What to Know for Diabetics in Intermittent Fasting (7 Important Tips!)
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- Опубліковано 11 лип 2024
- As a diabetic, what do you need to know before considering Intermittent Fasting? Dr. Majd reviews 7 important tips in this video.
Majd MD - Your UA-cam Family Doctor, reviewing what you really need to know about the latest medical topics, news, & headlines.
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#IntermittentFasting #Diabetes #MajdMD #Health #WeightLoss
If you have diabetes and you've tried Intermittent Fasting, what has been your greatest challenge? Have you been able to stop or decrease your medications and/or insulin?
I haven't had any challenges. Been doing 22-24 hrs daily for two years now...like a dream! No meds and tremendous energy!
@@edithisaok580 how do you do it? I'm type 2. Aic is 5.6
I’m type 1 and my blood sugars got really low. I got a 46 once so I just stopped intermittent fasting. After 1 week, I decided to try it again and now my blood sugars are stable. The problem before was I wasn’t eating enough so I would go to bed starving.
@@rahielberhe2652 Yes, type I diabetics and those on insulin have to be really careful of hypoglycemic episodes -- this is why i encourage patients to have close follow up with their doc.
My greatest challenge is after 12-14 hrs IMF, I get hypo. Start shaking , sweating and feel so empty of energy I can’t even get out of chair. I am still diet controlled so no meds for type 2, but have severe fibromyalgia and ME chronic fatigue. Please advise me how to get over this problem that prevent me from going forward
Great Advice... I am a Type 2 Diabetic who ignored my Diabetes for 15 years... killing it with Keto and IF... Reduced my HBA1c from 12.5 to 5.8... whilst reducing my Diabetic Medication by between 50-100% :)
Crazy Keto Guy Wow - quite impressive, great job. It can be done, as you’ve demonstrated. Thank you for sharing your experience!
How many days a week did you fast ?
@@maxcuthbert100 it all depends on the fasting version you are implementing.
@@MajdMD I was thinking 18/8. I'm type 2 on metformin twice a day-and I've asked my endocrinologist re. when to take my metformin, but I'm a little unclear as to how often I should do this.I work in the OR ,but there's no work right now due to corona.I'd like to make lemonade from lemons rather than snack whilst idling.
@@maxcuthbert100 Of course always run things by your own doc, but 16/8 (i think that's what you meant, but you wrote 18/8?) can be done daily. But you can work up to it if initially it is a challenge.
Thanks for this! My life has been transformed by this sort of information. I am turning 65 and for the past 2 years I have combined LOW CARB (Keto) with Intermittent Fasting, lost 82 lbs., came off ALL MEDICATIONS (2 for hypertension, one for high cholesterol and gave up my CPAP for sleep apnea). I am
Loving life! I started my own UA-cam channel “Bill C Thompson - Live Healthy, Finish Strong
Just how the heck did you give up your CPAP for sleep apnea? Sleep apnea it doesn’t just go away by itself, does it?
@@williampapadopoulos8145I lost 82 lbs and no longer needed my CPAP for sleep apnea. That is a FACT!
Went on keto and fast ( snake diet 96 hours) and drop my diabetes meds cold Turkey. 6 month later, a1c is 4.3
Midnight_Sun, did you follow the Keto diet for 6 months continously to get the results? Would you please let me know. I am doing Keto fasting. Thanks.
@@malikamcreynolds Yes I was on keto for about nine months. During the nine months I was implementing various fasting schedules as well including the snake diet in order to bring my a1c down. Today I'm mostly low carb occasionally enjoying carbs and sugar. My a1c as of late is 5.1.
@@malikamcreynolds Been off diabetes meds for well over 1 year and my doc is no longer bugging me to go on statins.
I went from keto for over 1 month but my total cholesterol went sky rocket, what food did you eat?
I dropped metformin and jardiance cold turkey for last 2 weeks….blood sugar is never under 100 and put on 5 pounds….how long until things turned around for u?
