Our expert says:
Toasting bread may change the carbohydrate content slightly, but this should not affect your insulin levels to such a degree. You may need to reduce the amount of carbohydrate by having fewer slices of low-GI bread at one meal and adding additional low-GI foods to the combination such as fat-free cottage cheese, canned tuna, boiled egg, etc. and to combine the sandwiches with lettuce, tomato, cucumber with a low-fat, vinegar dressing - which all lower the GI of the meal. The amount of cheese in the toasted cheese sandwich may be too low to counteract the carb load in 3 slices of bread. Please also discuss this reaction with your dietitian when next you go for a consultation.
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