meal was more effective than taking it five hours before meals.28 The addition of vinegar for sushi rice lowered the glycemic index of white rice by almost 40 percent.29 Addition of pickled vegetables and fermented soybeans (nattō) also significantly lowered the glycemic index of the rice. In a similar manner, rice with the substitution of pickled cucumber for fresh showed a decrease in its glycemic index by 35 percent.30