Reduction of postprandial hyperglycemia (PPHG) is a major target in the treatment of type 2 diabetes (T2D). Skipping breakfast has been consistently associated with higher HbA1c and overall PPHG in subjects with type 2 diabetes (T2D). Our aim was to explore the effect of skipping vs eating breakfast on PPHG after subsequent isocaloric (700kcal) lunch and dinner
In type 2 diabetic individuals the omission of breakfast is associated with significant increase in HbA1C and all-day postprandial hyperglycemia even without overeating in the evening. In contrast, high-energy breakfast and low-energy dinner result in a significant reduction of all-day postprandial glycaemia Similarly, 3 months of high-energy breakfast led to a 5% reduction in HbA1C levels in type 2 diabetes participants Despite the growing evidence showing the beneficial effects of breakfast consumption on overall postprandial hyperglycemia and HbA1C levels, very little is known regarding the relationship between breakfast skipping and all-day glycemic excursions in type 2 diabetes patients. Therefore, to test whether breakfast skipping influences metabolic responses to the following meals in type 2 diabetes patients during the same day, we explored the postprandial glycemic response to identical lunch and dinner meal tests with or without breakfast.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
28
On YesB day the patients will eat Breakfast at 8:00, Lunch at 13:30 and Dinner at 19:00
On NoB day the patients will fast until lunch, then will eat Lunch at 13:30 and Dinner at 19:00
Postprandial Glucose
Postprandial Glucose will be measure after lunch and dinner
Time frame: 6 weeks
Postprandial intact GLP-1
Postprandial intact GLP-1 will be measure after lunch and dinner
Time frame: 6 weeks
Postprandial Insulin
Postprandial Insulin will be measure after lunch and dinner
Time frame: 6 weeks
Postprandial Glucagon
Postprandial Glucagon will be measure after lunch and dinner
Time frame: 6 weeks
Postprandial Free Fatty Acids
Postprandial Free Fatty Acids will be measure after lunch and dinner
Time frame: 6 weeks
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