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The Big Breakfast: A Better Way to Control Blood Sugar in Type 2 Diabetes

Type 2 diabetes is a complex condition that affects millions of people worldwide. Managing blood sugar levels is crucial for individuals with this condition to prevent complications and maintain their health. Recent research presented at the European Association for the Study of Diabetes suggests that a specific dietary approach might be more effective for glycaemic control in adults with Type 2 diabetes: a big breakfast.



Researchers led a study that investigated the impact of breakfast size and composition on glycaemic control in individuals with Type 2 diabetes. The results were promising, indicating that a big breakfast, particularly one rich in protein and fat, could offer significant benefits compared to a conventional low-calorie diet.


The Study Design

Researchers conducted a 13-week study involving 59 adults diagnosed with Type 2 diabetes. These participants were randomly assigned to two different dietary groups:

  1. Big Breakfast Group: This group consumed a breakfast that accounted for 33 percent of their total daily energy intake. Importantly, this breakfast was designed to be rich in both protein and fat.

  2. Small Breakfast Group: Participants in this group ate a breakfast comprising only 12.5 percent of their total daily energy intake. This breakfast was considered a low-calorie version.

The Findings

Following the 13-week study period, the researchers analyzed various health markers and parameters related to glycaemic control in both groups. The results were noteworthy and indicated that the big breakfast group experienced several key benefits:

  • Reduced Haemoglobin A1c: Participants in the big breakfast group showed significantly greater reductions in haemoglobin A1c levels, a critical marker of long-term blood sugar control. Lower haemoglobin A1c levels are associated with better diabetes management.

  • Improved Blood Pressure: Systolic blood pressure, an essential measure of cardiovascular health, was significantly lower in the big breakfast group. Lower blood pressure is vital for reducing the risk of heart-related complications often associated with Type 2 diabetes.

  • Decreased Hunger: Hunger scores were notably lower in the big breakfast group, suggesting that a satisfying morning meal helped control appetite and reduce overeating throughout the day.

  • Enhanced Fasting Glucose Levels: Fasting glucose readings, an important indicator of blood sugar control, improved to a greater extent in the big breakfast group.

Another intriguing observation was related to diabetes medication. A significantly higher proportion of patients in the big breakfast group experienced reductions in their medication doses. In contrast, the small breakfast group had a higher proportion of patients with dose increases, indicating that the big breakfast approach could potentially lead to decreased reliance on medication for glycaemic control.


The Implications

The study's findings are promising, suggesting that a simple dietary manipulation - adopting a big breakfast rich in protein and fat - can offer additional benefits compared to a conventional low-calorie diet for individuals with Type 2 diabetes. These benefits include improved glycaemic control, reduced systolic blood pressure, decreased hunger, and potentially lower medication requirements.

It's important to note that dietary approaches to managing Type 2 diabetes should be personalized, taking into account individual preferences and metabolic responses. Consultation with healthcare professionals and dietitians is crucial to develop a suitable nutrition plan tailored to each person's needs.


While this study sheds light on the potential advantages of a big breakfast for glycaemic control, further research is needed to confirm and expand upon these findings. Nevertheless, this research provides valuable insights into dietary strategies that may empower individuals with Type 2 diabetes to better manage their condition and improve their overall health.



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Source: Association of Diabetes UK

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