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Skipping Breakfast Diet — The Correlation Between Intermittent Fasting and Blood Sugar Spikes
Blog May 9, 2026

Skipping Breakfast Diet — The Correlation Between Intermittent Fasting and Blood Sugar Spikes

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

Skipping Breakfast Diet — Correlation Between Intermittent Fasting and Blood Sugar Spikes

"I heard that just skipping breakfast can make you lose weight quickly. Is it really okay to do that?"

This is one of the most common questions I hear in the clinic. Many people actually try intermittent fasting by skipping breakfast. At first, you feel lighter and the number on the scale goes down, so you feel motivated. But as time goes on, for some reason you end up binge eating at lunch and dinner, or you feel completely drained and lightheaded. I also tried adjusting my diet by skipping breakfast in the past, using being busy as an excuse, but eventually around 4 PM my concentration would collapse and I'd reach for chocolate or mixed coffee. As someone who has made these mistakes and as a Korean medicine doctor, let me clearly explain this phenomenon from the perspective of blood sugar and metabolism.

Why Does Skipping Breakfast Increase Blood Sugar Fluctuations?

When we skip breakfast, our body uses stored glycogen to obtain energy. Theoretically, insulin levels remain low and fat burning is promoted. But the problem occurs 'after that.' When we finally eat our first meal after a long fast—lunch—our body responds very sensitively.

When fasting time lengthens, the liver goes through gluconeogenesis to maintain blood sugar levels, and if refined carbohydrates suddenly come in, a blood sugar spike phenomenon is likely to occur. When insulin is oversecreted to capture the rapidly rising blood sugar, blood sugar drops sharply again, making you feel intense hunger and weakness. In the end, the "skipping breakfast diet" creates a vicious cycle that leads to overeating at lunch and dinner.

What Happens When You Starve Yourself While inbihyang (脾虛) Condition?

From the perspective of Korean medicine, not everyone can endure fasting in the same way. In particular, people in a bihyang (脾虛) state, where digestive and absorption abilities are weakened, have more serious problems when they skip breakfast. Bihyang (脾虛) refers to a condition where the qi of the spleen is deficient, reducing the ability to convert food into energy.

When these individuals forcefully skip breakfast, the body cannot use energy efficiently; instead, qi is further depleted, creating an environment prone to dameum (痰飮), meaning waste products accumulate in the body. Since metabolism is not smooth, they quickly enter a plateau phase where they don't lose weight even with minimal eating. This is because the body recognizes "this is an emergency!" and switches to survival mode, holding onto energy tightly.

The Key to Intermittent Fasting: Is Simply Starving the Answer?

Many people think of intermittent fasting only as "skipping meals," but the key is "improving insulin resistance." What's more important than simply skipping breakfast is the eating pattern—what and how you eat during your eating window.

If you skip breakfast but then eat flour-based foods or sugary drinks at lunch, that is not a diet—it's like riding a blood sugar roller coaster. On the other hand, if you lightly eat protein and vegetable-focused meals at breakfast to keep your blood sugar curve gradual, you can reduce afternoon phantom hunger and naturally lower your total intake. In other words, "how you fill it" determines the success or failure of weight loss rather than "what you remove."

Why Do You Experience Plateaus During the Skipping Breakfast Diet?

If the number on the scale suddenly stops despite your diligent fasting, it's because your body has adapted to the current low-calorie state. Our body is very clever—when energy intake decreases, it lowers basal metabolic rate to conserve energy.

Especially when skipping breakfast in a stressed state, ganul (肝鬱), meaning the qi of the liver becomes stagnated, is likely to occur. When this happens, along with psychological pressure, digestive function decreases further, and the body may experience edema or inflammatory responses, making weight changes slower. Forcefully fasting more at this point can be a dangerous choice that completely destroys your metabolism.

What Strategies Should You Build for Healthy Weight Loss?

What ultimately matters is reading your body's responses. If skipping breakfast causes your concentration to drop all morning and leads to binge eating at lunch, then the skipping breakfast method is not right for you. In such cases, helping your blood sugar start gradually with very light protein (boiled eggs, nuts, etc.) is much more efficient.

Additionally, if your metabolism has plateaued and self-regulation is difficult, you may need professional help to relieve the stagnated qi. For example, formulas like Bangpungtongseongsan (防風通聖散) can help discharge excess accumulated waste products in the body and promote metabolism. Rather than the painful method of forcefully starving, an approach that turns your body's metabolic switch back on is a realistic weight loss method.

Frequently Asked Questions

Q. Is it okay to only drink black coffee in the morning?

Caffeine may seem to provide a temporary awakening effect and make you feel like it's boosting your metabolism, but when taken on an empty stomach, it can irritate the gastric mucosa, and in some individuals it may increase cortisol (stress hormone) levels, which can actually be disadvantageous for blood sugar regulation. We recommend taking it with a light meal.

Q. I'm skipping breakfast and eating salad for lunch, but I'm not losing weight.

Not all salads are created equal when it comes to being a healthy food. If the dressing is high in sugar, or if the protein content is too low, you may feel hungry quickly and your metabolic rate may decrease. It's important to increase the ratio of protein and good fats to maintain satiety for longer.

Q. Does intermittent fasting really improve insulin resistance?

Yes, if done correctly, the duration for which insulin levels remain low can be extended, which may improve resistance. However, this requires that there is "fasting without binge eating" as a prerequisite. If the pattern of blood sugar spikes we mentioned earlier continues, it may actually have the opposite effect, so caution is needed.


A diet that involves simply skipping meals without proper planning can ultimately end up wearing down your body's metabolic capacity. Start by distinguishing whether the signal your body is sending right now is "real hunger" or "fake hunger caused by a blood sugar roller coaster." If you need more detailed metabolic status checks and assistance, trying a systematic management program through the Baekrokdam Gambijeong program can also be a good approach.

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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