Last reviewed: May 12, 2026 Last updated: May 12, 2026

Written by: Jay Hastings , CEO of PlexusDx

Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

Carbohydrates and Genetics

Modern diets rely mainly on carbohydrates which include sugar forms along with starches and fiber substances. However, not all carbs are created equal. Simple sugars found in treats and beverages like soda and fruit juice are quickly absorbed by the body to deliver instant energy which results in swift increases in blood sugar levels. Complex carbohydrates found in legumes and whole grains require extended digestion time which results in a gradual energy release and minimal blood sugar level fluctuations. Whole grains and vegetables contain fiber which provides several health benefits including support for blood sugar regulation.

Our genetic makeup determines how we metabolize carbohydrates such as whole grains. Our ancestral nomadic hunter-gatherers' diet contained roots, plants, berries, nuts, fish, and meat while complex carbohydrate processing played a minor role. The agricultural transition about 12,000 years ago caused an increase in starchy foods such as grains which provided more energy but also led to greater blood sugar variability and a greater diabetes risk. TCF7L2 is a key genetic factor that regulates our body's carbohydrate metabolism by controlling insulin secretion after eating carbs. This gene displays a strong association with diabetes while its different variants determine the body's responses to carbohydrates. People who carry the "farmer" variant (rs7903146-CC) experience better carbohydrate responses because their blood sugar levels increase minimally. The "hunter-gatherer" genetic variant (rs7903146-TT) triggers unfavorable blood sugar reactions with noticeable spikes even when complex carbohydrates like whole grains are consumed. People who carry both genetic variants (rs7903146-CT) demonstrate an intermediate carbohydrate response which results in moderate increases in blood sugar levels. The "farmer" variant gained an advantage when agriculture emerged while the "hunter-gatherer" variant still exists among 38% of people today.

Our bodies' responses to carbohydrates depend not only on genetic factors but also on dietary habits and lifestyle choices.

Practical Advice:

  1. Genetic Testing: The Precision Health & Wellness tests from PlexusDx provide genetic testing options which help determine how your genetic makeup affects carbohydrate metabolism.
  2. Diet Modification: Design your nutritional plan to fit your specific genetic predispositions. Those who carry the "hunter-gatherer" gene variant should pay closer attention to their carbohydrate consumption and select foods with a low glycemic index.
  3. Consultation: Work with your healthcare provider to create a nutrition plan based on your genetic test results that fits your genetic profile. Learning about your genetic response to carbohydrates lets you make dietary choices that promote both your health and well-being.

Learn about your genetic dietary traits through Precision Health & Wellness tests from PlexusDx accessible at PlexusDx.com along with Amazon and Walmart. Utilizing this genetic information you can adjust your nutrition and lifestyle habits to better align with your genetic predispositions and improve your health results.

Medical and Editorial Standards

Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.

Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.

Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.

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