Conclusion
PPHG, prediabetes, diabetes
HYPERGLYCEMIA, PREDIABETES, DIABETES
The present study shows how the adoption of a simple change to an individual diet, namely the incorporation of 20 g of almonds, 30 min before each major meal (breakfast, lunch, and dinner), leads to a significant decrease in PPBG, insulin, C-peptide levels, glucagon, on OGTT and improved multiple measures of glycaemic variability and glycaemic control on CGMS. Adopting such strategies to manage hyperglycemia, especially in a prediabetes state can be helpful in delaying or controlling conversion to diabetes or even help reversal to normal glucose regulation. This is even more important in the case of the Asian Indian population, where the prevalence of diabetes is increasing at an alarming pace every year, and PPHG is a prevalent abnormality in the blood glucose profile. The metabolic benefits of premeal almond load treatment as seen in our study in participants with prediabetes are generalizable to a substantial number of people with prediabetes in India. As discussed previously, it has major implications for better glycaemic control in participants with diabetes as well.