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Prevention And Management Of Type 2 Diabetes: Dietary Components And Nutritional Strategies

Summary In the past couple of decades, evidence from prospective observational studies and clinical trials has converged to support the importance of individual nutrients, foods, and dietary patterns in the prevention and management of type 2 diabetes. The quality of dietary fats and carbohydrates consumed is more crucial than is the quantity of these macronutrients. Diets rich in wholegrains, fruits, vegetables, legumes, and nuts; moderate in alcohol consumption; and lower in refined grains, red or processed meats, and sugar-sweetened beverages have been shown to reduce the risk of diabetes and improve glycaemic control and blood lipids in patients with diabetes. With an emphasis on overall diet quality, several dietary patterns such as Mediterranean, low glycaemic index, moderately low carbohydrate, and vegetarian diets can be tailored to personal and cultural food preferences and appropriate calorie needs for weight control and diabetes prevention and management. Although much progress has been made in development and implementation of evidence-based nutrition recommendations in developed countries, concerted worldwide efforts and policies are warranted to alleviate regional dis Continue reading >>

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  1. stewpot

    Hello
    I am prescribed 3 x 500 metformin tablets per day, to be taken one tablet with each meal. Sometimes I skip a meal (just can't face food first thing in the morning or just work through lunchtime without a break).
    I have always not taken a tablet if I miss a meal, as it tends to upset my stomach, and also (I have assumed) without food in my stomach there's nothing for the metformin to do.
    Is this the right approach or should I take metformin at meal times even if I haven't eaten?
    ta
    stuart

  2. Andy HB

    Hi Stuart,
    My understanding is that metformin is best taken with food. But I think confirmation is needed from those who still use it (I haven't done so since my initial diagnosis).
    However, what I'd say to you is that you'd be better served eating regularly. Breakfast is, after all, a very important meal of the day for all sorts of reasons and skipping it is not doing you any favours. If the body doesn't receive its expected energy boost in the morning it can go into 'starvation mode' which has various effects. The body slows down making you less able to do things during the day. Also, when you do eventually eat, it is likely that you'll eat like a maniac!
    By the way, I say this because when I was younger, I too missed meals and think this was a major contributor to my eventual onset of type 2 diabetes. I often ended up having humungous meals in the evening (great! ).
    So, my advice to you is work out why you are missing meals and do something about it. That'll then solve the metformin issue and will also probably help you in other health-improving ways.
    Andy

  3. Copepod

    Welcome to the forum, stewpot.
    Good advice from Andy.
    Also, remember that every pack of medicine comes with a Patient Information Leaflet, which covers questions like yours.

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