Fasting with type two diabetes
Ryan Paul discusses fasting in patients with type 2 diabetes. He focusses on planned fasts, rather than illness, including the benefits and dangers of fasting.
Topics:
- 00:01 Intro
- 01:13 Fasting in T2D
- 03:04 Potential benefits
- 04:08 Any potential risks?
- 05:27 Medications during fasting
- 07:45 Dietitian involvement
- 08:17 Do you recommend fasting?
- 09:51 Trial data to support fasting?
- 11:14 Direct trial findings
- 12:28 Advice and patient approached
- 14:11 Take-home messages
Take-home messages
|
Resources
- Intermittent fasting in Type 2 diabetes mellitus and the risk of hypoglycaemia: a randomized controlled trial PubMed.gov
- Rationale and protocol for a randomized controlled trial comparing daily calorie restriction versus intermittent fasting to improve glycaemia in individuals at increased risk of developing type 2 diabetes PubMed
- Effect of time restricted eating on body weight and fasting glucose in participants with obesity: results of a randomized, controlled, virtual clinical trial nature.com
- Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial thelancet.com
- Durability of a primary care-led weight-management intervention for remission of type 2 diabetes: 2-year results of the DiRECT open-label, cluster-randomised trial thelancet.com
Presenter
Ryan Paul
Endocrinologist
Ryan is a Diabetologist at the Waikato District Health Board and a Senior Lecturer at the University of Waikato. Particular research interests include the use of emerging technologies in type 1 diabetes, the management of diabetes in youth and young adults, reducing inequities in diabetes care in Māori and rural populations, and improving models of diabetes care. Ryan has just stepped down as the President of the New Zealand Society of Endocrinology (NZSE) and is an Executive Member of the New Zealand Society for the Study of Diabetes (NZSSD). Ryan is a Clinical Associate of the Maurice Wilkins Centre and was awarded the New Zealand Clinical Educator of the Year by the New Zealand Medical Council in 2019.
This episode is supported by an educational grant from Lilly.