1

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Any Diabetics doing Intermittent Fasting?

Answered on August 19, 2014
Created October 22, 2010 at 6:08 PM

I want to do it, but here is the problem. I take meds twice a day (Metformin/Glyburide). If I don't have some food with the meds, I get really bad diarhea. It only takes a spoonful or two of cottage cheese to prevent. So, kinda hard to IF when requiring some food early morning/late evening.

So I'm curious if other T2's on similar meds are able to IF - how did you do it?

Update - one month later:

Okay, so I am getting off the Glyburide. I am only taking half a pill once every other day or so - only when I get over 130/140. That's about 1/16 of the original prescription. I do hope to be totally off it asap.

I am skipping breakfast and/or lunch most days (occaisionally dinner). Here's what's typical M-F:

  • Morning - 2 cups coffee w/ HWC & Splenda, 2T full fat cottage cheese
  • Lunch - walk to Harris Teeters (30 min total) and eat some free cheese samples. Sometimes have some cooked veggies from cafeteria (and add butter)
  • Dinner - whatever my wife makes minus the rice/bread/potato

Sometimes breakfast or lunch is more substantial - cheese omelette with bacon or some such. I pretty much always eat if I really want to. Sometimes I have aa snack of dark chocolate and almonds.

Glucose is averaging 100-110 - as good or better than before. And it seems to be trending down. I've lost 9 pounds since the first post! Thanks for all your concern and help - I feel like I am finally cracking the code to this thing.

5f3e1f803d7a9b8704bb11cda26bcf9a

(658)

on August 08, 2012
at 04:50 PM

I'd like to modify my comment above to state that Dr. Bernsten isn't paleo and lists many artificial sweeteners and soy products as substitutes for things that would raise blood sugar. I ignore that portion of his protocol and just use the carbohydrate guidelines and his blood glucose levels as guides. This has worked out very well for me and I have dropped my average post meal BG readings by 25 so far by being strict paleo and following a very low carb version. (<25 g/day) so my post meals are <110. I feel great and have lost 15 lbs in the last 3 weeks (mostly water, I think, but yay!)

5f3e1f803d7a9b8704bb11cda26bcf9a

(658)

on August 03, 2012
at 11:49 PM

I recommend reading Dr. Bernsten's Diabetes Solution. I was so surprised at the list of foods that raise blood sugar. All of the cheese you are eating, including cottage cheese will raise BG. Many artificial sweeteners also raise it. He has a very good BG management protocol. Also, Aspartame is poison, plain and simple. It is a neurotoxin. Spelnda contains 95% dextrose (a sugar) and can raise BG--THEY ARE NOT REAL FOOD and so, are NOT PALEO. Good luck on your quest. I also want to know if IF will help me lose weight but will wait until I get my BG fully under control. It is possible!

D31a2a2d43191b15ca4a1c7ec7d03038

(4134)

on January 09, 2011
at 11:29 AM

Saccharin has been around since the 1880s and the efforts of scientists, at that time, to stop its sale and use were greatly ignored. I remember hearing in the 1950s and 60s that folks would say it disturbed their digestion, and, of course, they were right. Here is the Wikipedia entry on saccharin: http://en.wikipedia.org/wiki/Saccharin Also, Dr. Russell Blaylock's writing on excitotoxins are an excellent primer on what artificial sweeteners do, and how very damaging they are.

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:57 PM

Also a good discussion here: http://paleohacks.com/questions/4981/diet-soda-really-that-bad-for-you#axzz167ZkueB7

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:56 PM

(that was two comments because I went on too long)

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:56 PM

Artificial sweeteners have only been around for 30 or 40 years. Also aesthetic grounds - Diet Coke is not food. It's like drinking plastic. I would take a shot at giving it up completely. And coffee tastes fine without sweeteners.

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:56 PM

Sure, and sorry for not doing so right away. I think this is a pretty good run-down of the problems with diet soda and artificial sweeteners: http://www.paleonu.com/panu-weblog/2009/6/17/what-about-diet-soda.html Summary: they condition you to crave sweets, they may have a greater-than-believed effect on insulin, and the precautionary principle dictates that we should consume less of things that we don't understand. I try not to eat grains because they have only been around for 10,000 years.

