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This is due to the effect of insulin falling and the rising counter regulatory hormones including increased sympathetic tone, noradrenaline, cortisol and growth hormone, in addition to glucagon.

But, trying to manage diabetes on the glycemic index alone can be difficult.

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Avoid eating foods that are high on the glycemic index bananas, pineapple, watermelon and dried fruits, carrots, white potatoes and beets, and corn this means high fructose corn syrup, so virtually all packaged foods.