Hi dr I am diabetic and I take insulin, starting IF and your information was very helpful so thank you…
Thanx For The Info!!
My pleasure, thank you for watching!
If I call my doctor and try for an appointment, it's usually a month or so to get in.
There is no keeping in touch with any doctor I know of.
Very good and effective
very good information thank you
K M LAKSHMIPATHY So glad to hear it’s helped in any way. Thank you for watching and for this feedback.
I'm diabetic and take insulin I was born this way. And fasting is the easiest way to loose weight but extremely different
I've just recently been prescribed metformin, prediabetes..I'm a kidney transplant patient. I'm doing IF, also fasting right now for Lent. I haven't started the metformin yet, as waiting to get them. How many hours do you recommend in between meals?
Hi Doc.. If my blood sugar level is high, will autophagy help in lowering my blood sugar levels? Thanks for your help.
Thank you. I havent visited a doctor to know whether I do have diabetes or high blood sugar but I eat/live like I do.
I'm not a diabetic but a pre diabetic!! I came to know that diabetic patients must not fast any longer than 24 hours because of the risk of hypoglycemia as well as diabetic ketoacidosis
My fasting glucose is 109 mg/dL and in hba1c the three months estimated average glucose is 114.2 mg/dL what should I do to get these prediabetic levels back to normal range because I don't want to become a diabetic
I’m new to this intermittent fasting and I’ve been doing 14/10 fasting for a week. My question is, would this be considered intermittent fasting or not really? I did lose 5 kgs as a result of it… I know a bit much for a week; but I’ve told my doctor about it and he saw no harm in it. It also lowered my blood glucose levels. So far I’m ok with the 14/10 fast, however I want to move into the 16/8 fast but I’m not sure how well I will do it? I just don’t know how many fab diets I’ve tried over the years just to gain whatever I lost all back again. I like the intermittent fasting because I read how our body rejuvenates cells and DNA… this caught my attention more than anything.
I’m pre diabetic and I’m taking metformin at dinner time .I’m fasting. 16/8 I’m quite sure I lost weight .I like this fasting instead of 3 meals .
Can someone guide about how to take metformin for pcod while doing intermittent fasting ? How to adjust the TDS dose while dping 18:6 ?
Any help will be much appreciated ❤❤
In my
Opinion metformin doesn’t help pcos your diet is the most important
I'm pre-diabetic I just got off gluten for one day and dairy and I the scale went down three and a half pounds, and I'm doing intermittent fasting today
What’s ur advice on someone who’s pregnant and wanting to not take insulin and only way to keep sugars down is fasting? Currently not on meds but they want to cause sugars are between 120-135 in the morning
I am 5’1 and weigh 140. I know that I’m not that big I’m petite. If I do 18/6 how many days should I do this? I would love to be 125 which is only 15pounds of weight loss. I am diabetic
Do vegetables like bak choi or broccoli trigger insulin? if not would those be ok to consume during IF along with . Black coffee, green tea and chicken/beef broth ?
it will trigger insulin release -- any food group :( Save it for the eating window.
If Im taking insulin. How do I go about the 16 hr fast. Whenever I check in the morning my sugars are really high, then I take insulin to normalize it. Should I be taking insulin only after breaking the fast?
Is intermittent fasting recommended for an underweight diabetic patient?
What about alternate day fasting along with intermittent fasting? If I go 24 hours without eating as a type 2 diabetic is that ok? I only take metformin and my A1c is currently a 6.4.
I do that. I've gone 52 hours. But metformin never bothered me. I've also done the one meal a day fasting and taken the metformin at the one meal.
I am a type 2 diabetic just taking metformin. I notice when I don't eat for 5 or 6 hours I get shaky, lightheaded and anxious. But my sugars are never considered critically low. They usually are between 90 to 105 when this happens. My question is...when I'm sleeping does this happen and I just don't notice it because I'm in a deep sleep. Because after I wake up I can go quite a long time before I even want to eat. But once I do eat I can't go more than 5 hours without feeling like crap. Thank you.
