SNR #252: Alpana Shukla, MD – Effect of Food Order on the Glycaemic Response

Sigma Nutrition Radio

Danny Lennon

Sigma, Dietetics, Evidencebased, Nutrition, Training, Health & Fitness, Science, Diet, Fitness, Evidence, Bodybuilding, Health

4.8 • 626 Ratings

🗓️ 6 November 2018

⏱️ 47 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr Shukla is an Assistant Professor of Research in Medicine at Weill Cornell Medical College and an Assistant Attending Physician at New-York Presbyterian Hospital. Dr Shukla’s clinical interests and expertise include management of obesity and related metabolic complications including type 2 diabetes.

Dr Shukla obtained her medical degrees, MBBS and MD, from and completed internal medicine residency at Grant Medical College & J J Group of Hospitals in Mumbai, India. She subsequently trained in the UK as a senior house officer in Medicine, Specialist Registrar and Clinical Fellow in Endocrinology and as Registrar in Clinical Pharmacology in Australia over the next 5 years. While in the UK, she completed the training and examination requirements and was granted the MRCP(UK) degree.

Dr. Shukla is currently the Director of Clinical Research at the Comprehensive Weight Control Center. A key area of Dr. Shukla’s research is a novel behavioral intervention, termed “food order,” for regulation of blood glucose in individuals with overweight /obesity, type 2 diabetes, and prediabetes

In This Episode We Discuss
Trials conducted examing the glycaemic response to food order
“Carbohydrate-last meal pattern”
Typical mixed meals where the components are not as easily separated
Impact of fiber before ingestion of a main meal
How these strategies compare to a protein pre-load
Impact on ghrelin and GLP-1
How does all this research apply to real world recommendations for prediabetes and diabetes

SNR LIVE: sigmanutrition.com/snr-live/

Transcript

Click on a timestamp to play from that location

0:00.0	The term food order, you know, as like I said, it refers to the nutrient sequence during a meal.
0:17.0	And specifically it refers to the order in which the carbohydrate component of the meal is actually consumed.
0:22.6	And so our hypothesis, you know, when we started off, Dr. Roney and myself in our entire team here
0:31.6	at the Comprehensive Weight Control Center at Wildcorna Medical College,
0:36.6	our hypothesis is that the timing of carbohydrate injection during a meal
0:43.3	has a very significant impact on the post-franial glucose level. Hello and welcome. You are listening to Sigma Nutrition Radio, the podcast where we discuss evidence-based information around nutrition and health by talking to the world's best researchers
1:13.0	and practitioners.
1:14.5	And today we have another one of those interviews coming up where I think you're going to learn
1:20.0	something really interesting, a cool area of research, and hopefully then we'll get into
1:24.9	some practical application as well.
1:27.3	Before we get into that,
1:29.3	just to say you are welcome to episode 252 of the podcast. And so that means if you are looking
1:34.6	for the show notes to this episode, that is going to be at sigmautrition.com slash episode
1:39.8	252, where you can find a transcript to today's episode as well as previous episodes of the podcast
1:47.3	rundown of the guest links to any research we mentioned or anything else related to today's
1:53.1	episode that'll be all up on that show notes page and any episode of the podcast you are looking
1:58.6	for you can do so in that same format just go to sigamutrition.com slash episode and then just fill in the number.
2:05.5	So numerically, just put in whatever the number is.
2:08.3	So for this, it's sigma nutrition.com slash episode 252.
2:11.4	You can get the show notes to today's episode.
2:14.3	One more thing before we get started.
2:16.0	We are less than two weeks out from Sigma Nutrition Radio Live, which is happening in Dublin, Ireland, November 24, 2018.
	...

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