Is Unniappam (Neyyappam) Good for Diabetes?

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No — unniappam is not an everyday food with diabetes. Unniyappam in Malayalam, nei appam on the Tamil side, it is jaggery syrup bound into rice flour with ripe banana and coconut, then fried in ghee or oil. That is concentrated sugar inside refined starch, cooked in fat. One piece, on the day itself.

Answered by Dr. Dante Ruskin · Diabetologist & Intensivist

Jaggery is not a safer sugar: in a Madras study of people with type 2 diabetes it raised one-hour glucose more than table sugar did. So eat the piece after a full meal, never on an empty stomach, and trim that day's rice. At four o'clock, a matti banana with roasted kadala instead.

Is unniappam safer because it is made with vellam?

This is the belief the whole page has to move. Unniappam is built from jaggery syrup, so people file it under traditional and therefore under safe. The measurement says otherwise. In a study from the Department of Diabetology, Madras Medical College — eighteen people with type 2 diabetes, given iso-caloric loads of glucose, sucrose, honey and jaggery — jaggery produced a one-hour glycemic index of 84.4, against 69.2 for table sugar and 70.1 for honey (Uma et al., Journal of the RSSDI, 1987). By two hours the three had converged, and the authors’ own conclusion is the line worth keeping: among jaggery, sucrose and honey, it cannot be said that one is less hyperglycemic than another. Karupatti, the palm jaggery of this district, sits in exactly the same place — the argument is set out on is jaggery good for diabetes and karupatti.

How much sugar is in one unniappam?

Everything turns on the size of the piece, and the range in real kitchens is wide. A published recipe card that makes 28 small appe-pan pieces from one cup of raw rice, half a cup of jaggery and two bananas gives roughly 60 kcal, 11 g of carbohydrate and 4 g of sugars per piece (Dassana’s Veg Recipes of India). A packaged Kerala neyyappam sold frozen carries 37 g of carbohydrate and 11 g of sugars in a single 50 g serving on its own label (Daily Delight). Temple and bakery pieces sit between the two.

What you are actually eatingCarbohydrateOf which sugarsEnergyBasis
One small home piece, appe pan~11 g~4 g~60 kcalrecipe card, 28 pieces
One mini fried sweet appam~11 g—~96 kcalpublished calorie count
One 50 g packaged neyyappam serving37 g11 g210 kcalpack label
Four small pieces with evening tea~44 g~16 g~240 kcalarithmetic (estimate)
One cup cooked rice, for comparison~40 gnegligible~200 kcalIFCT 2017 (estimate)

Read the fourth row against the fifth and the point lands: four little unniappam carry as much carbohydrate as a full cup of rice — and arrive faster, because a third of it is already free sugar. ICMR-NIN’s Dietary Guidelines for Indians (2024) puts added sugar under five percent of daily energy, roughly 20–25 g for an adult. Four pieces spend most of that; one 50 g shop piece spends half of it before the tea is poured.

Appe pan or deep fryer — does it change anything?

It changes the fat, not the sugar. Neyyappam is traditionally made in a bronze appakara, a pan of deep cavities, and fried in ghee; unniappam is the ball-shaped variant with mashed ripe banana worked into the batter. Home cooks who use the appe pan cut a real amount of oil, and that is worth doing. It buys nothing on the jaggery, and nothing on the rice flour. There is a second reason the fryer matters: in two large US cohorts followed for more than twenty years, people eating fried food seven or more times a week had about a 1.55-fold risk of developing type 2 diabetes compared with under once a week (Cahill et al., American Journal of Clinical Nutrition, 2014). That is a finding about getting diabetes, not about having it — but the reused oil behind it belongs to the same argument as cholesterol in Indian hearts, where risk is already higher.

What about the Sabarimala prasadam tin?

This is the version most Kanyakumari households actually meet. At Sabarimala the two great prasadams are aravana payasam and appam — a sweet ball of rice, kadalippazham and ghee — and the temple is open through the Mandala Pooja season from roughly 15 November to 26 December. A pilgrim from Marthandam or Kuzhithurai does not come home with one piece; he comes home with packets, and they sit on the shelf into January beside the Christmas cake. The religious question and the medical one do not conflict here. Prasadam is received and eaten — take one, and share the rest the same evening rather than keeping the tin open for a fortnight. The harder issue is the vratham itself: if you are fasting for forty-one days while taking sugar tablets or insulin, and walking the hills on top of it, your risk of a low sugar goes up. Tell your doctor before the season starts, not after — your doctor adjusts the plan; you should not adjust it yourself. The same reasoning covers Ramadan and Lent, on fasting with diabetes.

