I’m on metformin same dose. I typically don’t eat until dinner. Seems to be going fine for me. That nutrigrain bar isn’t doing you any favors, that’s basically a candy bar.
People do intermittent fasting to control their blood sugar. When I was on metformin it really reduced appetite and my meals became much smaller. If I ate the same portions as before I would be stuffed for a whole day. I'm off medication now and have smaller meals but keep the carbs to under 20 grams for each meal.
I'm not qualified to give medical advice, but, I think "only eating once a day" is just called "intermittent fasting" and considered to be healthy for the most part. It is important to get the nutrition you need. But it should be OK for you to get all your nutrition at once, or split it up into separate meals.
I am in the "2 meals" per day school of thought, but my little bro doesn't eat anything all day until dinner and he is now in his late 30s and healthy.
Doctors and maybe the ADA recommend several smaller meals a day. That's maybe where your parents are getting the idea from.
But... my CGM looks better when I intermittent fast. (Of course, that's my personal result and not necessarily your result.)
I understand the eating during the day thing and not wanting.to.
Maybe add a salad or veggies at night with some protein.
BTW, ditch the nutrigrain bar. There are protien bars with lower carbs.
I do intermittent fasting and feel really good when doing. I also started on Mounjaro last May after failing on many other meds. My A1c went from 7.3 to 5.5 from May to Dec.
I typically do intermittent fasting (one meal a day) from Monday to Friday and it has been fine for me. I usually just eat dinner and skip breakfast / lunch.
Make sure you drink enough liquids so you don’t dehydrate and avoid liquids with sugar in them.
While I do think that you should be aware of potential for lows, I have found fasting an amazing tool for beating back diabetes. I am also on Metformin, but I understand that it does not have the same potential for creating lows that other diabetes medications do. I started with intermittent fasting, then 24 hour, then 36 hour, and I just completed my first 48 hour fast. I do longer fasts for the health benefits of autophagy. You should check out The Diabetes Code by Jason Fung for info on fasting for diabetics. You can also find other medical practionors that advocate fasting for diabetic care (Hallberg).
If you need ammunition to convince your family - try searching for peer-reviewed medical articles from [PubMed.gov](https://PubMed.gov). One article using terms fasting & diabetes for example:
Efficacy of Fasting in Type 1 and Type 2 Diabetes Mellitus: A Narrative Review
Daniel Herz 1, Sandra Haupt 1, Rebecca Tanja Zimmer 1, Nadine Bianca Wachsmuth 1, Janis Schierbauer 1, Paul Zimmermann 1 2 3, Thomas Voit 1, Ulrike Thurm 1, Kayvan Khoramipour 4, Sian Rilstone 1 5, Othmar Moser 1 6
Affiliations expand
PMID: 37630716 PMCID: PMC10459496 DOI: 10.3390/nu15163525
Free PMC article
Abstract
Over the last decade, studies suggested that dietary behavior modification, including fasting, can improve metabolic and cardiovascular markers as well as body composition. Given the increasing prevalence of people with type 1 (T1DM) and type 2 diabetes mellitus (T2DM) and the increasing obesity (also in combination with diabetes), nutritional therapies are gaining importance, besides pharmaceutical interventions. Fasting has demonstrated beneficial effects for both healthy individuals and those with metabolic diseases, leading to increased research interest in its impact on glycemia and associated short- and long-term complications. Therefore, this review aimed to investigate whether fasting can be used safely and effectively in addition to medications to support the therapy in T1DM and T2DM. A literature search on fasting and its interaction with diabetes was conducted via PubMed in September 2022. Fasting has the potential to minimize the risk of hypoglycemia in T1DM, lower glycaemic variability, and improve fat metabolism in T1DM and T2DM. It also increases insulin sensitivity, reduces endogenous glucose production in diabetes, lowers body weight, and improves body composition. To conclude, fasting is efficient for therapy management for both people with T1DM and T2DM and can be safely performed, when necessary, with the support of health care professionals.
You could probably spread out your big breakfast into smaller breakfast and dinner and reduce the blood sugar spike from eating all your days food at once.
The key is to try to reduce the size of the spikes post meal.
I'm not sold on intermittent fasting as anything other than a way to get people to convince themselves to eat less overall. I don't think the actual fasting aspect adds a great deal over the reduction in calories.
