Intermittent fasting has gained popularity as a weight loss approach, but its suitability for individuals with type 2 diabetes is debated. Dr. Jesus Lizarzaburu, a family medicine physician, advises patients with type 2 diabetes to exercise caution when considering intermittent fasting. On the other hand, Dr. Vinni Makin, an associate professor of medicine, suggests that if done correctly, it can be beneficial for diabetic patients who are motivated and aware of their blood sugar levels.
To minimize potential risks, doctors should emphasize the importance of nutritious meals, adequate food intake during the eating window, and careful monitoring of medications. Patients taking insulin or sulfonylureas may need to adjust their medication regimens and closely monitor their blood sugar levels. Additionally, healthcare providers should educate patients on the potential for hypoglycemia, inadequate protein intake, vitamin, and mineral malnutrition.
In contrast, Lizarzaburu recommends introducing GLP-1 medications only after establishing a solid foundation of healthy eating habits and physical activity. The use of these expensive medications carries long-term uncertainty, as their efficacy after discontinuation has yet to be fully studied. Ultimately, healthcare providers must carefully weigh the benefits and risks of intermittent fasting for each patient with type 2 diabetes, taking into account individual circumstances and health needs.
Source: https://www.medscape.com/viewarticle/intermittent-fasting-and-type-2-diabetes-when-recommend-and-2025a1000he8