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 23, 2010
at 09:23 AM

I also drink diet soda. Which is worse - aspartame or sucralose? And really, if you are going to make recommendations like this, which I've heard before and even researched - provide some evidence like a link to something useful. Once again, I've read a good bit on AS - and I'm not that concerned. For me, paleo has been one thing at a time - and I may give them up at some point - but that would coincide with giving up caffeine.

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 03, 2010
at 04:56 PM

Well, I need to lose around 50 pounds. Thought that IF could help.

149af6e19a06675614dfbb6838a7d7c0

(3202)

on October 26, 2010
at 09:47 PM

One more note on Glyburide. Not only does it stimulate your betas to overproduce insulin, it stimulates your heart as well. Incidence of heart attack increase as the heart is stimulated. http://www.phlaunt.com/diabetes/25311847.php Give those betas a rest by getting of Glyburide and going very low carb and they can regenerate.

A968087cc1dd66d480749c02e4619ef4

(20436)

on October 25, 2010
at 02:12 PM

Got it. And thanks. I am down to about 1/4 of the glyburide currently. I will attempt to get off it asap.

62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on October 23, 2010
at 03:12 AM

THere are few things more pleasant than a dead diabetes.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on October 22, 2010
at 08:21 PM

Double huzzah for dropping the drugs!

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on October 22, 2010
at 08:21 PM

Huzzah for dead diabetes.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on October 22, 2010
at 08:20 PM

You can then fully IF without calorie restriction after your diabetes dies off :)

  • A968087cc1dd66d480749c02e4619ef4

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7 Answers

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2
149af6e19a06675614dfbb6838a7d7c0

on October 22, 2010
at 09:34 PM

First, get off the Glyburide. It is a drug that kicks your already overworked pancreas to produce more insulin. It will, according to both Dr. Ron Rosedale and Dr. Richard Benstein, eventually burn out your betas and kill them. Metformin ok, till you get your BS normal by very low carb then you can get off that too.

Dave, You didnt get to be Type 2 because you eat too little and too infrequently, Get it? IF will be good for you as soon as you drop the Glyburide. It can hypo you as sure as insulin can....so get off of it. Check your BS in the morning and before you eat, if you are over 120...don't eat, you re only gong to go up from there. If you start to drop, use glucose (4 grm tabs to bring you back up). Ths should not be a problem as soon as you are off Glyburde. Read Bernsten, Rosedale and my blog and this blog and join the Tribe and get off the blood sugar rollercoaster. Don't believe your doctor or me or any expert...believe your meter. GET OFF THE GLYBURIDE. Normalize your BS. High fat, moderate protein, low carb.

A968087cc1dd66d480749c02e4619ef4

(20436)

on October 25, 2010
at 02:12 PM

Got it. And thanks. I am down to about 1/4 of the glyburide currently. I will attempt to get off it asap.

149af6e19a06675614dfbb6838a7d7c0

(3202)

on October 26, 2010
at 09:47 PM

One more note on Glyburide. Not only does it stimulate your betas to overproduce insulin, it stimulates your heart as well. Incidence of heart attack increase as the heart is stimulated. http://www.phlaunt.com/diabetes/25311847.php Give those betas a rest by getting of Glyburide and going very low carb and they can regenerate.

4
Ce0b5fd94b1034e96cf710b6f138c29d

on October 22, 2010
at 06:28 PM

I've been doing a fair bit of IF recently. It works, too; I've lost a few pounds. Mind you, I went off the Metformin several months ago after Paleo basically killed my diabetes.

62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on October 23, 2010
at 03:12 AM

THere are few things more pleasant than a dead diabetes.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on October 22, 2010
at 08:21 PM

Huzzah for dead diabetes.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on October 22, 2010
at 08:21 PM

Double huzzah for dropping the drugs!

2
587538a2db229b2ec884ea04cc3dc75e

(462)

on November 22, 2010
at 09:02 PM

Dump the Splenda!

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 23, 2010
at 09:23 AM

I also drink diet soda. Which is worse - aspartame or sucralose? And really, if you are going to make recommendations like this, which I've heard before and even researched - provide some evidence like a link to something useful. Once again, I've read a good bit on AS - and I'm not that concerned. For me, paleo has been one thing at a time - and I may give them up at some point - but that would coincide with giving up caffeine.

