Why diabetics should have breakfast very early in the morning.

Frank Pio Russo - June 08, 2014.

In conversing with quite a few diabetics, I've observed that a considerable portion of them have a rather high blood sugar two hours after breakfast... more so than at other times of the day. I naturally thought that there ought to be a reason for this!

After considering the problem, the answer came quite naturally. Many persons might have their dinner at 5.30 pm and their breakfast not till 8.30 am the next day. It turns out that after 15 hours since they took their last dose of medication, they would have very reduced concentrations of oral diabetic medications left in their system. The most common Metformin - if I remember right - even in its XR formulation only has a half-life of about 6.5 hours... (Diamicron on the other hand  in its MR formulation has a half-life of about 16 hours... and Sitagliptin has a half-life of about 12 hours). One can't of course expect the dose that you take as you eat, to go to work straight-away, as it has to be absorbed first.

So the key is to stick to oral agents that have a long half-life... nevertheless it's a good idea to have breakfast much earlier and thus reduce the length of the over-night stretch without medications. For example one could have his evening meal at 7.00 pm and breakfast at 5.00 am the next morning. I've found that this reduces the morning sugars to a much more pleasing level.

So let's schedule our medication intake more appropriately without any much longer intervals than necessary.

Frank Pio Russo.

PS - Perhaps the other alternative would be to take the medications sometimes before and in anticipation of eating the breakfast thus allowing for the absorption lag-time.