The Sourdough School

BALM – Proven as one of the healthiest approaches to bread in the world.

Based in the walled gardens of Dr. Vanessa Kimbell's beautiful Victorian home in rural Northamptonshire, UK, we tutor individuals and train bakers and healthcare professionals in Baking as Lifestyle Medicine (BALM). Personalising bread to your lifestyle, gut microbiome, and unique genetics for optimal health—tailoring fermentation, fibre, and diversity so that your daily bread becomes the foundation of your health.

+44(0)7813308301
[email protected]
Follow on Instagram
  • Facebook
  • Instagram
  • Pinterest
  • Twitter

Student Login

Schedule a Call to Learn More

Navigation
  • Home
    • About The Sourdough School
    • Contact Us & FAQ
    • Request a Callback
    • Practical Information
    • The Team
    • A Social Enterprise
    • General FAQ’s about The School
    • Contributors & Guest Tutors
    • What Our Students Say
    • Login
  • Courses
    • Priority Access: Join the Waiting List
    • Workshops
    • Bake For Health Retreat
    • Tuscan Retreat
    • Diploma
  • Assessments
    • Bread & Health Assessment
    • Gut Health Assessment
    • Nutrigenomic Assessment
  • Our Approach
    • Baking as Lifestyle Medicine (BALM)
    • 12 Week Student Support Pack
    • Bread as Preventative Health
    • Personalising Bread Using Nutrigenetics
    • Training Bakers & Healthcare Professionals
    • Diversity Bread™
    • Prove it – The Case Studies
    • BALM & Bread in The Blue Zone
    • Proven: Bread Podcast
  • Admissions
    • Request a callback
    • Location, Opening Hours & Course Days & Times
    • Reviews
  • Shop
    • Our Flour and Ingredients
    • Our Books
    • Equipment
    • Flours From Farmers Directory
    • Add Farmer to the Directory

23 - ‘Food Order Has a Significant Impact on Postprandial Glucose and Insulin Levels’. Diabetes Care. 2015;38(7):e98–e99

Reference Number: 23

Year: 2015

Authors: Alpana P. Shukla; Radu G. Iliescu; Catherine E. Thomas; Louis J. Aronne

Link: Link to original paper

Health: Diabetes | General health | Glycemic response | Lower Inflammation | Weight Management

Nutrition: Carbohydrates | Fibre

Summary

Bread and Blood sugar

In the study, 11 patients with obesity and type 2 diabetes ( who were on metformin – a drug that helps control glucose levels ) consumed the same meals in different orders 1 week apart, so that the researchers could observe how their glucose levels were affected.

The  meal  consisted of ciabatta bread, orange juice, chicken breast, lettuce and tomato salad with low-fat dressing and steamed broccoli with butter. The order in which they ate the for had a significant impact on postprandial glucose and insulin excursions. The magnitude of the effect of food order on glucose levels is comparable to that observed with pharmacological agents that preferentially target postprandial glucose. Moreover, the reduced insulin excursions observed in this experimental setting suggest that this meal pattern may improve insulin sensitivity.

Significance to the baker

They way you eat your bread may significantly impact your long term health.

This study is very interesting when it comes to the way in which we eat bread, particular when it comes to the way in which we eat bread in the UK compared to how we eat bread in France and Italy.  It shows that eating vegetables & protein before carbohydrate lower post-meal glucose level spike – slows down the rate of assimilation of carbohydrates, which may explain one of the pathways in which the Mediterranean diet is healthful, as bread is often consumed after a salad, or to mop up sauce on the plate after your main course has been eaten or with cheese at the end of the meal.  This way of eating will result in lower insulin levels, and lower levels of inflammation.

Take a look at our courses at The Sourdough School

All reasonable care is taken when advising about health aspects of bread, but the information that we share is not intended to take the place of treatment by a qualified medical practitioner. You must seek professional advice if you are in any doubt about any medical condition. Any application of the ideas and information contained on this website is at the reader's sole discretion and risk.

  • Facebook
  • Instagram
  • Pinterest
  • Twitter

Email Sign Up

BANT Member
Lifecode GX

Terms and Conditions | Privacy Policy
Copyright © 2025 Vanessa Kimbell
Call +44 (0)7813308301 | Email [email protected]
Registered in England & Wales: 08412236
Website by Callia Web