Updated 16 February 2017

Order in which food is eaten affects blood sugar

New research has found that having protein and vegetables before carbohydrates is linked to lower blood sugar and insulin levels after a meal.

The order in which obese people with type 2 diabetes eat their food can affect their blood sugar levels, a small study suggests.

Lowering blood sugar

The new research found that having protein and vegetables before carbohydrates was linked to lower blood sugar and insulin levels after the meal.

"We're always looking for ways to help people with diabetes lower their blood sugar," principal investigator Dr. Louis Aronne, a professor of metabolic research and of clinical medicine at Weill Cornell Medical College in New York City, said in a university news release.

Read: Assess your blood sugar levels

"We rely on medicine, but diet is an important part of this process, too. Unfortunately, we've found that it's difficult to get people to change their eating habits," Aronne added.

"Carbohydrates raise blood sugar, but if you tell someone not to eat them or to drastically cut back, it's hard for them to comply. This study points to an easier way that patients might lower their blood sugar and insulin levels," Aronne said.

Keeping blood sugar levels under control is critical for people with type 2 diabetes. If blood sugar levels often spike too high, this can lead to serious complications over time, including heart disease.

The current study involved 11 people who were obese and had type 2 diabetes. They were all on the oral diabetes drug metformin. The study participants were given a typical Western diet meal, consisting of a variety of vegetables, protein, carbohydrates and fat. The meal included chicken breast, steamed broccoli with butter, lettuce and tomato salad with low-fat dressing, ciabatta bread and orange juice. The study included two meals eaten one week apart.

Reversing the order

For the first meal, the researchers recorded blood sugar levels in the morning before food. The study volunteers were instructed to eat carbohydrates first, followed by protein, vegetables and fat 15 minutes later. The researchers checked the participants' blood sugar 30, 60 and 120 minutes after their meal.

A week later, the process was repeated. This time, however, the patients reversed the order in which they ate their food. Protein, vegetables and fat were eaten first. Carbohydrates were eaten 15 minutes later. And, again blood sugar levels were taken at three different times following the meal.

Read: Cinnamon tied to better blood sugar

The study showed that after eating carbohydrates last, the participants' blood sugar levels were about 29 percent lower after 30 minutes, 37 percent lower after 60 minutes and 17 percent lower after two hours.

Insulin levels were also much lower when people had protein and vegetables first, the study revealed.

"Based on this finding, instead of saying 'Don't eat that' to their patients, clinicians might instead say, 'Eat this before that,' " Aronne said. "While we need to do some follow-up work, based on this finding, patients with type 2 might be able to make a simple change to lower their blood sugar throughout the day, decrease how much insulin they need to take, and potentially have a long-lasting, positive impact on their health."

The study was published in the journal Diabetes Care.

Read more:

Am I eating correctly to stabilise my blood sugar levels?

13 recommendations for healthy blood sugar levels

Blood sugar ups cancer risk

Image: Diabetes from Shutterstock


Read Health24’s Comments Policy

Comment on this story
Comments have been closed for this article.

Ask the Expert

Diabetes expert

Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.

Still have a question?

Get free advice from our panel of experts

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

* You must accept our condition

Forum Rules