@@sascha6176 i have been doing keto for 2 weeks and i feel so much better and down 7lbs so far. Thank you for your advice. Carbs had me on a terrible high and crash cycle. I haven't had any of those dizzy heart pounding episodes like i do when i cut calories .
@Kelly Scott. Please read up about glycemic index and glycemic load. Low GI foods, are less likely to give you after meal lows. You may also ask your doctor for Metformin ER, I find it bothers my body much less. Also do talk with your doctor you many need much less Metformin while on ketogenic diet, because you are just having so few carbs. I do not take a dose of Metformin if my blood sugar is under 100 mg/dL and stays under 120 after a meal. If my sugar are over say 130 / 140 I take Metformin. You may also look into Berberine, I find very helpful if my sugar is over 140 mg/ dL. So may I ask what is your HBA1c? Mine has be riding at 5.7% for the last 8 months.
@@jameskantor0459 the last a1c was 7.6 but its been about a year since I had it checked. I check my sugar once a day and Im usually between 90 to 140. Ive avoided the doctor since this whole covid business but need to get in for a check up.
Electrolytes- Try putting 1/2 tsp (teaspoon) sea salt into a cup of water, ideally add some lemon juice and turmeric…when your in the initial stages of keto you might be loosing weight and thus water.
I was diagnosed with diabetes in 2018. My Dr put me on Metformin and it was awful. I told her I can't take it. That I'm gong on the Keto diet and trying that. She said if I could lower my A1C to under 7.2 in three months she would be okay with that. Well, I got it to 6.3. I've done quite well, got off all my other meds for blood pressure and etc, was under 200 when I started at 249 lbs, and then this year I started slipping. I am back up to 211 lbs. I want to get back on Keto. I've always been afraid to fast because I experienced an episode of low blood sugar once and it was awful. I think I'm going call my Dr and ask her if she's okay with me easing into intermittent fasting. Starting with larger eating windows and gradually decreasing them. Thanks for this info. I'm not currently on medication, but it's good to know for those who are.
Hello
Could you please help me I am type2my diabetic is 6.9
I am fasting from 8:30pm to 4:30pm
It is ok with that please answers my question doctor
Thank you very much 🌹
After successfully practicing intermittent fasting wich I thought was impossible for a type 1 diabetic I tried the keto diet as recommended by Dr bernstein but obviously did something wrong as I went too far and developed symptoms of ketoacidosis.
I just fasted at first and then went almost carnivire added exercise (HIIT) after 3 weeks to help speed up the adaptation process just days before I developed the symptoms and gave been struggling to understand where I went wrong exactly...
Any thoughts on what I might have done?
holistic chaos it’s not easy to answer this question on the internet, without seeing your chart, your medications, your numbers, etc. I’d highly advise to keep very close contact with your doctor if you’re planning on implementing IF, especially if on insulin. I like to see my patients home blood glucose levels checked several times a day every 1-2 weeks at the least.
@@MajdMD thankyou for the advice doctor....
It is a rather tricky question that my medical people are not willing to anwser I'm afraid.
@@holisticchaos7910 Intermittent Fasting is a rather newer diet regimen so not all doctors know as much about it.
Will vegetables like bak choi or broccoli trigger insulin? if not would those be good to consume during IF along with, black coffee, tea and chicken/beef broth?
If you are eat vegetables are you really IF ? But I can see your point, and IF may not be right for you. Eat the vegetables and check your blood sugar one hour after eating.
Hi Dr. Thank you so much for this video 🙏 I have a serious issue went to 3 doctors in my country and non are supportive of intermittent fasting. They just say do 8hour fast only. But I have loss weight and feel good and also reduced my food cravings. My A1c has gone down from 8.4 to 6.5 too. Yet, I’m on metfomin 1000 mg and empazin 10mg at night and citaglip 10mg at night. Now I can handle one meal per day. What should I do? I feel these medications are a lot for me to go with one meal per day. Also I have started Keto. ( therefore, the one meal has no carbs) pls advise. Should I take all these pills after that one meal?
