The Effect of Late Night Meals on Fasting Glucose in Type 2 Diabetes Patients

The Effect of Late Night Meals on Fasting Glucose in Type 2 Diabetes Patients

High fasting glucose is a very common problem in type 2 diabetic patients. The cause is probably glucose production by the liver, known as the "dawn phenomenon". The investigators hypothesize that a late night meal can lower the fasting glucose level by early morning insulin secretion stimulated by the food. In this study the investigators intend to test the effect of different kinds of late night meals on fasting glucose in type 2 diabetic patients.

Inclusion Criteria:

• Type 2 diabetes mellitus with HbA1c 6.5-9%, fasting glucose of 126-200 mg/dl and BMI of 27-40.

Exclusion Criteria:

• Patient treated with insulin, GLP-1 analog or weight reduction medications.
• Type 1 diabetes
• Pregnancy
• Renal failure (creatinin >1.4 for male and 1.3 for female
• Uncontrolled hypertension (>160/100)
• Abnormal thyroid function test
• Patient treated with steroids or psychiatric medications.