Lying down flat vs reclining on a sofa: Which position is better to manage blood sugar levels after meals?

Experts suggest that there is growing curiosity, particularly among those managing diabetes or prediabetes, about whether reclining on a sofa at an incline is better than lying flat after meals when it comes to blood sugar regulation

By: Lifestyle Desk

New Delhi | Updated: July 2, 2025 02:30 PM IST

Should you recline to control blood sugar spike? (Photo: Freepik)

Many people prefer to recline on a couch instead of lying down after meals. But does it really affect one’s blood sugar levels? Experts suggest that there is growing curiosity, particularly among those managing diabetes or prediabetes, about whether reclining on a sofa at an incline is better than lying flat after meals when it comes to blood sugar regulation. So, we posed this question to experts.

“While formal clinical evidence is limited, from a medical standpoint, the theory has some physiological merit,” said Dr Srinivasa Chary A, consultant general medicine, Gleneagles Aware Hospital, LB Nagar, Hyderabad.

Dr Manisha Arora, director, internal medicine, CK Birla Hospital, Delhi, said that some theories suggest it can help reduce acid reflux, which may lead to improved sleep quality. “Better sleep is known to support hormonal balance and metabolic function, potentially contributing to more stable blood sugar levels. A few studies have indicated that sleeping with the upper body slightly elevated might reduce nighttime glucose spikes, possibly due to improved sleep quality or reduced stress on the digestive system,” said Dr Arora.

Dr Chary added that reclining at an angle of about 30–45 degrees may aid gastric emptying, allowing food to move more efficiently from the stomach into the intestines. “This can lead to steadier nutrient absorption, which in turn may help prevent sudden spikes in postprandial (after-meal) blood glucose levels,” said Dr Chary.

Did you know? (Photo: Getty Images/Thinkstock)

In contrast, lying completely flat may slow digestion due to reduced gravitational support, possibly impairing glucose metabolism, especially in individuals with insulin resistance or delayed gastric motility, said Dr Chary.

Additionally, Dr Chary said that an inclined position can mildly engage postural muscles and support better circulation, which may further facilitate glucose uptake by muscle tissues. “That said, while this idea aligns with known digestive physiology, it is not yet widely backed by robust clinical trials or guidelines from major medical bodies. At best, it is a complementary measure, not a replacement for proven strategies like post-meal walking, portion control, and medication adherence,” cautioned Dr Chary.

Also Read | 9 things to have in the morning to control blood sugar levels, avoid unnecessary cravings throughout the day

While inclined resting may offer minor benefits, experts urge more scientific validation before recommending it broadly.

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DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.

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