Changing Meal Sequence Affects Glucose Excursions in Gestational Diabetes Mellitus

Table 3

Glycemic outcome parameters of sequence ABC.

	A; Dish-carbohydrate-soup	B; Carbohydrate-dish-soup	C; Soup-dish-carbohydrate
Glucose level before breakfast (mmol/L)				0.395
Glucose level before lunch (mmol/L)				0.583
Glucose level before dinner (mmol/L)				0.581
Peak glucose of breakfast (mmol/L)				0.017
Peak glucose of lunch (mmol/L)				0.026
Peak glucose of dinner (mmol/L)				0.133
Time to peak glucose of breakfast (min)				0.419
Time to peak glucose of lunch (min)				0.168
Time to peak glucose of dinner (min)				0.430
Mean glucose level (mmol/L)				0.020
Largest glucose level (mmol/L)				0.014
Smallest glucose level (mmol/L)				0.973
Standard deviation (mmol/L)				0.048
Largest amplitude of glycemic excursions (mmol/L)				0.013
Mean amplitude of glycemic excursions (mmol/L)				0.015
Coefficient variation (%)				0.020
AUC0–3h of breakfast (mmol/L)				0.007
AUC0–3h of lunch (mmol/L)				0.009
AUC0–3h of dinner (mmol/L)				0.005

Data are presented as ; compared with sequence B; 1-factor ANOVA and Kruskal-Wallis test were used and least-significant difference (LSD) was used for the post hoc test; AUC: the area under the glucose curve during the 3-hour postprandial period.