How Can Diabetics Fast A Long Time Safely?

[@SugarMDs]

𝐕𝐢𝐬𝐢𝐭 𝐒𝐮𝐠𝐚𝐫𝐦𝐝𝐬.𝐜𝐨𝐦 𝐨𝐫 𝐄𝐭𝐬𝐲.𝐜𝐨𝐦/𝐬𝐡𝐨𝐩/𝐬𝐮𝐠𝐚𝐫𝐦𝐝𝐬 (𝐟𝐨𝐫 𝐧𝐨𝐧-𝐔𝐒𝐀 𝐜𝐮𝐬𝐭𝐨𝐦𝐞𝐫𝐬) 𝐟𝐨𝐫 𝐚𝐮𝐭𝐡𝐞𝐧𝐭𝐢𝐜 𝐒𝐮𝐠𝐚𝐫𝐌𝐃 𝐝𝐢𝐚𝐛𝐞𝐭𝐢𝐜 𝐬𝐮𝐩𝐩𝐥𝐞𝐦𝐞𝐧𝐭𝐬 𝐢𝐧𝐜𝐥𝐮𝐝𝐢𝐧𝐠 𝐚𝐝𝐯𝐚𝐧𝐜𝐞𝐝 𝐠𝐥𝐮𝐜𝐨𝐬𝐞 𝐬𝐮𝐩𝐩𝐨𝐫𝐭, 𝐧𝐞𝐮𝐫𝐨𝐩𝐚𝐭𝐡𝐲 𝐬𝐮𝐩𝐩𝐨𝐫𝐭, 𝐬𝐮𝐩𝐞𝐫 𝐛𝐞𝐫𝐛𝐞𝐫𝐢𝐧𝐞 𝐚𝐧𝐝 𝐦𝐨𝐫𝐞.

[@gmarounf7472]

I have Type 2 Diabetes and I did OMAD for 3 to 4 days with Keto and I suffered from severe metabolic acidosis which did not go away until I ate glucose again. I still don't know why...

[@surfboy344]

I am/was a type 2. Started intermittent fasting November 2020 (16-18 hours each day) while taking Metformin. I lost 25 lbs in a few months and my A1c dropped from 8.5 to 5.8. Blood pressure and cholesterol levels also dropped. I still fast every day (15 hours). My doctor took me off Metformin 5 months after my initial diagnosis of type 2. I try to stick to just meat and vegetables but I have a couple slices of bread each day. I walk 4 miles a day. I feel a lot better.

[@SugarMDs]

Good to hear that. Keep it going!

[@anomarnamloh7444]

I'm following in your footsteps. 20yr type 2 and all the other children of Metabolic Syndrome. Began Fasting, IF, in March 2021; previously did aerobics on an empty stomach March 2020; added 24+hrs Fasting once a week in June. Past three weeks I managed 42/43hrs. Issues are dropping like boulders. 👍 😁

[@djdownie3]

@@SugarMDs What about the requirmeent Meforman is taken with food?

[@alicedupreez1072]

I was diagnosed November 2019 a1c 16.4 metformin and other meds for life they said.... 1 month In doctor told me I would beat t2 if I carried on doing what I did from day 1. You tube was my reference. I listed my foods and sugar readings. Listened and learned from doctors and others like Dennis Pollock and applied to my life what they suggested.......this led to intermittent fasting and I do 16 to 8 4 days a week. A1c now under 6. No meds since 19 June 2020......thank you Dr for being a part if my healthy life

[@hameratahir]

As a Muslim with diabestes, I fast for 30 days every Ramazan. Take Metformin in the morning and then fast till sunset!

[@phishtacosfishingandstuff2677]

Intermittent fasting and keto have proven to be an absolute miracle for me. 7.0 to 5.3 VERY QUICKLY and I lost 27 pounds. More than 14 percent of my starting weight. And all in less than 3 months.

[@JoAnnCarpenter815]

I’ve been pre-diabetic since Jan 2020 at 5.8% to Dec 2021 at 5.6% & I fast 12-16 hours a few days a week. I’ve never been on medication but I’m aware of the risks.

