With expert oversight, the eating plan can be safe for some people with Type 2 diabetes, but there are risks to keep in mind.
seems to be an exception. These plans involve going without caloric foods or drinks for an extended period of time—anywhere from 16 hours to several days—and they have become increasingly popular. Research has also found them to be effective for weight loss.
For people who aren’t taking drugs to lower their blood sugar, Horne says the risk of hypoglycemia seems to be very low. “People should still consult with someone who treats diabetes—a physician such as an endocrinologist, or at least a nutritionist who is trained in diabetes treatment,” he says. Like Corley, he says even people on blood-sugar medications could attempt intermittent fasting so long as they are working with an expert. “It’s not so much should they or shouldn’t they.
There are a few more potential health concerns associated with intermittent fasting. However, these are not specific to people with Type 2 diabetes. For example, nutrient deficiencies, inadequate protein intake , and other forms of malnutrition are possible if you’re fasting.
Research supports this hypothesis. Some work on people with diabetes has found that intermittent fasting may increase insulin sensitivity and also reduce insulin levels in the blood. This is a big deal. “Essentially, fasting is doing what we prescribe diabetes medications to do, which is to improve insulin sensitivity,” Horne says. At least one small trial found that adopting an intermittent fasting diet allowed diabetes patients to stop taking their insulin drugs altogether.
The first of these—time-restricted eating—involves squeezing all of your day’s calories into a single “feeding window” of six to eight hours. For example, someone on this diet may eat between noon and 6 p.m. each day, and avoid all caloric foods and drinks for the other 18 hours of the day. Meanwhile, someone on an alternate-day-fasting diet eats normally one day, but the next day consumes few or no calories. Finally,There are many variations of each of these plans.
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