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Do all patients with type 2 diabetes need breakfast?
MedLine Citation:
PMID:  21346717     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives:To evaluate if an improved daily glycemic profile could be achieved in patients with type 2 diabetes by withholding breakfast, but maintaining the same total daily intake of calorie and the same composition of carbohydrates, fat and protein.Methods:Thirteen type 2 diabetic patients participated in this randomized crossover study. Following an initial fasting night the study consisted of 4 consecutive days. Patients were randomized to diets including breakfast days 1 and 3, and excluding breakfast days 2 and 4, or vice versa.Results:The mean plasma glucose level was 0.24 mmol/l higher after the breakfast diet compared with the non-breakfast diet, but reflected only a tendency (P=0.066). The standard deviation based on plasma glucose was 32% higher after the breakfast diet compared with the non-breakfast diet (P<0.0001).Conclusions:Not all patients with type 2 diabetes may need breakfast. Moreover, a non-breakfast diet reduces glycemic variability.European Journal of Clinical Nutrition advance online publication, 23 February 2011; doi:10.1038/ejcn.2011.18.
Authors:
T Parkner; J K Nielsen; T D Sandahl; B M Bibby; B S Jensen; J S Christiansen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-23
Journal Detail:
Title:  European journal of clinical nutrition     Volume:  -     ISSN:  1476-5640     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804070     Medline TA:  Eur J Clin Nutr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1] Department of Endocrinology and Diabetes, Aarhus University Hospital, Aarhus, Denmark [2] Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark.
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