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Meal Sequencing — Vegetables Before Starch

Which sources back which section of this article, and what its evidence base looks like.

Which sources back which section

SectionSources behind it
What HappenedShukla et al., Diabetes Care (2015); Shukla et al., BMJ Open Diabetes Res Care (2017); Sun et al., Clinical Nutrition (2019); Okami et al., BMJ Open Diabetes Res Care (2022); Nitta et al., Nutrients (2022); Shukla et al., Nutrients (2023); Shaheen et al., Diabetes Metab Syndr Obes (2024); Saldarriaga-Callejas et al., Acta Diabetologica (2025); Choi et al., Diabetes Obes Metab (2026)
TimelineEvery source above, plus Imai, Fukui & Kajiyama, J Clin Biochem Nutr (2014); Kubota et al., Nutrients (2020); Murugesan et al., Frontiers in Nutrition (2024); Touhamy et al., Diabetes Care (2025); Deguchi et al., Nutrients (2025); Higuchi et al., Nutrients (2025); Kim, Jang & Lee, Clinical Nutrition Research (2026); McKenzie et al., Endocrinol Diabetes Metab (2026)
The ArgumentKubota et al., Nutrients (2020) for the mechanism; Saldarriaga-Callejas et al., Acta Diabetologica (2025) for the pooled GLP-1 and gastric-emptying figures; Deguchi et al., Nutrients (2025) for eating speed; Shukla et al. (2017) and Sun et al. (2019) for the measurements behind both
What Others AddThe five crossover trials side by side; Nitta et al. (2022), Okami et al. (2022), Saldarriaga-Callejas et al. (2025) and Shukla et al. (2023) for the long-term question; Murugesan et al. (2024 and 2025) and Imai et al., Nutrients (2026) for pregnancy; Hendley, Harvard Health Publishing (2026) for the clinician’s assessment
ConclusionImai, Fukui & Kajiyama (2014) and Nitta et al. (2022) for what the trials had participants do; Saldarriaga-Callejas et al. (2025) for the size of the long-term effect; Hendley, Harvard Health Publishing (2026) for what a practising dietitian says it is worth

What the evidence base looks like

  • 20Sources behind this article
  • 5Read in full
  • 14Read at the abstract only
  • 1A published letter whose text could not be obtained
What the source isHow manyHow they were read
Randomised or crossover trials in a journal8Two in full from the archive copy, six at their published abstract, which for each carries the paper’s own figures
Systematic reviews and meta-analyses4All four at their published abstract, each of which states its own trial count, participant count and pooled intervals
Cohorts, registries and before-and-after studies5Three in full, because the design is what decides how much they are worth; two at the abstract
A narrative review of the mechanism1At the abstract; its claims appear on the page only where a trial measures the same thing
A hospital publisher’s explainer, reviewed by a named dietitian1Read in full at its own address; used for what it attributes to a named person, not as evidence of a result
A journal letter whose body could not be read1Its authors, journal and date are established; no number from it appears anywhere on the page

Reliable

Reliable, but with an interestWorth believing and reliableWeak on both, and used with careHonest, but thin

Worth believing

Each point is one source used, placed by two judgements on a six-step scale. Points carry no names: the chart shows the shape of the evidence, not a verdict on any publisher.