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Periodic fasting, favorable for weight loss and glycemic control



Periodic fasting, useful for weight loss: How can it be ensured that eating time, regardless of calorie intake, can promote weight loss?

Dietary trends continue to emerge and gradually decline over the years from Atkins, Paleo to the Ketogenic Diet. These modern diets seem to attract the attention of many people, including patients with diabetes. Clinicians constantly advise patients with type 2 diabetes about the importance of a healthy lifestyle, which often requires significant weight loss. Obesity is highly associated with type 2 diabetes; therefore, patients with type 2 diabetes are often overwhelmed not only with the diagnosis of diabetes but also with the task of losing weight. This is when patients are tempted to look for the latest fad diet for easy repair. One of the most current diet plans is periodic fasting. Permanent fasting consists of several different styles, including the 1

6/8 method, where fasting occurs 16 hours a day or a 5: 2 intermittent fasting, where hunger occurs two whole weeks. No food is allowed during the fasting periods; only water, coffee, tea and other non-calorie drinks are allowed. Is periodic fasting helpful for patients with type 2 diabetes?

Many health benefits are associated with periodic fasting, including weight loss, decreased blood sugar and insulin levels, a significant reduction in human growth hormone, and weight loss. Some studies even suggest that starvation can 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 of great interest whether periodic fasting can help prevent or treat diabetes.

A recent study examines the effects of various patterns of periodic fasting on appetite, metabolism, and more. and Fat Burning A small cohort of 11 older men and women who are overweight or obese (BMI 25 – 35 mg / m 2 ) practices two different strategies for eating at random: a three-meal control schedule a 12-hour breakfast period at 8am and dinner at 8pm and an early limited-meal (eTRF) schedule of three meals for a six-hour breakfast period at 8am and a 14pm dinner. Each schedule provides the same quantity and type of food like the other. On the fourth day of each diet, researchers measure participants' metabolism in a breathing chamber that measures calories, carbohydrates, fat, and protein burned. Participants' appetite levels are checked every 3 hours while awake and hunger hormone levels are ghrelin. The results show that the eTRF schedule decreases hunger hormone levels, ghrelin; decreased appetite; and increased fat burning. This study has a significantly low population but provides some objective measurements regarding the metabolic effects of periodic fasting.

Previous studies have contradicted whether intermittent weight loss is due to burning more calories or reducing appetite. With the evidence from this recent study, it seems that the effect is not on the amount of calories burned but more on the increased overall metabolism efficiency. By limiting the amount of time a person can eat, the amount of calories consumed periodically will decrease in most people. It is also apparent that there is a significant decrease in appetite while periodically fasting. An observational study examined the effect of periodic fasting for 24 hours for 2-3 days per week in diabetes. Three overweight men with hypertension and hyperlipidemia were able to lose 10-18% of their body weight, reduce their fasting blood sugars and HbA 1c, and discontinue most, if not all, of the medicines for diabetes. Although this study was only observed in 3 patients, it is very important to hear from patients who eliminate diabetes medication from their treatment plan.

While patients with diabetes seek a cure for obesity to maintain glycemic control, it is a topic of discussion to pay attention to. It is important to discuss the risk of hypoglycaemia during periods of fasting. As you train patients on proper carbohydrate counting, intake of essential nutrients and proper exercise, periodic fasting may be a good recommendation for diabetic patients.

Practical pearls:

  • Permanent fasting is a diet that involves calorie restriction for periods of time, such as 16/24 hours a day or several days a week.
  • Periodic fasting has been shown to reduce the hunger appetite and hormone and increase fat burning to induce weight loss, which can be effective for patients with diabetes and obesity.
  • Additional studies need to be conducted to determine the cause between periodic fasting and glycemic control.

In this particular interview, Dr. Mark Matson discusses what resources are available to explain the periodic diet and how to get started. Dr. Mark Matson is Head of the Neuroscience Laboratory at the National Institute of Intramural Research on Aging at the NIH. He is also a professor of neuroscience at Johns Hopkins University. Part 1

References to "Permanent Starvation Favorable for Weight Loss and Glycemic Control":

" Nutrition strategies are emerging to reduce appetite and improve fat burning." MDLinx , www.mdlinx.com / family-medicine / top-medical-news / article / 2019/07/24/7573512? uic = ZZCE628C21DABE45DF95C1A9308F554865 & utm_source = Sailthru & utm_medium = email & utm_campaign = Slight morning25 July25 & utm_term = "Daily Mining Master's Mining Mining 30 min. Type 2 diabetes, recommend to doctors. ”BMJ, www.bmj.com/company/newsroom/planned-intermittent-fasting-may-help-reverse-type-2-diabetes-suggest-doctors/. evidence19659002SenseAmber Satz, PharmD Candidate, LECOM School of Pharmacy


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