Great minds think alike—which means that people who are new to diabetes and the world of self management tend to come up with the same questions.
So for those of you a bit too shy to inquire directly, here’s what your fellows are curious about.
Every Monday, we will be posting a common diabetes-care question along with the answers I give patients. If there is a question you are dying to know the answer to, let us know.
Do I need to eat three meals a day? I never eat breakfast.
The short answer is it depends.
It is certainly preferable to eat at least three meals since this will help you spread out the carbohydrate in your diet, ensuring that you are not eating too great a quantity at one time.
Whether it is essential is based on the type of medication you take. Some medications such as the sulfonyureas cause your pancreas to secret insulin throughout the day whether there is glucose for the insulin to metabolize or not. If you skip meals, you may have a low blood glucose reaction. For this type of medication it is important to eat on a schedule.
Some insulin regimens require more rigidity in meal scheduling than others. This is a good topic to discuss with your health care provider when choosing medications.