A new research has revealed that blood sugar level in type 2 diabetics can be better controlled with a high energy breakfast and low energy dinner, as compared to a low energy breakfast and high energy dinner.
The study included 18 individuals (8 men, 10 women), with type 2 diabetes of less than 10 years duration, an age range 30-70 years, body mass index (BMI) 22-35 kg/m2, and treated with metformin and/or dietary advice (eight patients with diet alone and 10 with diet and metformin).
The results showed that post-meal glucose levels were 20 percent lower and levels of insulin, C-peptide and GLP-1 were 20 percent higher in participants on the B diet compared with the D diet. Despite the diets containing the same total energy and same calories during lunch, lunch in the B diet resulted in lower blood glucose (by 21-25 percent) and higher insulin (by 23 percent) compared with the lunch in the D diet.
Prof. Daniela Jakubowicz concluded that high energy intake at breakfast is associated with significant reduction in overall post-meal glucose levels in diabetic patients over the entire day. The dietary adjustment may have a therapeutic advantage for the achievement of optimal metabolic control and may have the potential for being preventive for cardiovascular and other complications of type 2 diabetes.
The study is published in Diabetologia.