Intermittent fasting is beneficial for weight loss and glycemic control



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Intermittent fasting beneficial for weight loss: how does the timing of the meal, regardless of caloric intake, help weight loss?

Dietary trends continue to emerge and have gradually shifted from Atkins and Paleo to a ketogenic diet. These fad diets seem to grab the attention of many people, including diabetic patients. Clinicians consistently inform patients with type 2 diabetes about the importance of a healthy lifestyle that often requires significant weight loss. Obesity is strongly correlated with type 2 diabetes; therefore, patients with type 2 diabetes are often overwhelmed not only with a diagnosis of diabetes, but also with the task of losing weight. It is at this time that patients are tempted to look for the latest fad diet for an easy solution. Intermittent fasting is one of the most recent diets. Intermittent fasting includes several different styles, including the 16/8 method, where fasting takes place 16 hours a day, or intermittent fasting 5: 2, where fasting takes place two days a week. Food is not allowed during periods of fasting; Only water, coffee, tea and other non-caloric drinks are allowed. Is Intermittent Fasting Beneficial for Patients With Type 2 Diabetes?

Many health benefits have been associated with intermittent fasting, including weight loss, reduced blood sugar and insulin levels, a significant reduction in human growth hormone and a loss of fat. Some studies even suggest that intermittent fasting may reduce the risk of heart disease, Alzheimer's disease and cancer. With the known effects on body weight, blood sugar and insulin levels, it is very important to know if intermittent fasting can help prevent or treat diabetes.

A recent study examined the effects of various intermittent fasting programs on appetite, metabolism, and fat burning. A small cohort of 11 overweight or obese adult men and women (BMI 25 – 35 mg / m2) practiced two different strategies of timing meals in a random order: a control program of three meals over a 12-hour period with breakfast at 8 o'clock and a dinner at 20 o'clock, and a program early distribution of three meals over a six-hour period; time of the hour with breakfast at 8 o'clock and dinner at 14 o'clock. Each program provided the same amount and type of food as the other. On the fourth day of each diet, the researchers measured participants' metabolism in a respiratory chamber, which measures calories, carbohydrates, fats and proteins burned. Participants were tested for participants' appetite every 3 hours, and their hormone levels of hunger, ghrelin. The results showed that the eTRF schedule decreased the levels of hunger hormone, ghrelin; decreased appetite; and increased fat burning. This study had a significantly small population size, but provides some objective measures regarding the metabolic effects of intermittent fasting.

Previous studies were in conflict as to whether fasting intermittent weight loss was attributed to burning more calories or reducing appetite. With the evidence from this recent study, it appears that the effect is not on the amount of calories burned, but more on the overall increased efficiency of the metabolism. By limiting the amount of time you can eat, the amount of calories consumed intermittently will decrease for most people. In addition, it is obvious that a significant decrease in appetite occurs during the practice of intermittent fasting. An observational study examined the effect of intermittent fasting for 24 hours for 2 to 3 days per week on diabetes. Three men suffering from overweight, hypertension and hyperlipidemia could lose 10 to 18% of their weight, reduce their fasting blood sugar and their HbA level.1 C, and interrupt most, if not all, medications for diabetes. Although this study was only an observatory with only 3 patients, it is very important to hear that patients are eliminating diabetes medications from their treatment plan.

While diabetic patients seek a cure for obesity in order to maintain glycemic control, intermittent fasting can be a topic of discussion to address. It is important to discuss the risk of hypoglycemia during periods of fasting. While educating patients on proper counting of carbohydrates, intake of important nutrients and proper exercise, intermittent fasting can be a good recommendation for patients with diabetes.

Pearls of practice:

  • Intermittent fasting is a diet that involves limiting caloric intake for periods such as 16/24 hours a day or several days a week.
  • It has been shown that intermittent fasting reduces appetite and hormone hunger and increases fat burning to induce weight loss, which can be effective for patients with diabetes and diabetes. 39; obesity.
  • Further research is needed to determine the causality between intermittent fasting and glycemic control.

In this special interview, Dr. Mark Mattson explains what resources are available to explain the intermittent diet and how to get started. Dr. Mark Mattson is the head of the Neuroscience Laboratory of the National Institute of Aging's Intramural Research Program at NIH. He is also Professor of Neuroscience at Johns Hopkins University. Part 1

References for "Intermittent fasting for weight loss and glycemic control":

"Meal-meal strategies seem to reduce appetite and improve fat burning. »MDLinx, Morning Minor July25 & utm_term = Daily update of minor specialties with SailthruActivity.

"Scheduled intermittent fasting can help reverse type 2 diabetes," suggest doctors.

Amber Satz, Pharmacy Candidate, LECOM School of Pharmacy

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