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Three-Meal Diet Improves Type 2 Diabetes
Eating a carbohydrate-rich breakfast followed by a substantial lunch and a small dinner — the so-called “three-meal diet” (3Mdiet) — promotes weight loss and significantly improves glucose control in type 2 diabetes, a randomized, controlled trial suggests.
In fact, the 3Mdiet improved glycemic control so significantly that patients could reduce their total daily insulin dose, along with the need for additional antidiabetic medications, relative to baseline, the same small study indicates.
“The traditional diabetic diet specifies six small meals spread throughout the day, but this ‘6Mdiet’ as it is called has not been effective for glycemic control,” lead author Daniela Jakubowicz, MD, professor of medicine, Tel Aviv University, Israel, explains in a statement from American Friends of Tel Aviv University.
“Our research proposes shifting the starch-rich calories to the early hours of the day [to] produce a glucose balance, and we believe that through this regimen it will be possible for diabetics to significantly reduce or even stop injections of insulin and most anti-diabetic medications to achieve excellent control of glucose levels,” she added.
In the study, published in the December issue of Diabetes Care, the researchers hypothesize that the 3Mdiet is more in-sync with the natural biological clock — metabolism is optimized for eating in the morning and for fasting during the evening and night, when people are supposed to be asleep.
Diabetes Care. 2019;42:2171-2180. Abstract
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