I gradually have been weaning my own patients off of their medications. The key is follow up a1c’s every 3 months as you do that. If your primary is not supportive, you can also seek advice of an endocrinologist more comfortable with intermittent fasting.
Hi Dr Maj! I've been on 16/8 fasting for 2 weeks straight now, 1 week of consistent workout. I checked my fasting blood sugar this morning and it's 138. I've never been diagnosed of diabetes. What should i do moving forward?
I just did 36 water fast and ate a keto meal but my glucose level is at 72mg/dl. So I ate a little bit of carbs to make sure it doesn't go into hypoglycemia. I had a 6.8 A1c and reduced it to 5.9 with keto diet but after that I have plateud.
I'm a paranoid Prediabetic. My last blood test at doc showed 100. He said anything 100-125 is prediabetic. I bought a meter to be safe and am doing lower carb. (not counting though) Since I'm only prediabetic I'm trying to go hard by limiting carbs. My doc did say my BP is healthy.
My heart races in the morning sometimes so I eat a bannana.....low potassium I heard.
Being prediabetic what other things can I do to help? How often should I do a 24 hrs fast WITHOUT any food.....just water/unsweetened tea?
@@sascha6176 thanks! Its been 3 months since that and I've been doing low carb. My A1c is 5.3. People say that's also not prediabetic and my doc probably jumped the gun. Still eating healthier but he had me really worried. Thanks!
I have a lott of a frequent urination 😒 my Hba1c is 5.7... Doctors dont want to help me... I hope this work for me
I thought that Valter Longo, the leading fasting researcher, said that after 12 hours of fasting, you do more harm than good? Also, isn't it ok to eat carbs, as long as they are not refined, processed type carbs, therefore fruits with high fiber and vegetables are ok?
Can pre diabetic be fasting?
Can I take jardiance while intermittent fasting?
It seems like a lot of ppl are trying IF to lose weight. I am really just looking to detox and give body time to replenish itself
Thanks Doc
Thank you, and hope it’s helped in any way.
can you drink coffee in the morning and eat at night as your window? In other words does it break the rule despite not really a caloric/high sugar drink?
@ Jayden , you can drink water, water, sparkling water, water with a small amount of lemon or lime juice, tea, heabal tea. Coffee without sugar or sweeter.
Some say you can add whole cream but be reasonable . Two fit doc ( on UA-cam) do a good job about discussing what you can drink. They do not like diet soda because artificial sweeteners can spike insulin,. Write back and let us know how you are doing? James
Hi! Will IF truly cure diabetes? Will my insulin sensitivity levels be same s a non diabetic one day? or will I always be prone to reacting negatively to carbs?
Cedric Tsang “cure” is a controversial topic here. We can control diabetes with IF, but yes you may be prone and if so will always have to be careful to avoid weight gain which can return insulin resistance.
@ Cedric if you keep you diet under control I would think of it as diabetes remission. However if you start to eat sugar and high carbs daily, you will again increase your insulin. So think diabetes remission rather than cure. Think of it as a life style rather than a diet. Good and healthy eat low sugar and lower carb say 100 grams total is a good lifestyle for everyone. 100years ago we ate and drank much less sugar.
If someone want to bulid muscle and have type 2 how much carb he take in a day
Carbs do not build muscle. Exercise and quality protein does.
My doctor got angry when I told him I was fasting. The only objection he could come up with was hypoglycemia. I told him I didn't take meds when I wasn't eating, instructions on the meds say take with food and if I'm not eating there's no sense to take them until I do.
Can you drink a glucerna during fasting to help normalize blood sugars ?
I do and it really helps me keep my blood sugar levels 90
There is too much comment about doctors. Doing a fast is you taking charge of your diabetes - so why ask a doctor who may already be increasing your diabetic meds incorrectly.
What about intermittent fasting with SGLT2 Inhibitors?
Did you ever get an answer to this? I'm in a similar boat and most of these doctors don't address that subject
What if I’m not diagnosed with diabetes but have prediabetes? I asked my doctor and he said that it’s fine if I do it be careful. I just want to be sure and see if I can do anything different than someone who isn’t diabetic.
