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The Reply

      We thank Dr. Chacko for her remarks on our Commentary
      • Schade DS
      • Gonzales K
      • Eaton RP
      Stop stenting; start reversing atherosclerosis.
      and appreciate her concerns for timing of the diet and exercise to improve glucose tolerance. We are strong advocates of following a healthy lifestyle, including exercise and diet. As she points out, a healthy diet usually excludes most animal-based foods and, as such, is low in cholesterol. In the case of diabetes, timing of both the meal or insulin injection can greatly alter the subsequent glucose level.
      • Duran-Valdez E
      • Burge MR
      • Broderick P
      • et al.
      Insulin timing: a patient-centered approach to improve control in type 1 diabetes.
      Because diabetes is a known risk factor for coronary artery disease, prevention of this condition by attention to the issues mentioned by Dr. Chacko is recommended.

      References

        • Schade DS
        • Gonzales K
        • Eaton RP
        Stop stenting; start reversing atherosclerosis.
        Am J Med. 2021; 134: 301-303
        • Duran-Valdez E
        • Burge MR
        • Broderick P
        • et al.
        Insulin timing: a patient-centered approach to improve control in type 1 diabetes.
        Endocr Pract. 2017; 23: 471-478