What to say at the counter, and the festival-day plan

At a bakery counter in Marthandam or Kuzhithurai the default is a packet. Say “ഒരെണ്ണം മതി” — oreṇṇam mathi, one is enough — or on the Tamil side “ஒன்னு மட்டும் போதும்”. Buy by the piece, eat it there, and walk home; a packet carried home is a packet finished at home. Ask for one that is fresh-fried, not one that has sat in the tray since morning. On the day itself the plan is four lines: eat the appam after the meal, not before and not instead of it; take one piece and let the second one go; cut that meal’s rice by half a cup to pay for it; and walk twenty minutes afterwards. That plan works on Vishu, on Onam, on the Ganapati day and on the Karthigai Deepam evening in late November — 24 November in 2026, by the published panchang listings — when nei appam is made in Tamil houses across the district. The rest of the festival plate is handled on Vishu sadya sweets and Onam sadya for diabetics.

Where unniappam still goes wrong

Four ways, all fixable. The packet, not the piece — nobody’s reading is ruined by one appam on Thiruvonam; it is ruined by ten pieces eaten across four days of tea. The empty stomach — the same piece at 4 pm on nothing else produces a far sharper rise than it does after a full meal. The “sugar-free” version — swap the jaggery for a sweetener and the rice flour and the hot oil survive the swap untouched, which is the point made on sugar-free sweeteners. The gift box — a tin arrives, it goes on the shelf, and the fortnight does what the festival never could. If you want the sweet ritual without the fried starch, one matti banana with roasted kadala, or a couple of kara paniyaram, does the job at four o’clock.

Sources

  • Uma P, Hariharan RS, Ramani V, Seshiah V. “Glycaemic indices of different sugars.” Journal of the RSSDI, Jan–April 1987, Department of Diabetology, Madras Medical College. Eighteen people with type 2 diabetes; jaggery 84.4, sucrose 69.2, honey 70.1 at one hour. Small and old, but it is a study in Indian patients with diabetes rather than in healthy volunteers, and its conclusion is the honest one.
  • Dassana’s Veg Recipes of India, unniyappam recipe card — the ingredient ratio (200 g raw rice, ½ cup jaggery, two bananas) and the per-piece figures for 28 small pieces. A recipe card, not a laboratory: treat those numbers as an estimate.
  • Daily Delight “Neyyappam Sweet Rice Fritters” pack label, 50 g serving — the packaged end of the range, and the only figure on this page that comes from a printed label.
  • Cahill LE et al., American Journal of Clinical Nutrition, 2014 — 70,842 women and 40,789 men followed for over two decades; fried food seven or more times a week carried about 1.55 times the risk of incident type 2 diabetes.
  • ICMR-NIN, Dietary Guidelines for Indians (2024) — added sugar below five percent of daily energy, and the advice against deep-fried foods and reused frying oil.
  • Kerala Tourism and the Sabarimala temple record — appam and aravana payasam as the principal prasadam, and the Mandala Pooja season. Always check festival dates against the current panchang for this district.

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Frequently asked questions

One small piece, on a festival or prasadam day, eaten after a full meal rather than instead of one — that is the honest allowance. What it is not is a tea-time snack. Unniappam is jaggery and rice flour fried in fat, so it is the packet of ten beside the flask, not the festival piece, that shows up in your HbA1c.

A small home piece from an appe pan runs about 60 kcal with 11 g of carbohydrate and 4 g of sugars, going by a published recipe card that makes 28 pieces. A 50 g packaged neyyappam serving carries 37 g of carbohydrate and 11 g of sugars on its own label. Piece size decides almost everything here.

No. In a Madras study of eighteen people with type 2 diabetes, jaggery gave a one-hour glycemic index of 84.4 against 69.2 for table sugar, and the authors concluded that none of the three sweeteners tested could be called less hyperglycemic than the others. Jaggery brings a little iron and some minerals. It does not bring a safer reading.

Prasadam is taken, not refused. Eat one piece, then share the tin — the temple appam is rice, banana and ghee, the same arithmetic as any unniappam. The real trouble is that a Mandala-season tin sits at home for weeks. If you are keeping the vratham while on sugar tablets or insulin, speak to your doctor before the fasting starts.

A little, and only on the fat. A pan piece takes a teaspoon of ghee per mould instead of a bath of hot oil, so it carries fewer calories and none of the reheated-oil problem. The jaggery and the rice flour are unchanged, so the sugar arithmetic is identical. Smaller and pan-cooked beats bigger and deep-fried, every time.

One matti banana with a fistful of roasted kadala, or two kara paniyaram with chutney — protein and fibre in the place of jaggery and fried starch. If it is specifically sweetness you want, a small piece of fruit after the tea usually settles it. Keep unniappam for the days that genuinely call for it.