The overall tone reflects a strong support for the scientific research, with many posts emphasizing the legitimacy of the findings, such as references to Alpana Shukla's studies, and practical tips like eating carbs last. The tone varies from supportive to slightly skeptical about influencers misrepresenting the science, but the discussion underscores the potential of meal sequencing to influence blood sugar, highlighting its relevance for managing prediabetes.
AgreementModerate agreement
Most discussions recognize the scientific basis and potential benefits of changing meal order to influence blood sugar levels, showing general support for the research findings.
InterestHigh interest
Posts display a high interest, with many referencing specific studies, methods, and potential to improve prediabetes management, indicating engagement beyond surface-level reactions.
EngagementHigh engagement
Numerous posts include citations of scientific studies, discussions of practical applications like eating vegetables or protein first, and critique of influencers, demonstrating deep engagement with the topic.
ImpactModerate impact
While the posts acknowledge the significance of the research, some mention further studies and ongoing debates, suggesting moderate perceived impact rather than definitive change, but recognition of its importance.
Abstract in brief
The study investigated how the order of eating different foods affects blood sugar and insulin levels in people with prediabetes, using three different meal sequences.
Results showed that eating vegetables first or protein and vegetables before carbohydrates significantly reduced blood sugar peaks and insulin responses compared to eating carbohydrates first.
This suggests that simply changing the order of foods during a meal can be a straightforward and effective way to better manage blood sugar levels in prediabetic individuals.
على عكس عندما تبدأ يومك بالبروتين والخضار او الدهون حيث يكون مستوى السكر في الدم ثابت
وهذا ما اثبتته دراسة تمت على مرضى السكر حيث وجدوا انه فقط بتغيير ترتيب الاكل تحسن مستوى السكر الى ٤٠٪
https://t.co/e8tAEX76NR
The money slide.
What #lifestyle #nutrition intervention levels out glucose spikes, ⬇️insulin without change in calories or macronutrients?
Eat Carbs Last
#foodorder @alpanashuklamd
https://t.co/TfqyJqI3Ke https://t.co/IEfRTT5ZP9
May 1, 2024 · 23 likes · 3 shares · 6,262 followersView post →
A
Agingdoc
@agingdoc1 · X
The impact of food order on postprandial glycaemic excursions in prediabetes
Dec 28, 2023 · 20 likes · 6 shares · 42,779 followersView post →
BM
Beverly G. Tchang, MD
@BevTchangMD · X
1️⃣10% #weightloss IS possible with off-label anti #obesity meds/non-GLP1s (!) https://t.co/FfvG2bTXgU @MWeintraubMD
2️⃣Eat carbs last. ⬇️insulin,⬇️glucose
https://t.co/iseFCsgK7p @alpanashuklamd
3️⃣Screen for GDM earlier in #pregnancy #womenshealth
https://t.co/BGhTKErbTy https://t.co/wcsepN2jjx
Do you feel hypoglycemic after meals but don't have #diabetes?
Could be "reactive" or "relative" hypoglycemia where glucose remains normal but lower than where they started.
Try: Eating carbohydrates last
@alpanashuklamd https://t.co/iseFCsgK7p https://t.co/KeqUI9dJZH
May 5, 2023 · 16 likes · 4 shares · 6,262 followersView post →
BM
Beverly G. Tchang, MD
@BevTchangMD · X
Why do influencers share #nutrition #research as if it’s their own?
The order in which you consume macronutrients changes glucose and insulin spikes — this was proven by @alpanashuklamd:
https://t.co/iseFCsgK7p
Wish these nutri-flukes would credit where credit is due! https://t.co/8a9u1e1POz
Mar 19, 2023 · 16 likes · 3 shares · 6,262 followersView post →
Postprandial glucose spikes, rapid increases in blood sugar after eating, are common in diabetes and may significantly contribute to cardiovascular disease risk. Preventing these spikes could improve heart health and…
Eating protein or fat before carbohydrates can reduce blood sugar spikes and delay digestion. Consuming fruit, like kiwifruit, 30 minutes before cereal significantly lowers glycemic response and may aid in managing…
Ramadan fasting, eating breakfast, iftar, glucose spike, nutrition, health benefits. This video offers insights into managing glucose spikes during fasting by prioritizing food choices, especially emphasizing the…
Shukla, A., Dickison, M., Coughlin, N., Karan, A., Mauer, E., Truong, W., Casper, A., Emiliano, A., Kumar, R., Saunders, K., Igel, L., & Aronne, L. (2018). The impact of food order on postprandial glycaemic excursions in prediabetes. Diabetes, 21, 377 - 381.
