Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/28/2025

Glycemic Index and Carbohydrate Management in Diabetes

  • The American Diabetes Association recommends carbohydrate intake from vegetables, fruits, whole grains, legumes, and dairy products with documented low glycemic indices 1

Glycemic Monitoring and Management

  • The American Diabetes Association suggests that the total amount of carbohydrate consumed remains the primary predictor of glycemic response, regardless of GI 1
  • For patients with diabetes on insulin therapy, adjustment of insulin doses should be based on variations in total carbohydrate intake and physical activity 1
  • Continuous glucose monitoring (CGM) provides superior assessment of glycemic control with metrics including time in range, time above range, and time below range 2, 3