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Does spaghetti squash spike blood sugar?

Spaghetti squash is a nutritious vegetable that has become a popular lower-carb substitute for spaghetti. However, some people wonder if spaghetti squash has any effect on blood sugar levels.

This article provides a detailed look at spaghetti squash and its effects on blood sugar. We’ll explore the carbohydrate content and glycemic index of spaghetti squash, factors that affect its blood sugar impact, and how it compares to alternatives like whole wheat pasta.

The carbohydrate content of spaghetti squash

The first thing to examine is the carbohydrate content of spaghetti squash. The total carbohydrate content provides a general idea of how a food may impact blood sugar.

One cup of cooked spaghetti squash contains around 10 grams of carbohydrate, with 2 grams coming from fiber and 8 grams from starch and sugars (1).

For comparison, one cup of regular spaghetti contains around 43 grams of total carbohydrate, with 3 grams of fiber and 40 grams of starch and sugars (2).

So spaghetti squash contains about 4 times fewer total carbohydrates than regular spaghetti. The carbohydrate content is one reason why spaghetti squash is considered a lower glycemic alternative.

The glycemic index of spaghetti squash

The glycemic index (GI) is a measure of how quickly a food raises blood sugar. Foods are ranked on a scale of 0–100 based on how they compare to the blood sugar response of pure glucose (3).

The glycemic index of spaghetti squash is lower than regular spaghetti:

Food Glycemic index
Spaghetti squash 15
Regular spaghetti 41–65

Foods with a glycemic index under 55 are considered low glycemic. This means spaghetti squash should only cause a gradual rise in blood sugar, rather than a spike (4).

Serving size affects blood sugar response

It’s important to note that the serving size matters when considering the blood sugar effects. While 1 cup of spaghetti squash contains 10 grams of carbs, larger portion sizes will increase the carb load.

Here are the carb contents for different serving sizes of cooked spaghetti squash (1):

Serving Total carbohydrate (grams)
1/2 cup 5
1 cup 10
2 cups 20

Consuming 2 cups would provide double the carbohydrates compared to a 1 cup serving. This larger carbohydrate load can increase the blood sugar impact.

Cooking method

How the spaghetti squash is prepared may also affect its glycemic response. Roasting, microwaving, boiling, and baking are common cooking methods.

Some research shows roasted starchy vegetables have a lower GI than boiled. This is attributed to potatoes and squash becoming more resistant starches when cooked with dry heat (5).

Microwaving may also reduce GI compared to boiling, possibly by better retaining the structure of starch (6).

Overall, roasting, microwaving, or baking spaghetti squash may produce a lower glycemic response than boiling.

Added ingredients

What you serve with spaghetti squash can also change the blood sugar impact of your meal.

Pairing spaghetti squash with lower carb ingredients like meatballs, chicken, shrimp, vegetables, herbs, spices, olive oil, Parmesan cheese, etc. will help keep the meal’s glycemic load in the lower range.

On the other hand, high glycemic ingredients like white breadcrumbs on casseroles or sugar-sweetened tomato sauce will raise the blood sugar level of the meal.

Individual health status

Individual health factors also determine blood sugar responses. People with diabetes or prediabetes tend to have higher post-meal spikes than those with normal blood sugar regulation.

The timing of meals, carbohydrate intake throughout the day, medications, and activity levels also impact levels after eating.

For optimal blood sugar control, those with diabetes may need to pair spaghetti squash with protein foods, include vinegar or lemon juice to slow digestion, and monitor carbohydrate portions.

Compare to whole wheat pasta

Whole wheat pasta is another lower glycemic substitute for regular pasta. How does it compare to spaghetti squash for blood sugar control?

One cup of whole wheat spaghetti contains around 37 grams of total carb, with 6 grams as fiber (7).

Although whole wheat pasta is lower on the GI scale than regular pasta, it still has a higher GI and more total carbs than spaghetti squash.

However, the fiber content is a bit higher in whole wheat pasta, which can help slow digestion and blood sugar absorption.

For individuals looking to limit carb intake, spaghetti squash would be the better option for controlling blood sugar response. Whole wheat pasta may be preferred by those who are less carb restricted.

Conclusion

Based on its lower carbohydrate content and glycemic index, spaghetti squash is unlikely to cause a spike in blood sugar levels for most people.

Consumed in appropriate portions along with lower glycemic ingredients, spaghetti squash can be part of a meal plan to manage blood sugar response.

Roasting, microwaving, or baking the squash may further reduce its glycemic impact compared to boiling.

Individuals with diabetes still need to be mindful of carbohydrate amounts and pair squash with blood sugar friendly foods like non-starchy vegetables, lean protein, vinegar, and healthy fats.

For carb conscious eaters, spaghetti squash provides a lower glycemic alternative to regular or whole wheat pasta.

At the end of the day, spaghetti squash is an excellent choice as part of a vegetable-rich, low glycemic diet for better blood sugar control.

References

1. U.S. Department of Agriculture. FoodData Central. https://fdc.nal.usda.gov/fdc-app.html#/food-details/170204/nutrients

2. U.S. Department of Agriculture. FoodData Central. https://fdc.nal.usda.gov/fdc-app.html#/food-details/169955/nutrients

3. Harvard T.H. Chan School of Public Health. The Nutrition Source – Carbohydrates. https://www.hsph.harvard.edu/nutritionsource/carbohydrates/carbohydrates-and-blood-sugar/

4. Atkinson FS, Foster-Powell K, Brand-Miller JC. International tables of glycemic index and glycemic load values: 2008. Diabetes Care. 2008;31(12):2281-2283.

5. Fernandes G, Velangi A, Wolever TM. Glycemic index of potatoes commonly consumed in North America. J Am Diet Assoc. 2005;105(4):557-562.

6. Monro JA, Mishra S, Blandford E. Sensory impacts of food structure modulation by microwave energy. Int J Food Sci Technol. 2009;44(11):2149-2155.

7. U.S. Department of Agriculture. FoodData Central. https://fdc.nal.usda.gov/fdc-app.html#/food-details/340553/nutrients