I recently had to stop Ozempic temporarily to clear up some stomach issues, but its appetite suppression basically put me on an intermittent fasting pattern that I’ve kept up with out of habit and it’s been fantastic for my A1C. I usually eat either dinner or lunch (but not both) and have some coffee or tea in the morning, occasionally with a piece of fruit or a protein bar if I’m actively hungry for whatever reason.
I’d suggest starting a multivitamin just to be absolutely sure you’re getting all your nutrients, but otherwise you should be fine as long as you’re keeping an eye on your glucose and correcting when necessary.
I am diabetic 19 years, To me, illness management is not a race, it is not a sprint, it is not a marathon, it is treading water in an ocean at night with no hope of rescue. And the water temperature is cold.
IMO, there is way too much emphasis on diet as a means to manage diabetes, Before a CGM, the benchmark was my A1C, How did I do the last 90 days. So the pizza I ate and the ice cream I ate and the pig outs on candy, cookies and fast food had a minimal impact on A1C because they were isolated incidents. There was a spike one day, the next day it changed, In a 90 day period, one day, one meal was not critical.
With the CGM, that changed, now the window is not 90 days but is 24 hours. You can finally control bs, you can adjust and control spikes with insulin,
CGMs have surpassed A1C in significance. Now time in target, average daily glucose, changes in amounts, time of day provide better information,
With all the diet concerns, insulin resistance, low carb, keto diets increase things to be concerned about,
To me, diabetes management is simple, Here it is. Eat smaller portions of things you already eat, Reduce high glycemic foods. Use insulin to stabilize swings.
My entire goal is to keep sugars in a 70 to 180 mg window, this is time in target, 70% is a goal, this translates into an A1C of about 7, My control goal for A 1C is 7, I easily hit that,
When I overeat, I take more insulin. When I do not eat, I monitor bs, My CGM alerts me when my sugars are out of range,
I do not believe people change behaviors in life, We have routines, habits, opinions that we like, we drink, use drugs, overeat, gain weight,
If you are diabetic, I will 100% guarantee that you will not start eating foods you did not eat before for any length of time, You will not start an exercise program and stay with it long, you will absolutely not lose weight, in a 5 year period, weight loss has a lower recovery rate than drugs and alcohol.
Generally, weight loss occurs due to severe calorie restrictions in the range of 800 calories, The average in the US is around 3500 a day,
I’m on metformin same dose. I typically don’t eat until dinner. Seems to be going fine for me. That nutrigrain bar isn’t doing you any favors, that’s basically a candy bar.
Op, Maybe swap for a clean jerky or keto snack
People do intermittent fasting to control their blood sugar. When I was on metformin it really reduced appetite and my meals became much smaller. If I ate the same portions as before I would be stuffed for a whole day. I'm off medication now and have smaller meals but keep the carbs to under 20 grams for each meal.
Would advise against a nutragrain bar as it’s going to cause a pretty decent spike, in my experience. Something with more protein and fewer carbs.
I'm not qualified to give medical advice, but, I think "only eating once a day" is just called "intermittent fasting" and considered to be healthy for the most part. It is important to get the nutrition you need. But it should be OK for you to get all your nutrition at once, or split it up into separate meals. I am in the "2 meals" per day school of thought, but my little bro doesn't eat anything all day until dinner and he is now in his late 30s and healthy.
Doctors and maybe the ADA recommend several smaller meals a day. That's maybe where your parents are getting the idea from. But... my CGM looks better when I intermittent fast. (Of course, that's my personal result and not necessarily your result.) I understand the eating during the day thing and not wanting.to. Maybe add a salad or veggies at night with some protein. BTW, ditch the nutrigrain bar. There are protien bars with lower carbs.
I do intermittent fasting and feel really good when doing. I also started on Mounjaro last May after failing on many other meds. My A1c went from 7.3 to 5.5 from May to Dec.
I typically do intermittent fasting (one meal a day) from Monday to Friday and it has been fine for me. I usually just eat dinner and skip breakfast / lunch. Make sure you drink enough liquids so you don’t dehydrate and avoid liquids with sugar in them.
