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Question: From the United Kingdom: I'm a 17 year old with type 1 diabetes, and I am currently taking Humalog (lispro) insulin before breakfast, lunch, and dinner and a long acting insulin before bed. Do I have to have breakfast in the morning (and insulin) as it's so fast acting it only really lasts for that meal? This is becoming a problem as rarely feel hungry until lunch time, and at present I am forcing myself to eat breakfast which leaves me feeling bloated all morning. Answer: In theory, if you don't take insulin then you don't need to eat breakfast. However, it's pretty unphysiological to fast more than 12 hours, and any dietitian will tell you that breakfast is a very important meal for setting you up metabolically for the day. Moreover, if you miss breakfast then your bedtime insulin may still be around and precipitate hypoglycaemia. To summarise, I see no need for you to eat much, but you should eat something. KJR DTQ-20010815165050 Original posting 20 Aug 2001 Posted to Daily Care

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