[@mikekenney8362]

Have been intermittent Fasting(17 hrs 2 MAD) and low carb (30 g carbs/day) for 7 months. Results:-35lbs; a1c=5.1; 14day avg glucose=88; bp=126/83. With your guidance I have a H2O intake of 120 oz / day, am & pm doses of ACV and psyllium, and daily exercise. Thank you for your commitment to all of us who need you

[@5thave513]

type 1.. when I fast I take 1/3 (at least) of fast-acting insulin than I usually do. I’ve been able to use less and less slow acting insulin as well. It takes some getting used to but definitely worth it.. muscle tone is much better and so is my mood..

[@Glenford617]

5 years ago my A1C was 8.4. My doctor prescribed me of taking Metformin 1000 daily. After doing the intermittent and low-carb diet last year, my A1C is now 5.5. My doctor told me to stop taking Metformin because I can manage my diabetes to a normal level. I don't want to stop taking Metformin even though my doctor won't prescribe me because I learned a lot of good things about Metformin for longevity and other benefits.

[@kulata]

Request for it again. Metformin has anticancer and longevity benefits. Alternative is berberine with similar benefits in addition to it being a weak PCSK1 inhibitor. So it will also lower cholesterol

[@holmes12001]

I’m a type 2 diabetic and keto and fasting 2.0 hours a day has literally saved my life and kept me off unnecessary meds

[@SugarMDs]

Awesome!

[@rustik2006]

I’m type 2 And actually lowered my A1c from 8.3% to 4.7% and lost 50kg through IF and resistant training

[@djdownie3]

Did you measure ketones?

[@sundarr7497]

I have Type 2 Diabetes. I do intermittent fasting for 15 hours every day. I have my dinner around 6-30PM and have my breakfast the next day morning around 9-30 AM. I have lunch around 1 to 1-30 PM and dinner around 6-30 PM. I have my important diabetes medicine ( Forxiga and Januvia ) in the morning along with my breakfast. I have lunch around 1-30 PM and dinner by about 6-30 PM. Along with every meal, I also take Metformin tablet. With this routine, I find plenty of stability in my glucose readings . It also allows me to have 3 meals a day ( and I can indulge myself with caution with respect to carbohydrates)and looks like there is no problem with regard to my nutrition. The essence is that the main medicines are taken in the morning followed by three meals and then only the intermittent fasting kicks in I find this to be working well for me and have this as my long term plan to combat diabetes. ( long term meaning say for the next 10 years). I have found many of your videos interesting and useful. The funniest aspect is that when I spoke to my Doctor about intermittent fasting, he simply says " No need to fast You are fine " Obviously, I have to guide myself and still take proper inputs from my doctor. ( there are times, when he guides me correctly too)

[@sweetbasil250]

Thanks

[@cliffvictoria3863]

I'd like to add that as a long term type 1 diabetic (46 years now), your videos are right on point with what I have discovered myself through decades of being a diabetic. I hope new diabetics and even experienced diabetics subscribe to you to learn from your advice. Thank you for all you do for us!

[@ewoo1186]

18:6 fast for the past 3 months w consistent workouts . Lost 36 lbs. I cut red meat pork and carbs . Was taking metformin 2/3 times a day now my Dr has now put me on 500m once a day. A1c was 9 and is now in the 5s bp went down cholesterol down. I feel great

[@SugarMDs]

@ewoo1186 Thank you for sharing that 😊

[@carmenevans321]

I’m type 2. I changed from 3 meals plus snacks to 2 meals and no snacks. I do 18/6 every day, but once a week I do OMAD. I no longer eat any regular bread or pasta. I have not eaten rice for about a year. My A1C has improved, and I can now reduce my glipizide by half. I use long acting insulin. I measure my glucose level before bed and use use just enough insulin to get my morning glucose level to around 100. However, I am not losing a huge amount of weight. I’ve lost around 20 pounds. I feel a bit better overall. I am 66 years old with no other complications.