If I am in my fasting window I still get spikes go high blood sugar. Crazy. I woke this morning at a 14 hour fast and has bs reading of 187. If I take insulin to correct high blood sugar, does that break my fast?
Your blood sugar is high due to liver releasing stored sugar which is one of the benefits of I.F. Too much stored sugar is not good.
Thank you Sharon. So until I get it all out of my liver it will continue to spike?
Can you still exercise while intermittent fasting?
Best for excellent results of IF
Since PCOS is related to Diabetes, do the things you talk about in the video somewhat translate intermittent fasting and PCOS?
I took my A1C from 12.6 to 4.9 in 3 months doing keto with intermittent fasting. Then brought my A1C from 4.9 to 4.5 on carnivore with continued intermittent fasting.
In 3 months only? 12.6 to 4.9 is a HUGE jump
@@kitrodriguez992 yes 3 months to go from 12.6 to 4.9. Fear of the diagnosis motivated me to do strict keto/intermittent fasting. Not everyone will see same results as quickly, other factors play into it as well however, I'm confident for most all type twos you can reverse your diabetes as well. For the rest and type 1s you can gain great control
@@kitrodriguez992 if you want to see my blood work and more details you can see it in my videos
My dr told me to never fast I’m type 2 on 1000mg of metformin aic of 6.4 and my dr said to never fast and to eat small meals throughout the day to keep my matabolism going to burn out the sugar
Hi Doc why is my sugar levels high in the morning with IF …
Dawn phenomenon
So. See your doctor.
I would never take insulin bad idea
Hi doc, does diabetes comes back if cured with intermittent fasting or you need to stick it for life?. Thanks
I'd say maintaining the weight can help control the diabetes long term -- and intermittent fasting is one great method to decrease insulin resistance and help weight loss.
depends on your pancreas's beta cells, if u do a blood test, ask for c-peptide test, if its within normal range or higher, ur insulin resistance is causing high blood sugar level so fasting help reducing it. if its less than normal, then u r stuck with medication/insulin/food+exercise+IF.
20/20 ins
What if the patient is on high blood pressure meds, but not diabetes meds?
Jimmy G With weight loss, blood pressures may decrease, so it’s important to check BP’s closely. Does that answer your Q?
@@MajdMD Yes thank you very much!
Maybe it would be better to call it 23:1, to show that you are allowing an full hour to eat.
Yes -- if i was the creator of the terminology for IF (which i'm not) i personally would have called it as you've suggested!
Question: i was told that during fasting, my liver releases sugars. I have experienced this and my blood sugar levels are elevated in the morning. Will this cause an insulin spike?
Yes -- but this is what we typically want. Because there is no glucose running around in our bloodstream, the glycogen stores in the liver are instead broken up to be used as fuel.Then once this is depleted, the fat is broken down in our bodies to be used for fuel.
Another question: Will this effect cause my A1C to rise? During my doctor visits, will hr see this and reprimand me and prescribe more drugs to me?
@@ervinbanatao8896 No, it will not raise your a1c. In fact, intermittent fasting will help DECREASE your a1c. And i certainly hope your doctor doesn't "reprimand" you, no matter what :)
Metformin ER works so much better for me.
glad to hear! Yes, the ER version seems to take the edge off of some of the GI side effects for some people.
