Nutrient Sequencing: How the Order You Eat Food May Impact Blood Sugar

What Is Nutrient Sequencing?

What Is Nutrient Sequencing?
Richard Drury/Getty Images

Nutrient sequencing, also known as nutrient timing, involves consuming foods in a specific order to support stable blood sugar (glucose) levels and promote a sense of fullness.

While nutrient sequencing may be especially helpful for people with prediabetes (which is marked by higher-than-normal blood sugar levels that aren’t high enough to qualify as type 2 diabetes) and type 2 diabetes, focusing not just on the foods you eat but also the order in which you eat them may also be beneficial for healthy individuals.

Learn more about how nutrient sequencing works, what the research says, and how to get started with the practice.

What Is Nutrient Sequencing?

“A lot of dietary approaches tend to be restrictive, but nutrient sequencing is really focused more on how to eat rather than what not to eat,” says Alpana Shukla, MD, the director of clinical research at the Comprehensive Weight Control Center at Weill Cornell Medicine in New York City, who has conducted studies on the topic.

Nutrient sequencing calls for eating slow-digesting foods that are higher in fiber, protein, and fats before consuming quick-digesting foods that are higher in refined carbohydrates. Typically, this means vegetables first, followed by protein, then fat, and carbohydrates last.

 Eating foods in this order is thought to raise blood sugar levels more gradually, making it helpful for overall blood sugar management.

Following this sequence may also help with weight loss and weight management. One review found that starting the meal with vegetables caused the gut to release glucagon-like peptide-1 (also known as GLP-1), a satiety-promoting hormone that is mimicked by popular weight loss drugs.

 Increasing GLP-1 slows your stomach’s digestive process, which suppresses your appetite and makes it likely you’ll eat less overall.

A past study found people with prediabetes who practiced nutrient sequencing lost weight and reduced their body mass index (BMI, a common measure of body fat based on weight and height), while those who received conventional nutrition guidance did not see any changes.

Is Nutrient Sequencing Helpful for Blood Sugar Management?

Several small studies have shown that nutrient sequencing can help manage blood sugar levels, especially for those with prediabetes or type 2 diabetes.

In one small study, 15 people with prediabetes were given a meal of grilled chicken, salad, and bread and instructed to eat the foods in a different order on different days. Researchers measured their blood sugar response after each meal and found that those who ate bread last had a 46 percent reduction in blood sugar compared with those who ate bread first.

Another small study found that people with type 2 diabetes who ate vegetables before carbohydrates for two years had a significantly lower hemoglobin A1C (a blood test that measures the average blood sugar levels over two to three months) than the group who received dietary instruction but were not specifically instructed to eat veggies first.

Similarly, the authors of a systematic review of 11 studies concluded that consumption of vegetables and protein before carbohydrates resulted in steadier blood sugar and insulin levels than consumption of carbs first. (Insulin is a hormone that moves glucose from the blood to cells in the muscles, liver, and fat to be used for energy.)

While the studies thus far have been small, they consistently reinforce the concept of nutrient sequencing for blood sugar management, Dr. Shukla says. She adds that longer-term studies are needed to determine how nutrient sequencing might affect body weight and diabetes over extended periods.

Who Should Practice Nutrient Sequencing?

Nutrient timing will primarily benefit people with diabetes or prediabetes. “It’s also good for those who are at high risk of developing diabetes or prediabetes because of their family history or because of excess body weight and obesity,” Shukla says.

The blood sugar effect of nutrient sequencing has been compared to diabetes medications for those with diabetes, according to one of Shukla’s previous studies.

 But don’t rely on it to manage your diabetes — you’ll still need to follow your doctor’s treatment and medication recommendations. “Think of nutrient sequencing as a gentle, low-risk approach that might be especially helpful when you're eating away from home or trying to avoid big blood sugar spikes,” says Brittany Brown, RD, a registered dietitian and certified diabetes educator based in Dartmouth, Nova Scotia.
It’s not just those with diabetes or prediabetes who may benefit from nutrient sequencing. One study of 10 healthy individuals and 12 with type 2 diabetes found that consuming fish or meat before rice, rather than rice before fish or meat, resulted in higher levels of GLP-1 and smaller blood sugar spikes for both groups — not just the diabetes group.

Another benefit that everyone can enjoy is that nutrient sequencing ensures you consume healthy protein and vegetables, rather than relying solely on carbs. “When you prioritize eating foods that are nutrient dense but not calorie dense — by eating vegetables and some lean protein — you are improving diet quality, and that also favors weight management,” Shukla says. In one study, for instance, eating vegetables before carbohydrates led study participants to increase their intake of green vegetables.

 Shukla adds that eating this way may be easier than following a low-carb diet in which carbs are restricted altogether.

Nutrient Sequencing for Blood Sugar Management: 5 Tips

Curious to try nutrient sequencing for better blood sugar and appetite management? Here are five tips to get started.

  1. Skip the breadbasket or chips. Instead of the breadbasket or chips often offered by many restaurants, opt to start your meal with soup, vegetables, or fruit, as these options tend to be higher in fiber and lower in calories.

