Type 2 diabetics could benefit from two large meals


Just two larger meals a day can help people with type 2 diabetes reduce liver fat and weight. This study contradicts the previous hypothesis that several small meals a day are optimal for people with type 2 diabetes.

So far, people with type 2 diabetes have been advised to eat small meals throughout the day. With up to six smaller servings per day, those affected were hoping to be able to satisfy their hunger and not gain weight. Now, a small study from the Diabetes Center, Institute for Clinical and Experimental Medicine in Prague provides completely different results, as reported by diabet-austria.com. 54 people between 30 and 70 years of age were tested. Patients had a BMI of between 27 and 50, were on oral antidiabetic drugs, and their HbA1c ranged from 42.08 mmol / mol (6%) to 105.46 mmol / mol (11.8%). Over the course of the study, 27 participants received a reduced diet of approximately 500 calories per day. The amount of calories adjusted to the basal metabolic rate was then broken down into six smaller meals or two larger ones. This nutritional plan was followed for twelve weeks, after which it was switched to two meals a day.

Liver weight and fat percentage were reduced

Both diet programs ensured that the test subjects’ weight and liver fat percentage decreased. However, the result was more pronounced in the variant with two larger meals per day. People had lost an average of 3.7 kg, patients with six meals a day only 2.3 kg. The percentage of liver fat also decreased by 0.04% with two meals a day. In the group with six meals a day it decreased by 0.03%. Fasting blood glucose also dropped dramatically in both groups; fasting blood glucagon decreased only in those people who ate two large meals a day. In the other group, this hormone increased. The level of insulin secretion and beta cell function were the same in both test groups. However, this study may be just the beginning of finding the best meal frequency for those affected. According to dieticians, longer and larger studies are needed to be able to make recommendations.

Source: Findings Diabetes Austria 2/2016


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