T2D fasting can trigger hypoglycemia during glycosis because insulin levels will not go down quickly because of Insulin Resistance (IR) or because of high cortisol level which is triggered by stress. If the switchover takes longer than 90 minutes something is wrong you have a complication and you should see a doctor to help you figure it out. Stress management can prevent cortisol from interfering in fasting switchover to ketosis.. During the switch over from glycosis to ketosis- a slow switchover can cause temporary hypothermia - the switchover from glycosis to ketosis should take from 30 to 120 minutes after 12-18 hours from the last time you have eaten. Temporarily keeping warm during the switchover might be needed for a T2D fast. A T2D fasting may not lose much weight initially *e.g. first 3 months* because of the difficulty to switch to ketosis and IR. thing that are likely to improve before weight loss ...lower blood pressure... lower glucose levels... higher ketone levels. less T2D and HB medication is needed
A lot of facets involved
Just hit hr 14 don't know if I have low blood sugar or if I'm just stoned
Jennifer Hale how did it go? The first few days are the hardest :)
@@MajdMD i did good and I am down to 2 meals a day I feel fine although its been a scary adjustment
@@jenniferhale7112 Are you still doing fasting? Are you taking insulin? Pl reply
Could I still do this even though I am a diabetic type 2
Most diabetics, yes -- but with working with your doctor closely and following the details i outlined in the video.
Yes, include DIP diet too
@@johnybrave78 , what is the DIP diet?
@@jameskantor0459 google, easily available by Dr Biswaroop for chaudhary
I want to fast. But I can't go to long because I crash hard. 2pm max is my limit and then my eyes go dark and I feel like I'm going to pass out.
I'm pre diabetic not on any meds at all. I have lipedema so it's super important for me to be able to fast.
I’d say to try increasing the fast time more gradually then. And to drink plenty of fluids so you don’t get dehydrated. Can also add sea salt to your water in case you’re low in lytes.
How is the person going to pay for all those doctor visits?
i take it you have a high deductible or high copays? Check to see if your doctor would be willing to work with you without the frequent visits -- you could potentially drop off your blood glucose logs every 2 weeks and his/her office can call you with further instructions. Just an idea.
When you explain IF you should precise type 1 or type 2 … not the same story
The
Forget doctor just minitor thru glucometer
Question:
I fast 36 hours
Then
I eat carbs
When i eating carbs , i feel noise inside my brain and i feel weak.
What should i do?
don't eat carbs. Eat something else. A tangerine?
@@themaelstromnotebook5418
After maybe 40 hours of fasting, I tried 1 litre of fresh milk.
Then , i feel there is a lot of sugers on my brain.
Then:
I depressed
Then:
I try alpha lipoic asid
Then:
I fell a strange happiness about half an hour.
I will never repeat that again .
@@themaelstromnotebook5418
I want lemon after the long fasting .
Men women same window
Get off the gluten and dairy if you want to lose weight as well as intermittent fasting
If everything is dictated by our doctors why do we listen to you.🙄
Because when you do what she says you don't need a doctor. She's helping to put herself out of business. She's has zero to gain.
She is trying pretty hard to convince people that,they cant do this without the white coats...I wonder why 😉
Ronaldpolyglot Lol i have zero interests or affiliations. I take the time to make my videos because of my love for teaching and i have no gain in any way to encourage people to see their own doctor. My goal is safety first, that is why i encourage people to work alongside their doctor.
We're all different people. Our insulin spikes have different triggers. I suffer from carbs. Proteins and fata are magical in my body.
Yes, good luck finding an endo that will support fasting, let alone low carb diets. If I had to wait for a dr to “help” me when I wanted to try improving my health by trying something not recommended by my Dr’s I would have severe complications by now. I have been questioning my Dr’s and often not following their advice since I was diagnosed at age 11.
Tara Dufour I’m a T1 and have been IF for awhile. My Endocrinologist is all for it. I’ve lost weight and brought my A1C down 8.5 pts. I also have Diabetic Gastroparesis. Doing IF also improved that. Actually before IF my Diabetic Gastroparesis got worse which made my diabetes worse, and in turn got my A1C clear up to 14. He had no clue how I wasn’t in a coma or dead. He told me to go ahead and go back on IF (I had did it in the past). I got a CGM (continuous glucose monitor) and was put on a pump first. It actually helps! Because I see where my glucose is at all times. After awhile I’ve needed less and less insulin and he had to change my basal setting to less also. I went from an A1C of 14 down to 6.5! It does work, keeping close with a good Endo dr is key also. Especially one who is your cheerleader.
Can I take jardiance while intermittent fasting?