     By eating fiber early in the meal, you may consume fewer carbs overall as a result.

     Be sure to choose nonstarchy vegetables (such as a leafy green salad with an oil-based dressing) rather than potatoes or corn, says Shukla.
  2. Eat protein next. Once you’ve finished your high-fiber starter, move on to the protein on your plate and save any higher-glycemic foods, such as white bread, pasta, and potatoes, for last.

  3. Prioritize lean protein. The type of protein matters. One review found that options that are low in saturated fat (like fish, turkey, and plant-based foods) may be better for weight management than high-saturated-fat meat (like beef, sausage, and pork). Meat that is rich in saturated fats may secrete more gastric inhibitory peptide, a hormone that promotes fat storage.

  4. Don’t eat carbs solo. Even if you’re not practicing nutrient sequencing, it’s essential to pair carbs with fats and protein. “When you eat carbohydrate foods alongside other nutrients like fat and protein, your body absorbs them more gradually, and this supports more stable blood sugars and longer-lasting energy,” Brown says. She also suggests choosing carbs higher in fiber (like whole grains, beans, and minimally processed dairy) over refined carbs (like white bread and pasta).
  5. Don’t stress about eating this way all the time. It may not be possible to practice nutrient sequencing at every meal, particularly if you’re eating a meal that mixes carbs, fats, and protein together (think sandwiches, stews, and bowls).

     That’s okay — it’s more important to ensure that you’re eating a nutritious diet. “Nutrient sequencing is a small piece of the puzzle, and the big picture is enjoying balanced meals and tuning in to your body,” Brown says.

The Takeaway

  • In nutrient timing, you consume foods in order from slowest to fastest digestion.
  • Research suggests that nutrient sequencing can improve the body’s blood sugar response and promote feelings of fullness. This may make it a helpful practice for preventing and managing prediabetes and type 2 diabetes, as well as promoting weight loss and maintenance. But most studies are small and short-term; larger, long-term studies on the effects of nutrient sequencing are needed.
  • While nutrient sequencing may be helpful for people with prediabetes and type 2 diabetes, it shouldn’t be used on its own to manage blood sugar. Be sure to follow your doctor’s treatment recommendations.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Does the Order in Which You Eat Food Matter? UCLA Health. November 29, 2023.
  2. Eat Veggies and Protein First, Carbs Last Through ‘Meal Sequencing’. The Ohio State University. August 21, 2024.
  3. Kubota S et al. A Review of Recent Findings on Meal Sequence: An Attractive Dietary Approach to Prevention and Management of Type 2 Diabetes. Nutrients. August 19, 2020.
  4. Yabe D et al. Dietary Instructions Focusing On Meal-Sequence And Nutritional Balance For Prediabetes Subjects: An Exploratory, Cluster-Randomized, Prospective, Open-Label, Clinical Trial. Journal of Diabetes and its Complications. December 2019.
  5. Shukla AP et al. The Impact of Food Order on Postprandial Glycemic Excursions in Prediabetes. Diabetes, Obesity and Metabolism. September 10, 2018.
  6. Imai S et al. A Simple Meal Plan of 'Eating Vegetables Before Carbohydrate' Was More Effective for Achieving Glycemic Control Than an Exchange-Based Meal Plan in Japanese Patients With Type 2 Diabetes. Asia Pacific Journal of Clinical Nutrition. 2011.
  7. Ferguson BK et al. Ordered Eating and Its Effects on Various Postprandial Health Markers: A Systematic Review. Journal of the American Nutrition Association. November-December 2023.
  8. Shukla AP et al. Carbohydrate-Last Meal Pattern Lowers Postprandial Glucose and Insulin Excursions Type 2 Diabetes. BMJ Open Diabetes Research & Care. September 14, 2017.
  9. Kuwata H et al. Meal Sequence and Glucose Excursion, Gastric Emptying and Incretin Secretion in Type 2 Diabetes: A Randomised, Controlled Crossover, Exploratory Trial. Diabetologica. December 24, 2019.
Roxana Ehsani, RDN

Roxana Ehsani, RD

Medical Reviewer

Roxana Ehsani, RD, is a Miami-based licensed dietitian-nutritionist, board-certified specialist in sports dietetics, and media spokesperson, consultant, and content creator for food and nutrition brands. She is an adjunct instructor for sports nutrition at Virginia Tech in Blacksburg.

Ehsani appears as a food and nutrition expert for television stations across the nation and in national publications, including Runner's World, Women's Health, Glamour, and more, and is a contributing writer for EatingWell. She has a strong background in sports nutrition and has worked with professional, Olympic, collegiate, and high school teams and individual athletes, whom she sees through her private practice. 

Moira Lawler

Author
Moira Lawler is a journalist who has spent more than a decade covering a range of health and lifestyle topics, including women's health, nutrition, fitness, mental health, and travel. She received a bachelor's degree from Northwestern University’s Medill School of Journalism and lives in the Chicago suburbs with her husband, two young children, and a giant brown labradoodle.