Thread by @BevTchangMD

@alpanashuklamd takes the stage at the @ColumbiaMed @WeillCornell #Obesity Conference

@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:
dom-pubs.onlinelibrary.wiley.com/doi/abs/10.111…

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Among those with prediabetes, we saw significant differences in glucose, insulin, ghrelin, and GLP-1 -- all favoring the "carbohydrates-last" food order

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But what happens after 180 min?
We have an ongoing study examining changes over 16 weeks so stay tuned for results!

🙃 How do you think #weight and #food behaviors changed?

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We're also looking at how glucose changes with food order in people with #diabetes, as assessed by continuous glucose monitor. Stay tuned for results!

🙃 How do you think A1c, average glucose, and time-in-range changed?

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