@dr_sumit_sharma Here's the limited research her claims are based on: https://t.co/yvjGdiiIo8
And here's a better (RCT) follow up study by the same researchers that found no clinical significance: https://t.co/wNDKaboUk0
RT @BevTchangMD: The money slide.
What #lifestyle #nutrition intervention levels out glucose spikes, ⬇️insulin without change in calories…
May 1, 2024 · 3 shares · 1,454 followersView post →
BM
Beverly G. Tchang, MD
@BevTchangMD · X
The money slide.
What #lifestyle #nutrition intervention levels out glucose spikes, ⬇️insulin without change in calories or macronutrients?
Eat Carbs Last
#foodorder @alpanashuklamd
https://t.co/TfqyJqI3Ke https://t.co/IEfRTT5ZP9
May 1, 2024 · 23 likes · 3 shares · 6,262 followersView post →
P
Proudly_40
@Proudly_40 · X
Food order during a meal significantly impacts postprandial glucose and insulin excursions in type 2 diabetes. Vegetables first followed by protein and carbohydrate seem to be associated with better outcomes.
https://t.co/6xqO9b6Bs6
RT @agingdoc1: The impact of food order on postprandial glycaemic excursions in prediabetes
Dec 30, 2023 · 6 shares · 4,969 followersView post →
JG
Johnny Galtar
@JohnnyGaltar · X
RT @agingdoc1: The impact of food order on postprandial glycaemic excursions in prediabetes
Dec 29, 2023 · 6 shares · 437 followersView post →
L
Luzviminda
@Luzvimi37800507 · X
RT @agingdoc1: The impact of food order on postprandial glycaemic excursions in prediabetes
Dec 29, 2023 · 6 shares · 113 followersView post →
C
chydorina
@chydorina · X
RT @agingdoc1: The impact of food order on postprandial glycaemic excursions in prediabetes
Dec 29, 2023 · 6 shares · 16,321 followersView post →
A
Agingdoc
@agingdoc1 · X
RT @agingdoc1: The impact of food order on postprandial glycaemic excursions in prediabetes
Dec 28, 2023 · 6 shares · 42,779 followersView post →
JM
john morley
@drjohnmorley · X
The impact of food order on postprandial glycaemic excursions in prediabetes - Shukla - 2019 - Diabetes, Obesity and Metabolism - Wiley Online Library https://t.co/0Q9FWZWvuT
A simple hack, scientifically backed, to lower the impact of carbohydrate. Eat before vegetables or vegetables + protein. It has a dramatic effect on the glucose level and the insulin spike.
https://t.co/I9bxdaOAYa https://t.co/mZjgm6PFpQ
Nov 5, 2023 · 3 likes · 1 share · 270 followersView post →
DA
dietitian Habeeba almoliki
@Habeeba__Ahmed · X
RT @alhamalhu: على عكس عندما تبدأ يومك بالبروتين والخضار او الدهون حيث يكون مستوى السكر في الدم ثابت
وهذا ما اثبتته دراسة تمت على مرضى ا…
Aug 14, 2023 · 12 shares · 65 followersView post →
1️⃣10% #weightloss IS possible with off-label anti #obesity meds/non-GLP1s (!) https://t.co/FfvG2bTXgU @MWeintraubMD
2️⃣Eat carbs last. ⬇️insulin,⬇️glucose
https://t.co/iseFCsgK7p @alpanashuklamd
3️⃣Screen for GDM earlier in #pregnancy #womenshealth
https://t.co/BGhTKErbTy https://t.co/wcsepN2jjx
@SiamakSobhany اتفاقا اگر National Center for Biotechnology Information بگردی
مقالات زیادی هست که این ایده رو تایید میکنه
https://t.co/bMN5tWpd16
https://t.co/BH7shdhP1W
https://t.co/nrXbj2b3UU
https://t.co/6MoV6Ee65r
https://t.co/9iGNwYixFC https://t.co/sf25wVwUBl
Jun 5, 2023 · 1 like · 65,265 followersView post →
AS
Alpana Shukla
@alpanashuklamd · X
RT @BevTchangMD: Do you feel hypoglycemic after meals but don't have #diabetes?
