Glycemic index

Food combinations

Insoluble fiber content

Proportion of protein and timing of protein intake at the meal (earlier and more is better?)

Proportion of fat content

Concentrated glucose drink consumption (fruit juice)

Timing of carbohydrate intake through the day

Complexity of carb counting—grams vs. carb choices

Inaccurate carb labeling on food products

Complexity of carbohydrate intake and insulin coverage in high intensity sports and physical activity

Complexity of glucose control in patients with many gastrointestinal comorbid issues including gastroparesis, supplemental feedings including tube feedings, TPN when patients are not eating, and post bariatric surgery

Cultural and religious preferences in food

Post bariatric and other gastrointestinal nutrient absorption issues

Total parenteral nutrition and tube feedings

Food restrictions such as gluten intolerance