A high-energy breakfast diet may be an effective strategy to improve diabetes control, according to a new study.
In patients with type 2 diabetes mellitus (T2DM) and obesity, a high-energy breakfast promotes weight loss, improves diabetes outcomes and decreases the need for insulin.
“This study shows that in obese, insulin-treated type 2 diabetes patients a diet with three meals per day, consisting of a big breakfast, average lunch and small dinner, had many rapid and positive effects compared to the traditional diet with six small meals evenly distributed throughout the day: better weight loss, less hunger and better diabetes control while using less insulin,” said lead author Daniela Jakubowicz, MD, professor of medicine at Tel Aviv University.
“The hour of the day—when you eat and how frequently you eat—is more important than what you eat and how many calories you eat. Our body metabolism changes throughout the day. A slice of bread consumed at breakfast leads to a lower glucose response and is less fattening than an identical slice of bread consumed in the evening.”
The researchers presented their results at ENDO 2018, the annual meeting of the Endocrine Society in Chicago, Ill.
Jakubowicz and colleagues studied 29 patients, average aged 69 years, with obesity and T2DM being treated with insulin. The patients were randomly assigned to consume one of two different weight-loss diets, which contained an equal number of daily calories. One group (Bdiet) ate three meals, including a large breakfast, a medium-sized lunch and a small dinner. The second group (6Mdiet) ate six small meals evenly spaced throughout the day, including three snacks.