Could be "reactive" or "relative" hypoglycemia where gluc…
RT @BevTchangMD: Do you feel hypoglycemic after meals but don't have #diabetes?
Could be "reactive" or "relative" hypoglycemia where gluc…
May 6, 2023 · 4 shares · 4,300 followersView post →
Aب
Abdulmohsen bakhsh د .عبدالمحسن بخش
@amohsenbakhsh · X
RT @BevTchangMD: Do you feel hypoglycemic after meals but don't have #diabetes?
Could be "reactive" or "relative" hypoglycemia where gluc…
May 6, 2023 · 4 shares · 2,032 followersView post →
BM
Beverly G. Tchang, MD
@BevTchangMD · X
Do you feel hypoglycemic after meals but don't have #diabetes?
Could be "reactive" or "relative" hypoglycemia where glucose remains normal but lower than where they started.
Try: Eating carbohydrates last
@alpanashuklamd https://t.co/iseFCsgK7p https://t.co/KeqUI9dJZH
May 5, 2023 · 16 likes · 4 shares · 6,262 followersView post →
BM
Beverly G. Tchang, MD
@BevTchangMD · X
@alpanashuklamd et al examined the effect of macronutrient sequencing (carbs first vs carbs last) in ppl with diabetes, prediabetes, or gestational diabetes
This study looked at those with prediabetes:
https://t.co/iseFCshhWX
2/
RT @BevTchangMD: Why do influencers share #nutrition #research as if it’s their own?
The order in which you consume macronutrients change…
Mar 20, 2023 · 3 shares · 463 followersView post →
KN
Karli.NourishYourLife!
@MissHealthyKppc · X
RT @BevTchangMD: Why do influencers share #nutrition #research as if it’s their own?
The order in which you consume macronutrients change…
Mar 20, 2023 · 3 shares · 172 followersView post →
BM
Beverly G. Tchang, MD
@BevTchangMD · X
Why do influencers share #nutrition #research as if it’s their own?
The order in which you consume macronutrients changes glucose and insulin spikes — this was proven by @alpanashuklamd:
https://t.co/iseFCsgK7p
Wish these nutri-flukes would credit where credit is due! https://t.co/8a9u1e1POz
Mar 19, 2023 · 16 likes · 3 shares · 6,262 followersView post →
AD
Alicia Taboada Duro
@TaboadaDuro · X
RT @Anubiolac: El orden de los factores, si altera el producto?. De primer plato, proteina con ensalada https://t.co/4MD6fjDQIz
على عكس عندما تبدأ يومك بالبروتين والخضار او الدهون حيث يكون مستوى السكر في الدم ثابت
وهذا ما اثبتته دراسة تمت على مرضى السكر حيث وجدوا انه فقط بتغيير ترتيب الاكل تحسن مستوى السكر الى ٤٠٪
https://t.co/e8tAEX76NR
@Theresa_Furey @ElieJarrougeMD Eating the cookie as dessert after protein &or fiber-rich foods would have reduced the spike by around 40%. Not as good as skipping the cookie, of course: https://t.co/FKkwg93vZb
Aug 13, 2022 · 1 like · 1,385 followersView post →
LH
L. Amber O'Hearn
@KetoCarnivore · X
@p70S6K @DrEades And this one similarly. 3/
https://t.co/1ff4EvldeS
In a small study of prediabetics, eating the starch on their plate last, "significantly lessened" the impact of glucose and insulin.
https://t.co/mrnXATl7L8
Great lecture by @alphanashuklamd @nbdiabetes on nutrient sequencing: carbohydrates last to delay and reduce postprandial glucose and insulin excursions in prediabetes https://t.co/YQTiaD7VtN
RT @gerdosi: @chtan8 @erreyedoc Look for studies by Alpana P. Shukla et al.
The impact of food order on postprandial glycemic excursions in…
Jun 6, 2020 · 1 share · 3,723 followersView post →
GE
Gabor Erdosi
@gerdosi · X
@chtan8 @erreyedoc Look for studies by Alpana P. Shukla et al.