[@carmenevans321]

⁠I have a high BMI. I was morbidly obese, but just obese now. Since this original comment, I have lost an additional 15 pounds. 35 pounds in total. I have not been doing this as a diet, but have actually changed my attitude toward food. I don’t mind the slow pace as long as I continue to see progress.

[@carmenevans321]

@@coldFire2023I am not a doctor. I cannot advise.

[@SugarMDs]

Ask questions everybody! This is an important topic!

[@rebygrace9120]

I'm type 1 diabetic and I tried to fast taking half NPH dose omitting the regular one but , the hyperglycemia became more problematic became around 230 , just 4 hrs later I usually start to with FBS of 70_80 to avoid hyperglycemia... I stopped because of it. Doctor I want to know how to fast safely in type one DM especially when you're physically active , the gluconeogenesis tends to predominate, how can I balance that??

[@djdownie3]

Did you address risk of ketones getting too high? If so, what is too high when fasting if T2 and on drugs for diabeties.

[@dorar6123]

The advice for a type 2 not to fast at all never made any sense to me, I mean if you eat you have to take insulin, so reducing meal times or amounts of meals just naturally led to the idea that I could reduce insulin, the fact that I started having a few lows further encouraged me to reduce my dose. I was at the nurse practitioner a week or two ago and when I told her how much I was taking, I actually exaggerated because I knew she would probably flip out If I told her how little I was taking. I used to take 70 units and now I'm taking less than 10. After watching this video I may cut out the r insulin. I'm so happy to find a doctor who isn't forbidding me to fast. Usually it's 20 to 24 hours.

[@Olga-jm5xf]

@dorar6123 Inspiring!! Thank you for sharing! Now, how much insulin do you take on the days when you are not fasting and what diet do you follow? Totally understand about medical staff being fixed on their standardized beliefs which are not helpful.

[@cliffvictoria3863]

Type 1 diabetic for 46 years. I was on intermittent fasting and Keto and lost 45 lbs. (6' 180 lbs. now). I am off Keto but still keep IF in my diet. I normally don't eat before the afternoon and have a 2nd meal at dinner time. Usually that is it for a day. I may cheat if something looks good to me or if I'm hungry but the IF lifestyle seems to help me maintain the new weight AND good blood glucose levels. I supplement vitamins now because I needed them during Keto and never stopped. Probably can't hurt other than producing expensive urine.

[@heritageofhastur]

I'm T2 on several medications and this video was very helpful in looking at what and when to take for IF. I'm on a CGM to track my glucose numbers - with alerts for when I go low or high. My main concern was with my combo insulin and low blood sugar events. You've given me some really good information to discuss with my doctor as I move forward to starting a 16:8 IF plan. Thank you.

[@lemogangsetlhabi2320]

Thanks doctor. I have been avoiding fasting since I was diagnosed diabetic.

[@SugarMDs]

You don’t have to. Just listen to this video carefully and you will find your guidance.

[@philliphoward9214]

Intermitting fasting and fasting help me get rid of my diabetes or reverse no more medication thanks for all the information that’s real helpful You can reverse it to 2 diabetic With dieting and fasting

[@alexanderfowler1872]

Back in July 2021 when I started IF and keto I just stopped talking Glipizide (was on 20 mg/day) . For several years before on Glipizide I was high 200 sugar to low 40 sugar daily with a mid 6 A1C readings which my PCP said was well controlled. Since July and IF/keto my highest is 145 and lowest 80 with ZERO Glipizide and have lost 75#!!!

[@raynewaters27]

Good morning! when you stopped taking the glipizide, did your body go through a withdrawal period from the drug?

[@scottblackwell1215]

This video is a big help. Thank you!

[@acemcloud9733]

Type 2 Diabetic for one year, My fasted BG was always perfect and never considered lows. After fasting, eating low carb, exercising and taking insulin/metformin I dropped 23kg and my A1c plummeted. Unfortunately I've started having terrible problems with my heart and after 4 months of getting nowhere at my local hospital I worked out myself that I was going hypoglycemic threw the nights( I didn't even know what that meant until recently). My diabetic knowledge was lacking and I feel I have done permanent damage to my heart, thank you for these videos doc and be carful with fasting and low blood sugar people.

