Pearl barley makes a risotto that is nuttier than rice and far more forgiving: it holds its bite, it does not turn to mush, and you only need to stir it now and then. Brown the mushrooms hard in a hot pan first; that is where the flavour comes from.

Risotto made with pearl barley instead of arborio rice is a different dish in the ways that matter for health, and a better one in the ways that matter for a weeknight.
Barley has one of the lowest glycaemic indexes of any grain, around 25, against well over 50 for most white rice, so the same plate of carbohydrate reaches the blood far more slowly. That is why this is tagged for blood sugar and a rice risotto would not be. More in does sugar lower testosterone?
Barley also carries beta-glucan, the same soluble fibre as oats. Eating 3g of it a day lowers LDL cholesterol, a claim approved by the European Food Safety Authority, and a portion of this risotto provides roughly two-thirds of that. It matters most for women around menopause, when LDL tends to rise: menopause and heart health.
A note on mushrooms and vitamin D, because it is widely repeated. Ordinary mushrooms contain very little. Mushrooms exposed to ultraviolet light, sold in some UK supermarkets labelled as high in vitamin D, contain a useful amount. Check the pack, and do not count on ordinary chestnut mushrooms to replace the autumn and winter supplement the NHS recommends: vitamin D.
Vegetarian readers, check the cheese. True Parmesan is made with animal rennet, so it is not vegetarian; vegetarian hard cheeses taste much the same. And barley contains gluten, so this is not for coeliacs.
At 13g of protein, this is a lighter dinner. Top it with a poached egg or serve it alongside a piece of fish to bring it to around 20g or more. For another vegetarian dinner, see the buckwheat bowl with roast beetroot.