Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Research Article Volume 4 Issue 1

Effect of Eating Vegetables Before Carbohydrates in Patients with Type 2 Diabetes

Saeko Imai1* and João Carlos da Silva Dias2

1School of Comprehensive Rehabilitation, Osaka Prefecture University, Japan

2University of Lisbon, Instituto Superior de Agronomia, Tapada da Ajuda, Portugal

*Corresponding Author: Saeko Imai, School of Comprehensive Rehabilitation, Osaka Prefecture University, Japan.

Received: December 17, 2019; Published: December 26, 2019



  Vegetables are considered essential for well-equilibrated diets since they supply dietary fiber, vitamins, minerals, and phytochemicals. In the daily diet vegetables have been strongly associated with the improvement of gastrointestinal health, and reduced risk of some forms of chronic diseases such as diabetes.
Carbohydrates form an important class of foods in human nutrition supplying energy to the body. In the absence of carbohydrates in the diet, our body will convert protein, or other non-carbohydrate substances, into glucose. So it is not just carbohydrates that can raise our blood sugar and insulin levels.
Diabetes come in two main types, called Type 1 and Type 2 diabetes. Type 2 diabetes, the most common type of diabetes worldwide, is a chronic and lifestyle disease. Asia hosts more than 60% of worldwide diabetes population, predominantly Type 2 diabetes. By 2025 a fifth of the world’s diabetic patients will be Indian.
Our vegetables and carbohydrates food choice and maximization of dietary fiber, vitamins, minerals and phytochemical value can either prevent diabetes or promote insulin resistance and resultant diabetes.
This article highlights the effect of eating vegetables before carbohydrates on postprandial plasma glucose, and glycemic control on patients with Type 2 diabetes.

Keywords: Vegetables; Carbohydrates; Type 2 Diabetes; Glucose Control; Healthier Life



  1. Dias JS and Ryder E. “World vegetable industry: production, breeding, trends”. Horticulture Review 38 (2011): 299-356.
  2. Dias JS. “Major classes of phytonutriceuticals in vegetables and health benefits: A Review". Journal of Nutrition Therapy 1 (2012a): 31-62.
  3. Dias JS. “Vegetable breeding for nutritional quality and health benefits”. In: Carbone K. (Ed.). Cultivar: chemical properties, antioxidant activities and health benefits. Nova Science Publishers, Inc., Hauppauge, New York (2012b): 1-81.
  4. Dias JS and Imai S. “Vegetables and Diabetes: Diversity for Nutritional and Health Benefits”. Proc. Southeast Asia Vegetable Symposium 2016. Muda et al. (Eds.) Improved Nutrition and Livelihood in Southeast Asia (2017): 33-50.
  5. WHO (World Health Organization). Definition, diagnosis and classification of Diabetes mellitus and its complications. Part 1: Diagnosis and classification of Diabetes mellitus. World Health Organization, Report Number: WHO/NCD/NCS/99.2. WHO, Geneva (1999).
  6. Baruah MP. “Type 2 diabetes in Asia population: regional similarities, differences and challenges in patient care”. BIT's 4th Annual World Congress of Diabetes-2015, Kaohsiung, Taiwan (2015): 222.
  7. Anderson JW., et al. “Dietary fiber and coronary heart disease”. Critical Reviews in Food Science and Nutrition 29 (1990): 95-147.
  8. Imai S., et al. “Effect of eating vegetables before carbohydrates on glucose excursions in patients with Type 2 diabetes”. Journal of Clinical Biochemistry and Nutrition 54 (2014): 7-11.
  9. Imai S., et al. “Eating vegetables before carbohydrates improves postprandial glucose excursions”. Diabetic Medicine 30 (2013): 370-372.
  10. Imai S., et al. “Food order as a significant impact on postprandial glucose and insulin levels”. Diabetes Care 38 (2015): e98-e99.
  11. Wong JM and Jenkins DJ. “Carbohydrates digestibility and metabolic effects”. Journal of Nutrition 137 (2007): S2539-S2546.
  12. Ma J., et al. “Effects of a protein preload on gastric emptying, glycemia, and gut hormones after a carbohydrate meal in diet-controlled Type 2 diabetes”. Diabetes Care 32 (2009): 1600-1602.


Citation: Saeko Imai and João Carlos da Silva Dias. “Effect of Eating Vegetables Before Carbohydrates in Patients with Type 2 Diabetes". Acta Scientific Nutritional Health 4.1 (2020): 136-140.


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