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Refined carbohydrates, such as white bread and white pasta, are starches undergone processing which removes the bran and germ of the grain, stripping them of fiber, vitamins, minerals and antioxidants. These foods can also cause big blood sugar spikes and yield little to no nutritional value.
Refined carbs also increase blood triglyceride levels. This is a risk factor for both heart disease and type 2 diabetes (28, 29, 30, 31). One study in Chinese adults showed that over 85% of the total carbohydrate intake came from refined carbs, mainly white rice and refined wheat products .