The impact of food order on postprandial glycemic excursions in prediabetes https://t.co/mrGim2ugE4
But there are papers from other groups as well.
https://t.co/Rtf3tNrwTL
Jun 6, 2020 · 3 likes · 1 share · 25,893 followersView post →
GD
Graham Phillips: The Pharmacist Who Gave Up Drugs
@grahamsphillips · X
RT @gerdosi: @grahamsphillips @AmandaZZ100 @longevity_pro I believe this is the one, but there are several from the same group as well as f…
May 20, 2020 · 1 share · 5,665 followersView post →
GE
Gabor Erdosi
@gerdosi · X
@grahamsphillips @AmandaZZ100 @longevity_pro I believe this is the one, but there are several from the same group as well as from others.
The impact of food order on postprandial glycemic excursions in prediabetes https://t.co/Zl5Gq0h56O
May 20, 2020 · 1 share · 25,893 followersView post →
RS
Raphael Sirtoli
@raphaels7 · X
@BrownAdey @virtahealth food order and food timing matter
have your carbs after your meat and veg https://t.co/FNdmDo3r0p
lower your meal frequency https://t.co/LgO8NSWrsv
even before '85 we knew IF "increases insulin-mediated glucose uptake rates". good for diabetics no? https://t.co/4UjyP2Gbth
Jan 31, 2020 · 1 like · 8,600 followersView post →
GE
Gabor Erdosi
@gerdosi · X
@DonnellyDan @IanStockport @fatisourfriend @MigraineBook @TomClay44 @pohjanraito @FatEmperor @ChrisMasterjohn @lchfRD @fitevolutionary @raphaels7 @cocoadog @Ttowndick Or several studies by Alpana Shukla et al. on the effects of food order on glucose/insulin and ghrelin responses. E.g.
The impact of food order on postprandial glycemic excursions… https://t.co/mrGim2ugE4
Effect of Food Order on Ghrelin Suppression https://t.co/5lDR6fGdwE
Jan 23, 2020 · 5 likes · 25,893 followersView post →
MM
Mass Migration
@BChinatti · X
BEST RESULTS IN THIS ORDER:
1st =>Protein
2dn => Veggies
3rd => { if } carbs (ideally < 100g)
"The impact of food order on postprandial glycaemic excursions in prediabetes"
DOI: 10.1111/dom.13503
@bcdennis1 @FatEmperor @tabeteas @DaveKeto @TuitNutrition @PeterAttiaMD @kevinnbass @raphaels7 @DoctorTro @puddleg @CaloriesProper @Nutradvance There’s a series of studies on the impact of food order by Shulla et al.
https://t.co/4fpQst9mdq
https://t.co/UeIeCJcUtB
https://t.co/3dI5bMDMyq
https://t.co/5lDR6fGdwE
Sep 8, 2019 · 1 like · 25,893 followersView post →
DL
D Laws
@d_magpie · X
@DocRunner1 @lowcarbGP @herbfed And ‘pre-diabetes’ https://t.co/WQYe2xbB5I
@shunyata2000 The studies by Shukla et al. I also included those available at the time in my FoodNews 2018 talk.
https://t.co/mrGim2ugE4
https://t.co/4fpQst9mdq
https://t.co/5lDR6fGdwE
Aug 13, 2019 · 1 like · 25,893 followersView post →
MM
Mass Migration
@BChinatti · X
RT @gerdosi: @erreyedoc @drjamesdinic @D2soccerlotto @WaliPriyanka It’s not my invention though. Food order has a tradition in many societi…
@erreyedoc @drjamesdinic @D2soccerlotto @WaliPriyanka It’s not my invention though. Food order has a tradition in many societies. Regarding the research, big kudos to Shukla et al. E.g.
The impact of food order on postprandial glycemic excursions in prediabetes https://t.co/mrGim2ugE4
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The impact of food order on postprandial glycamic excursions in prediabetes. Diabetes Obese Metab. 2019; 21 (2): 377-381 doi: 10.1111/dom.13503. *Individual ...
https://doi.org/10.1111/dom.13503 Nesti et al. (2019). Impact of Nutrient Type and Sequence on Glucose Tolerance. Medical Clinics of North America, 103(3) ...
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