The clinical management of diabetes often focuses on restriction, yet patient adherence frequently falters. The practice gap in metabolic health involves moving beyond "forbidden" food lists toward strategies that modulate the glycemic response.

Navigating these dietary adjustments through food sequencing and quality control is critical. These interventions help reduce the long-term burden of cardio-kidney-metabolic (CKM) complications in high-risk populations.

In a studio interview with Dr. Prof. P. C. Manoria, Executive President of the 4th World Congress on Cardio-Kidney-Metabolic Medicine, the discussion addressed common patient misconceptions. He drew out insights from Dr. Sheryl Salis, a renowned dietitian.

The session took place at the WCCKMM 2026 at Hotel Leela, Mumbai. Probing the clinical safety of seasonal fruits, Dr. Prof. P. C. Manoria asked if patients with diabetes can consume mangoes.

Dr. Salis noted that mangoes are permissible but preferably limited to one medium size and spaced away from primary meals. She advocated for consuming fruit with nuts and seeds, preferably as a snack before activity, to maintain stable blood glucose levels.

Responding to Dr. Prof. P. C. Manoria’s inquiry on sugar substitutes, Dr. Salis clarified that jaggery and sugar possess the same amount of calories and carbohydrates. Replacing sugar with jaggery without moderation will still elicit a similar blood glucose response.

The dialogue then shifted to the role of millets, where Dr. Salis highlighted that unpolished varieties are essential for glycemic control. Conversely, she noted that ragi porridge can elicit a high glycemic response and should be monitored.

Regarding dairy, Dr. Prof. P. C. Manoria asked if milk is detrimental to metabolic health. Dr. Salis cited evidence suggesting that low-fat yogurt actually helps reduce diabetes risk and is cardio-friendly.

If unpolished millets offer clear micronutrient benefits, how can clinicians standardize "food sequencing" advice to ensure patients maximize satiety while minimizing postprandial glucose spikes? This priority remains for Dr. Sheryl Salis.

TheRightDoctors | Official Digital Knowledge Partner | WCCKMM 2026