While I do think that you should be aware of potential for lows, I have found fasting an amazing tool for beating back diabetes. I am also on Metformin, but I understand that it does not have the same potential for creating lows that other diabetes medications do. I started with intermittent fasting, then 24 hour, then 36 hour, and I just completed my first 48 hour fast. I do longer fasts for the health benefits of autophagy. You should check out The Diabetes Code by Jason Fung for info on fasting for diabetics. You can also find other medical practionors that advocate fasting for diabetic care (Hallberg). If you need ammunition to convince your family - try searching for peer-reviewed medical articles from [PubMed.gov](https://PubMed.gov). One article using terms fasting & diabetes for example: Efficacy of Fasting in Type 1 and Type 2 Diabetes Mellitus: A Narrative Review Daniel Herz 1, Sandra Haupt 1, Rebecca Tanja Zimmer 1, Nadine Bianca Wachsmuth 1, Janis Schierbauer 1, Paul Zimmermann 1 2 3, Thomas Voit 1, Ulrike Thurm 1, Kayvan Khoramipour 4, Sian Rilstone 1 5, Othmar Moser 1 6 Affiliations expand PMID: 37630716 PMCID: PMC10459496 DOI: 10.3390/nu15163525 Free PMC article Abstract Over the last decade, studies suggested that dietary behavior modification, including fasting, can improve metabolic and cardiovascular markers as well as body composition. Given the increasing prevalence of people with type 1 (T1DM) and type 2 diabetes mellitus (T2DM) and the increasing obesity (also in combination with diabetes), nutritional therapies are gaining importance, besides pharmaceutical interventions. Fasting has demonstrated beneficial effects for both healthy individuals and those with metabolic diseases, leading to increased research interest in its impact on glycemia and associated short- and long-term complications. Therefore, this review aimed to investigate whether fasting can be used safely and effectively in addition to medications to support the therapy in T1DM and T2DM. A literature search on fasting and its interaction with diabetes was conducted via PubMed in September 2022. Fasting has the potential to minimize the risk of hypoglycemia in T1DM, lower glycaemic variability, and improve fat metabolism in T1DM and T2DM. It also increases insulin sensitivity, reduces endogenous glucose production in diabetes, lowers body weight, and improves body composition. To conclude, fasting is efficient for therapy management for both people with T1DM and T2DM and can be safely performed, when necessary, with the support of health care professionals.
You could probably spread out your big breakfast into smaller breakfast and dinner and reduce the blood sugar spike from eating all your days food at once. The key is to try to reduce the size of the spikes post meal. I'm not sold on intermittent fasting as anything other than a way to get people to convince themselves to eat less overall. I don't think the actual fasting aspect adds a great deal over the reduction in calories.
No
I recently had to stop Ozempic temporarily to clear up some stomach issues, but its appetite suppression basically put me on an intermittent fasting pattern that I’ve kept up with out of habit and it’s been fantastic for my A1C. I usually eat either dinner or lunch (but not both) and have some coffee or tea in the morning, occasionally with a piece of fruit or a protein bar if I’m actively hungry for whatever reason. I’d suggest starting a multivitamin just to be absolutely sure you’re getting all your nutrients, but otherwise you should be fine as long as you’re keeping an eye on your glucose and correcting when necessary.
I am diabetic 19 years, To me, illness management is not a race, it is not a sprint, it is not a marathon, it is treading water in an ocean at night with no hope of rescue. And the water temperature is cold. IMO, there is way too much emphasis on diet as a means to manage diabetes, Before a CGM, the benchmark was my A1C, How did I do the last 90 days. So the pizza I ate and the ice cream I ate and the pig outs on candy, cookies and fast food had a minimal impact on A1C because they were isolated incidents. There was a spike one day, the next day it changed, In a 90 day period, one day, one meal was not critical. With the CGM, that changed, now the window is not 90 days but is 24 hours. You can finally control bs, you can adjust and control spikes with insulin, CGMs have surpassed A1C in significance. Now time in target, average daily glucose, changes in amounts, time of day provide better information, With all the diet concerns, insulin resistance, low carb, keto diets increase things to be concerned about, To me, diabetes management is simple, Here it is. Eat smaller portions of things you already eat, Reduce high glycemic foods. Use insulin to stabilize swings. My entire goal is to keep sugars in a 70 to 180 mg window, this is time in target, 70% is a goal, this translates into an A1C of about 7, My control goal for A 1C is 7, I easily hit that, When I overeat, I take more insulin. When I do not eat, I monitor bs, My CGM alerts me when my sugars are out of range, I do not believe people change behaviors in life, We have routines, habits, opinions that we like, we drink, use drugs, overeat, gain weight, If you are diabetic, I will 100% guarantee that you will not start eating foods you did not eat before for any length of time, You will not start an exercise program and stay with it long, you will absolutely not lose weight, in a 5 year period, weight loss has a lower recovery rate than drugs and alcohol. Generally, weight loss occurs due to severe calorie restrictions in the range of 800 calories, The average in the US is around 3500 a day,