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:56 PM

(that was two comments because I went on too long)

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:56 PM

Sure, and sorry for not doing so right away. I think this is a pretty good run-down of the problems with diet soda and artificial sweeteners: http://www.paleonu.com/panu-weblog/2009/6/17/what-about-diet-soda.html Summary: they condition you to crave sweets, they may have a greater-than-believed effect on insulin, and the precautionary principle dictates that we should consume less of things that we don't understand. I try not to eat grains because they have only been around for 10,000 years.

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:56 PM

Artificial sweeteners have only been around for 30 or 40 years. Also aesthetic grounds - Diet Coke is not food. It's like drinking plastic. I would take a shot at giving it up completely. And coffee tastes fine without sweeteners.

587538a2db229b2ec884ea04cc3dc75e

(462)

on November 23, 2010
at 03:57 PM

Also a good discussion here: http://paleohacks.com/questions/4981/diet-soda-really-that-bad-for-you#axzz167ZkueB7

D31a2a2d43191b15ca4a1c7ec7d03038

(4134)

on January 09, 2011
at 11:29 AM

Saccharin has been around since the 1880s and the efforts of scientists, at that time, to stop its sale and use were greatly ignored. I remember hearing in the 1950s and 60s that folks would say it disturbed their digestion, and, of course, they were right. Here is the Wikipedia entry on saccharin: http://en.wikipedia.org/wiki/Saccharin Also, Dr. Russell Blaylock's writing on excitotoxins are an excellent primer on what artificial sweeteners do, and how very damaging they are.

2
5da0583a0fa86cc08f5a49510b6468f4

on October 22, 2010
at 08:48 PM

Are you eating strict paleo? I'd be curious if paleo alone would end your t2 diabetes.

I'm a type 1 diabetic. Paleo has helped me tremendously managing my diabetes.. But I'm still dependent on a a little bit of insulin

2
2b8c327d1296a96ad64cdadc7dffa72d

on October 22, 2010
at 06:24 PM

A few questions - WHY do you want to IF, and at what interval?

You are already experiencing some of the more typical side effects of glyburide. I am concerned that you won't be eating often enough to take your meds to minimize the effects they already have on your body.

You MUST eat with the medications you are taking! These are not medications to take on an empty stomach. perhaps you might try IF in this manner, if you are determined to do it:

  • Finish dinner no later than 7 PM
  • East breakfast no later than 8 AM

My understanding is that the metformin/glyburide combo (if that's what you're taking) should not have an interval longer than 12 hours between dosages.

Better yet, work on your lifestyle (quantity/quality of food, sleep, hydration, stress, etc.) and maybe you can reduce or eliminate your need for the medications.

Contact me offline if you'd like to discuss further.

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 03, 2010
at 04:56 PM

Well, I need to lose around 50 pounds. Thought that IF could help.

1
62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on October 23, 2010
at 03:20 AM

YOu can still get benefits of fasting without taking a long fast. You could simply eat a bit less for breakfast and dinner and totally skip lunch. You don't HAVE to fast for a long time to have good results. If you are not yet in a position to fast longer periods safely, then by all means do not try it. It's just not that important compared to most other aspects of paleo.

Keep your carbs low and your glycemic load low. Eat healthy whole foods. If you need to lose weight, let that weight come off at a healthy rate. Get healthy amounts of exercise, but not too much. Challenge yourself but do not over strain yourself. Do that and you are doing the best thing possible. The whole time, monitor your glucose levels and see if you can start to gradually taper off some or all of the meds. If you improve your health in other ways, it's very important that you monitor your glucose so you will not be taking too much medication. Not everyone can totally kill diabetes using paleo, but most can make a good amount of improvement on it. HOpefully, you will at least be able to lessen meds and use safer meds than previously.

1
100fd85230060e754fc13394eee6d6f1

(18706)

on October 22, 2010
at 07:15 PM

Many of the benefits seen with IF also are gained with intermittent (drastic) calorie restriction. You could have 25% of the calories of a regular day and still see benefits.

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on October 22, 2010
at 08:20 PM

You can then fully IF without calorie restriction after your diabetes dies off :)

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