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

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/