Post-Meal Blood Sugar Measurement: Timing with Liquid vs. Solid Foods - Internal Medicine

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Postprandial blood glucose measurement inquiry?


Hello Dr.
Li,
I hope you are well.
I have a question regarding blood sugar measurement after meals.
Generally, the information available indicates that blood sugar should be measured two hours after the first bite of food.
However, if the first item consumed is a liquid nutritional supplement (like a mildly sweet drink) or milk (such as Nestlé ready-to-drink nutritional milk), and solid food is consumed approximately half an hour later, should the timing be based on the drink or the solid food?
Thank you very much for your time and assistance!
Best regards,
Ms.
Zhang

Miss Zhang, 40~49 year old female. Ask Date: 2022/07/08

Dr. Li Jian reply Internal Medicine


As soon as you take the first bite of a caloric food, you should start timing.

Reply Date: 2022/07/08

More Info


Hello Ms. Zhang,
Thank you for your question regarding post-meal blood sugar measurement timing, especially in the context of consuming liquid versus solid foods. This is an important topic for individuals managing their blood sugar levels, particularly those with diabetes or insulin resistance.

Typically, the standard recommendation for measuring post-meal blood sugar is to do so two hours after the first bite of solid food. This guideline is based on the understanding that solid foods generally take longer to digest and have a more gradual effect on blood sugar levels compared to liquids. However, when it comes to liquid meals or supplements, such as nutritional shakes or milk, the timing can be a bit more nuanced.

If you consume a liquid meal replacement or a drink like nutritional milk first, it is advisable to start your timing from the moment you take that first sip. This is because liquids are absorbed more quickly into the bloodstream than solid foods. Therefore, measuring your blood sugar two hours after consuming the liquid will give you a more accurate reflection of how that particular drink affects your blood sugar levels.

Once you begin eating solid food, you should continue to monitor your blood sugar levels based on the timing of the solid food intake as well. If you consume the liquid first and then wait about half an hour before eating solid food, you may want to consider measuring your blood sugar two hours after the solid food, but also keep in mind the effects of the liquid you consumed earlier.
In summary, if you start with a liquid meal, time your blood sugar measurement from that point. If you then consume solid food, you can also measure two hours after eating the solid food, but be aware that the liquid may have already influenced your blood sugar levels.
It is also worth noting that individual responses to food can vary significantly based on factors such as the type of food consumed, the overall composition of the meal (carbohydrates, proteins, fats), and individual metabolic responses. Therefore, it may be beneficial to keep a food diary and monitor your blood sugar levels regularly to understand how different foods and meal compositions affect your blood sugar.

If you have any further questions or concerns about managing your blood sugar levels, I recommend consulting with a healthcare professional or a registered dietitian who can provide personalized advice based on your specific health needs.

Best regards,
Doctor Q&A Teams

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