for which baseline was not reached at time 120 min,
nificant differences between the extruded products indicating once again that product matrix appears to
and this further supports the argument that product have an impact on starch digestion.
matrix and processing play an important role in deter- The glycaemic responses of millet products were
mining glycaemic response. Also, the postprandial also compared using a one-way repeated measures
response for the couscous, porridge and biscuits ANOVA to determine if the glycaemic response they
exhibited rapid increase of blood glucose level peaking elicited differed with processing. At time points 0 and
at minute 30 and then decreasing (Figures 1 and 2). 15 min, none of the millet-based products was signifi-
However, the extruded snacks produced from corn cantly different from each other. As the time
INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION 7

progressed to 30, 45 and 60 min, the couscous, whole Conclusions


grain couscous, biscuit and porridge produced using
This study attempted to advance the formulation and
millet all had significantly lower glucose responses
production of foods incorporating 100% millet. Foods
than that of the extruded snack (p < .05). At every
produced from proso millet and corn had similar gly-
time point, the millet porridge had the lowest incre-
caemic responses. Furthermore, decortication did not
mental blood glucose response. The millet biscuit was
have a negative effect on millet product glycaemic
found to have a significantly higher glycaemic
response, as the whole grain couscous did not have a
response than the millet porridge at 45 and 60 min.
significantly lower glycaemic response than that of the
Blood glucose levels elicited by the extruded snack
were significantly higher than the couscous, whole refined millet couscous. However, this study con-
grain couscous and porridge at all times except for 0, firmed that, independent of grain type, product matrix
15 and 120 min (p < .05). and structure play critical roles in impacting glycaemic
The refined corn products were also analyzed using response and may even dictate the glycaemic response
a one-way repeated measures ANOVA and they fol- of the food. Future work should investigate the mech-
lowed the same trend as the millet products. anisms by which the product matrix of corn and
Generally, the couscous and porridge with corn were proso millet-based products affects glycaemic
found to elicit a significantly lower blood glucose response. It should also include an investigation of the
response than the extruded snack at 30, 45, 60, 90 min starch–protein and starch–lipid interactions, identify
(p < .05). This is similar to the millet-based products, the fatty acids present and the type of fibres in the ash
as extruded snacks produced from millet were found content of these grains. In terms of millet’s potential
to also be significantly different from the couscous to replace corn in food products directed at prevent-
and porridge at these time points (p < .05). In agree- ing or managing T2DM, the refined proso millet used
ment with the millet products, the corn biscuit had a in this study elicited the same glycaemic response as
significantly higher glucose response at 45 min than those food items produced with refined corn.
the corn porridge (p < .05). However, it also did have
a significantly different incremental glucose response Acknowledgements
than the corn porridge at 30 min. Comparing Figures
1 and 2, it is evident that the product types follow This research was supported by the Ontario Ministry of
Agriculture, Food and Rural Affairs Highly Qualified
the same general trends of glucose response, inde-
Personnel Scholarship. All extruded snacks were provided
pendent of grain type. This indicates that product by and produced by Bunge Inc. Bunge Inc also supplied the
type and processing used in the manufacture of the millet and millet flour for the production of the biscuits,
product are significant factors in determining gly- porridge and couscous. The staff and students in the
caemic response. Human Nutraceutical Research Unit at the University of
Previous studies have indicated that product matrix Guelph also supported this research.
or type plays a role in determining the glycaemic
response of a food. For instance, in pasta, the dense Disclosure statement
texture created during preparation reduces the starch
The authors all declare no conflicts of interest.
digestion ratio, thus lowering the glycaemic response
(Grandfedlt et al. 1991). In this study, the couscous
had a lower glycaemic response than the extruded Funding
snacks. This could be due to the fact that the grain This research was supported by the Ontario Ministry of
remains intact during product manufacture, something Agriculture, Food and Rural Affairs Highly Qualified
that has previously been observed in rice (Jarvi et al. Personnel Scholarship.
1995). Juntunen et al. (2002) found that the lower gly-
caemic response associated with rye bread and pasta
as compared to wheat bread was not explained by the
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