Since pizza has a lot of vegetables and protein in its toppings, does the ‘dough’ part have little effect on blood sugar?

1. The Components of Pizza
A pizza is broadly composed of the dough (crust), sauce, cheese, and various toppings. The vegetables, mushrooms, or lean meats used as toppings can be healthy ingredients. However, for a person with diabetes, pizza is considered one of the worst foods for blood sugar management.

2. The Main Culprits Affecting Blood Sugar
– The Dough: The base of the pizza, the dough, is mostly made from ‘refined white flour,’ which spikes blood sugar. The dough from just one slice of pizza can contain carbohydrates equivalent to 1-2 slices of sandwich bread.
– The Tomato Sauce: The tomato sauce widely used on pizza often contains added sugar or high-fructose corn syrup to enhance its sweetness.
– Cheese and Processed Meat Toppings: Toppings like cheese, pepperoni, and bacon are very high in calories and ‘saturated fat,’ which is not good for vascular health.

3. The Dangerous Combination of ‘Carbs + Fat’
Consequently, pizza is a representative combination of ‘refined carbohydrates (dough)’ and ‘fat (cheese, oily toppings).’ This combination, similar to croissants or fried rice, is very likely to cause ‘delayed hyperglycemia,’ where blood sugar spikes unpredictably 3-4 hours after the meal because the fat slows down carbohydrate digestion. This makes blood sugar control even more challenging.

Summary: Even if a pizza has some healthy ingredients as toppings, the base dough itself is a large amount of refined carbohydrate, and the sugar and fat content of the sauce and cheese is also high, making it a very harmful food for blood sugar management. The impact of the dough should never be underestimated.


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대한당뇨병학회 https://diabetes.or.kr/
질병관리청 https://www.kdca.go.kr/
국립보건연구원 https://nih.go.kr/
대한영양사협회 https://www.dietitian.or.kr/
대한내분비학회 https://www.endocrinology.or.kr/
대한스포츠의학회 https://www.sportsmed.or.kr/
대한신경과학회 https://www.neuro.or.kr/english/
대한정신건강의학회 https://www.knpa.or.kr/
대한치주과학회 https://www.kperio.org/main/main.php/
대한수면의학회 https://www.sleep.or.kr/html/?pmode=intro/
대한신장학회 https://www.ksn.or.kr/

미국당뇨병학회 https://diabetes.org/
영국당뇨병학회 https://www.diabetes.org.uk/
미국안과학회 https://www.aao.org/
미국치과의사협회 (American Dental Association) https://www.ada.org/
국제항공운송협회 (IATA) https://www.iata.org/
미국 질병통제예방센터 (CDC) https://www.cdc.gov/
미국심장협회 (American Heart Association) https://www.heart.org/
세계보건기구 (WHO) https://www.who.int/
국제표준화기구 (ISO) https://www.iso.org/
인슐린 제조사 https://www.lilly.com/
미국소화기학회 (American Gastroenterological Association) https://www.gastro.org/
미국식품의약국 (FDA) https://www.fda.gov/
미국족부의학회 (American Podiatric Medical Association) www.apma.org/
미국 산부인과 학회 (American College of Obstetricians and Gynecologists) https://www.acog.org/
미국대사수술학회 (American Society for Metabolic and Bariatric Surgery) https://asmbs.org/

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