Intermittent fasting is increasing in popularity as a means of losing weight and controlling chronic illness. Studies on the safety and benefits of intermittent fasting with diabetes are very limited though, and health recommendations unfortunately today arise primarily from weight loss gurus and animal studies. Medical guidelines on how to manage therapeutic intermittent fasting in patients with diabetes are non-existent. The evidence to build such a clinical guideline for people with a diabetes diagnosis is almost non-existent, with just one randomized trial and several case reports. This article provides an overview of the available knowledge and a review of the very limited pertinent literature on the effects of intermittent fasting among people with diabetes. It also evaluates the known safety and efficacy issues surrounding treatments for diabetes in the fasting state. Based on those limited data and a knowledge of best practices, this paper proposes expert-based guidelines on how to manage a patient with either type 1 or 2 diabetes who is interested in intermittent fasting.
Eat all that you want one day, cut way back the next. This so-called intermittent fasting diet seems to be trending. It may sound like a great way to lower your hemoglobin A1c as the pounds melt off. But is it a good idea? A new study from New Zealand suggests it might be, while three US doctors who reviewed the findings for EndocrineWeb urge caution, saying there are much better ways to achieve a healthy weight. The New Zealand researchers found the risk of low blood sugar hypoglycemia was increased during the fasting days, as expected, but that the two intermittent fasting plans they tested still managed to produce weight loss and a drop in A1c levels, which is used to assess your risk for diabetes; 1 the study is published in Diabetic Medicine. However, three endocrinology experts who reviewed and commented on the study for EndocrineWeb say other approaches are less hazardous and just as, or more effective in producing a healthy weight loss. Researchers from Wellington Hospital and the University of Otago in New Zealand defined intermittent fasting a bit differently than we do here in the US.
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