We’re frequently told or tell clients to ditch the bread
basket, especially people who have diabetes, but research published in Diabetes Care shows that moving the
bread basket treat from the beginning of the meal to the end can reduce the
increase in blood sugar while also reducing your appetite in the process.
National Public Radio’s The
Salt initially reported on the study.
David Ludwig, director of the Optimal Weight for Life Clinic at Boston
Children’s Hospital reported to NPR, “The worst situation is having refined
carbohydrates on an empty stomach, because there's nothing to slow down the
digestion of that carbohydrate into sugar.”
The researchers looked at the order of how food is consumed
and studied 6 women and 5 men with Type II Diabetes (who were treated with the
drug Metformin). The subjects had
grilled chicken, steamed vegetables and a salad with vinaigrette. They did start their meal with a roll from Au
Bon Pain. On another day, the orders
were reversed with the bread served last.
Participants’ peak blood sugar was 30 percent lower when the bread was
consumed at the end of the meal. This is
important for people with diabetes who may be able to use less insulin.
http://www.npr.org/sections/thesalt/2015/06/29/417500957/curb-your-appetite-save-bread-for-the-end-of-the-meal