Feb. 19, 2015
People with Type 2 diabetes, eating two large meals a day might be better than consuming the same number of calories in six smaller meals.
Some diabetes experts recommend small meals as a better way to control metabolism and others believe eating three large meals is much better. Some actually believe it makes little difference, but studies show it does not.
Czech researchers randomly assigned 54 diabetics ages 30 to 70 to a 12-week diet of either 2 or 6 meals each day. Those groups ate the same number of recommended daily calories. Then the groups switched diets for another 12 weeks. The study appears online in Diabetologia.
The differences were not as dramatic as expected, but compared with those eating six meals each day, those who consumed just breakfast and lunch reduced their weight and waist circumference significantly. Those eating fewer meals had improved fasting glucose levels, lower liver fat content and better insulin sensitivity.
“Not only our study, but others too, show that it may be more beneficial to eat a larger breakfast and lunch with a small dinner,” said the lead author, Dr. Hana Kahleova, a researcher of the Institute for Clinical and Experimental Medicine in Prague. “We confirmed the ancient proverb,” she added, “eat breakfast like a king, lunch like a prince, and dinner like a pauper.”
Diabetes mellitus type 2 (formerly noninsulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes) is a metabolic disorder that is characterized by hyperglycemia (high blood sugar) in the context of insulin resistance and relative lack of insulin. This is in contrast to diabetes mellitus type 1, in which there is an absolute lack of insulin due to breakdown of islet cells in the pancreas.The classic symptoms are excess thirst, frequent urination, and constant hunger. Type 2 diabetes makes up about 90% of cases of diabetes, with the other 10% due primarily to diabetes mellitus type 1 and gestational diabetes. Obesity is thought to be the primary cause of type 2 diabetes in people who are genetically predisposed to the disease.
Type 2 diabetes is initially managed by increasing exercise and dietary changes. If blood sugar levels are not adequately lowered by these measures, medications such as metformin or insulin may be needed. In those on insulin, there is typically the requirement to routinely check blood sugar levels.
Rates of type 2 diabetes have increased markedly since 1960 in parallel with obesity. As of 2010 there were approximately 285 million people diagnosed with the disease compared to around 30 million in 1985.Long-term complications from high blood sugar can include heart disease, strokes, diabetic retinopathy where eyesight is affected, kidney failure which may require dialysis, and poor blood flow in the limbs leading to amputations. The acute complication of ketoacidosis, a feature of type 1 diabetes, is uncommon, however hyperosmolar hyperglycemic state may occur.
NEW STUDY: Meal Schedule For Type 2 Diabetes Reduces Symptoms.