The Effects of Meal Frequency on Glycemic Excursion and Sleep in a Patient with Type 2 Diabetes

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  • 2型糖尿病患者の食事回数による血糖変動と睡眠への影響 : 1事例をとおして
  • 2ガタ トウニョウビョウ カンジャ ノ ショクジ カイスウ ニヨル ケットウ ヘンドウ ト スイミン エノ エイキョウ 1ジレイ オ トオシテ

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【Purpose】To clarify the effects of meals frequency on mean amplitude of glycemic excursions(MAGE) and sleep efficiency(SE) of a type 2 diabetic patient who eats twice a day were examined. / 【Method】MAGE and SE were measured for 14 days each using Continuous Glucose Monitoring(CGM) and Actigram in twice-meals pattern and three-times pattern per day. / 【Result】Mean MAGE and SE for 13 days were 122.8±22.0mg/dl and 79.6±6.1% in twice- meals, on the other hand, 114.2±23.0mg/dl and 88.5±6.1% in three-times meals. There were significant differences in MAGE(p<.0001, d=1.45) and SE(p<.0001, d=1.43). There was no difference in calorie intake between the two patterns. / 【Conclusion】The investigation suggests that three meals a day, including breakfast can reduce the diurnal glycemic excursion and ensure a quality of sleep.

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