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Intermittent fasting and Diabetes.
Dietary Approaches and ConsiderationsHealth and Safety AwarenessAdaptation and Contexttype 1 diabetestype 2 diabeteshyperglycemiahypoglycemiablood glucose levelscholesterol levelsSGL2

Intermittent fasting and Diabetes.

Donna van Zyl, Specialist Diabetic Dietician talks about Intermittent Fasting for Diabetes and the pros and cons for different types of Diabetes. She talks about 5: 2 and 16 hour Intermittent Fasting diets.

Transcript (auto-generated)

This transcript was generated automatically and may contain errors.

Alright, so looking at intermittent fasting for diabetes, after this I will just go through the pros and cons of each of the diets as well. So looking at intermittent fasting, the two most popular diets regarding intermittent fasting is the five to two days, so basically for five days you would eat normally and for two days you would reach approximately 500 to 600 calories per day, which would be regarded as a very low calorie diet for two days of the week. When we're looking at a different type of fasting, which a lot of people are engaging in, is a 16 hour, eight hour fast and fed state per day. So if you're looking at a day of 24 hours, 16 hours will be fasted and they would eat for eight hours in the fed state. So if we're looking at the pros and cons of something like intermittent fasting for type 2 diabetes, it is used to encourage weight loss because the fasting state actually prevents you from eating a lot of calories throughout the day. So you would achieve a calorie deficit and it would encourage weight loss, which is what we want to try and achieve for someone with type 2 diabetes, except for those, for example, on SGL2, because there is a risk of hypoglycemia, so we would want to avoid that for someone who is on, who is using that type of medication. For someone with type 1, we have a risk of hypoglycemia, especially when they are being active, so during the fasted state, one needs to be more vigilant regarding blood glucose levels because there is a higher risk for hyperglycemia. When we're looking at something like the ketogenic diet for type 1 diabetes, there is quite a few risk for someone with type 1 diabetes. There are not a lot of studies regarding the safety thereof, especially also for children, because there may be concerns regarding growth. There's no safety reported for pregnancy or even for someone who is breastfeeding, so we would want to avoid a ketogenic diet during these phases. And one is to proceed with caution for risk of ketosis as well as lipids which may be affected, for example, cholesterol levels, and also just to be careful for the risk of hypoglycemia.

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