Intermittent Fasting for type 2 diabetics

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Intermittent fasting is the ancient secret of health. It is ancient because it has been practised throughout all of human history. It’s a secret because this powerful habit has been virtually forgotten.

But now many people are re-discovering this dietary intervention. It can carry huge benefits if it is done right: weight loss, increased energy, reversal of type 2 diabetes and many other things. Plus, you’ll save time and money.

Let’s start with the facts and myths about intermittent fasting.

Intermittent fasting – isn’t that starvation?

No. Fasting differs from starvation in one crucial way. Control. Starvation is the involuntary absence of food. It is neither deliberate nor controlled. Fasting, on the other hand, is the voluntary withholding of food for spiritual, health, or other reasons.

Food is easily available, but you choose not to eat it. This can be for any period of time, from a few hours up to days or even weeks on end. You may begin a fast at any time of your choosing, and you may end a fast at will, too. You can start or stop a fast for any reason or no reason at all.

Fasting has no standard duration, as it is merely the absence of eating. Anytime that you are not eating, you are fasting. For example, you may fast between dinner and breakfast the next day, a period of approximately 12-14 hours. In that sense, fasting should be considered a part of everyday life.

Consider the term “break fast”. This refers to the meal that breaks your fast – which is done daily. Rather than being some sort of cruel and unusual punishment, the English language implicitly acknowledges that fasting should be performed daily, even if only for a short duration.

Intermittent fasting is not something queer and curious, but a part of everyday, normal life. It is perhaps the oldest and most powerful dietary intervention imaginable. Yet somehow we have forgotten its awesome power and ignored its therapeutic potential.

Learning how to fast properly gives us the option of using it or not.

How does intermittent fasting work?

At its very core, fasting simply allows the body to burn off excess body fat. It is important to realise that this is normal and humans have evolved to fast without detrimental health consequences. Body fat is merely food energy that has been stored away. If you don’t eat, your body will simply “eat” its own fat for energy.

Life is about balance. The good and the bad. The yin and the yang. The same applies to eating and fasting. Fasting, after all, is simply the flip side of eating. If you are not eating, you are fasting.

Here’s how it works:

When we eat, more food energy is ingested than can immediately be used. Some of this energy must be stored away for later use. Insulin is the key hormone involved in the storage of food energy.

Insulin rises when we eat, helping to store the excess energy in two separate ways. Sugars can be linked into long chains, called glycogen and then stored in the liver. There is, however, limited storage space; and once that is reached, the liver starts to turn the excess glucose into fat. This process is called De-Novo Lipogenesis (meaning literally Making Fat from New).

Some of this newly created fat is stored in the liver, but most of it is exported to other fat deposits in the body. While this is a more complicated process, there is no limit to the amount of fat that can be created. So, two complementary food energy storage systems exist in our bodies. One is easily accessible but with limited storage space (glycogen), and the other is more difficult to access but has unlimited storage space (body fat).

The process goes in reverse when we do not eat (intermittent fasting). Insulin levels fall, signalling the body to start burning stored energy as no more is coming through food. Blood glucose falls, so the body must now pull glucose out of storage to burn for energy.
Glycogen is the most easily accessible energy source. It is broken down into glucose molecules to provide energy for the other cells. This can provide enough energy to power the body for 24-36 hours. After that, the body will start breaking down fat for energy.

So, that the body only really exists in two states – the fed (insulin high) state and the fasted (insulin low) state. Either we are storing food energy, or we are burning it. It’s one or the other. If eating and fasting are balanced, then there is no net weight gain.

If we start eating the minute we roll out of bed, and do not stop until we go to sleep, we spend almost all our time in the fed state. Over time, we will gain weight. We have not allowed our body any time to burn food energy.

To restore balance or to lose weight, we simply need to increase the amount of time we burn food energy. That’s intermittent fasting. In essence, fasting allows the body to use its stored energy. After all, that’s what it is there for. The important thing to understand is that there is nothing wrong with that. That is how our bodies are designed. That’s what dogs, cat, lions and bears do. That’s what humans do.

If you are constantly eating, as is often recommended, then your body will simply use the incoming food energy and never burn the body fat. You’ll only store it. Your body will save it for a time when there is nothing to eat. You lack balance. You lack fasting.

Benefits of intermittent fasting

Fasting’s most obvious benefit is weight loss. However, there are a myriad of benefits beyond this, many of which were widely known in ancient times.

The fasting periods were often called ‘cleanses’, ‘detoxifications’, or ‘purifications’, but the idea is the same – to abstain from eating food for a certain period of time for health reasons. People imagined that this period of abstinence from food would clear their bodies’ systems of toxins and rejuvenate them. They were more correct than they knew.

Some of the purported physical benefits of fasting include:
Improved mental clarity and concentration
Weight and body fat loss
Lowered blood insulin and sugar levels
Reversal of type 2 diabetes
Increased energy
Improved fat burning
Increased growth hormone
Lowered blood cholesterol
Prevention of Alzheimer’s disease(potential)
Longer life (potential)
Activation of cellular cleansing(potential) by stimulating autophagy (a discovery that was awarded the 2016 Nobel Prize in medicine)
Reduction of inflammation

Advantages

Fasting offers many important unique advantages that are not available in typical diets.

Where diets complicate life, fasting simplifies. Where diets are expensive, intermittent fasting is free. Where diets can take time, fasting saves time. Where diets are limited, fasting is available anywhere. Where diets have variable efficacy, fasting has unquestioned efficacy. There is no more powerful method for lowering insulin and decreasing body weight.

Different ways to do intermittent fasting: Shorter fasts (<24hrs)

Fasting offers infinite flexibility. You can fast for as long or short as you like, but here are some popular regimens. Generally, shorter fasts are done more frequently.

16:8

This way of doing intermittent fasting involves daily fasting for 16 hours. Sometimes this is also referred to as an 8-hour eating ‘window’. You eat all your meals within an 8-hour time period and fast for the remaining 16 hours. Generally, this is done daily or almost daily.

For example, you may eat all your meals within the time period of 11:00 am and 7:00 pm. Generally, this means skipping breakfast. You generally eat two or three meals within this 8-hour period.

20:4

This involves a 4-hour eating window and a 20-hour fast. For example, you might eat between 2:00 pm and 6:00 pm every day and fast for the other 20 hours. Generally, this would involve eating either one meal or two smaller meals within this period.

Longer fasts (>24 hours)

24-hour fasts

This way of doing intermittent fasting involves fasting from dinner to dinner (or lunch to lunch). If you eat dinner on day 1, you would skip the next day’s breakfast and lunch and eat dinner again on day 2. This means that you are still eating daily, but only once during that day. This would generally be done two to three times per week.

5:2 fast

Dr. Michael Mosley popularised this variation of intermittent fasting in his book ‘The Fast Diet’. This involves 5 regular eating days and 2 fasting days. However, on these two fasting days, it is permitted to eat 500 calories on each day. These calories can be consumed at any time during the day – either spread throughout the day, or as a single meal.

36-hour fasts

This involves fasting for the entire day. For example, if you eat dinner on day 1, you would fast for all of day 2 and not eat again until breakfast on day 3. This is generally 36 hours of fasting. This provides more powerful weight loss benefit. The other great benefit is that it avoids the temptation to overeat dinner on day 2.

Extended fasting

You can fast almost indefinitely. Generally for fasts greater than 48 hours, I recommend a general multivitamin to avoid micro-nutrient deficiency. The world record for fasting is 382 days, so going 7-14 days is certainly possible.

I discourage people from fasting for more than 14 days due to high risk of re-feeding syndrome.

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