Several small studies have shown that nutrient sequencing can help manage blood sugar levels, especially for those with prediabetes or type 2 diabetes.
In one small study, 15 people with prediabetes were given a meal of grilled chicken, salad, and bread and instructed to eat the foods in a different order on different days. Researchers measured their blood sugar response after each meal and found that those who ate bread last had a 46 percent reduction in blood sugar compared with those who ate bread first.
Another small study found that people with type 2 diabetes who ate vegetables before carbohydrates for two years had a significantly lower hemoglobin A1C (a blood test that measures the average blood sugar levels over two to three months) than the group who received dietary instruction but were not specifically instructed to eat veggies first.
While the studies thus far have been small, they consistently reinforce the concept of nutrient sequencing for blood sugar management, Dr. Shukla says. She adds that longer-term studies are needed to determine how nutrient sequencing might affect body weight and diabetes over extended periods.
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