[@nushar]

Did you investigate and can you quantify your statement: how low was your sugar going in the night?

[@acemcloud9733]

@@nushar I'm not sure about exact numbers but I assume mid 4s, I have stopped taking insulin and just have metformin twice a day with meals. Heart is slowly getting better but i'm testing every few hours to make sure i'm not going hypo

[@melanysmith3023]

My grandmother was unconscious when her blood sugar was 42

[@CCmagee3]

Just bought your blood pressure supplement for a second time. Didn't expect it to work but seems like it works great.

[@SugarMDs]

Thank you for the positive feedback. Appreciate it!

[@jennyshanespitler4033]

Thanks Dr. Ergin.. I do fasting everyday 16 hours everyday in the morning I don’t eat breakfast because my blood sugar is skyrocketing in the morning.

[@MrRoyck10]

I am not on any meds but sometimes my blood sugar drops low 4 mmo/l (UK) by using intermittent fasting and low carb diets, the weight loss has been a success, my post meal blood sugar is 4.9 to a rarely 8 mmo/l. I need to watch out for hypo. Thanks

[@salahglobal3026]

Thank you Doctor for the great advice. What is your advice for diabetic 2 Ramadan fasting for almost 14 hours with no food and water?

[@Healing_Decibels]

I think lactation should not be a complete contraindication to IF. Especially after 6 months postpartum when solids are gradually introduced. Some women may breastfeed on and off for many years in a row. They should be able to reap the benefits of IF as well.

[@maryfehr7237]

I have had success with this type of diet but I cant fast like I did when I was younger....so I have used a meal replacement drink/powder early in the morning and at noon with raw veggies. Then I have a sandwich and soup for supper with yogurt bran buds and pom juice at night. Plus I drink lots of water in the morning at noon and around 7 PM at night. In the winter I have soup broth. The meal replacement drinks have lots of vitamins and minerals so I feel great. I dont get food cravings at 10 am and 230 PM. Started about 3 or 4 months ago and I have lost 20 lbs. I havnt been this light in 25 yrs...so happy. My blood sugar is slowly getting lower. Christmas was kind of tough.

[@SugarMDs]

Thank you for sharing!

[@jakesyaseen8494]

Learn from the expert. The expert learns from the patient with reciprocating effect

[@raghuvirn9952]

I have been on intermittent fasting 16 by 8 since last 4 months. I am taking Tribet 2 tablet 1_0,_1. Although weight is reduced from 80 to 70 kg. , Hb1ac is still 9.

[@dyanetskyt.v3710]

When I did an Intermittent fasting my glucose become 55 mg /dl only. I eat immediately a carbs and drink soda . After that I tried to split my meds metformin and glyperide for a week

[@annabanana86469]

Dear Doctor, Could you please do a video on metformin and kidney damage?

[@SugarMDs]

We did: kzbin.info/www/bejne/pHiVhqiag9SpgpI

[@ljc4810]

Your the best Sugar Daddy!

[@tigistdisasa9489]

Dr i love your presentation and you are my advisor my good bless you

[@loishabersham9492]

I had a physcian tell me that an A1C at 7.4 for a 72 year old is okay but not optimal. Of course he would prefer under 6 but for that age it's okay. Is he correct?

[@ronaldburleson3514]

2ND to none and a true PATRIOT 👍

[@SugarMDs]

Thank you Ronald.

[@cynthiashesobless7155]

Wow ! You’re amazing . Thanks again 🥰

[@joeben62]

Great video. I've always be very apprehensive about fasting as am an immunosuppressive due to my transplant. Now I know and understand the dangers of fasting.

[@SugarMDs]

Thank you for watching our videos. Hope that you are learning as you watch.

[@joeben62]

I've learnt a lot about my diabetes. Thanks very much. I waa always scared but after watching your videos I've come to understand how to manage it.

[@SugarMDs]

For DiaVitamin visit sugarmds.com

[@petuiniapig]

My Primary Dr said for me no fasting since I'm Diabetic.I was wanting to do this so I asked. Really disappointed

[@yumicrisostomo3094]

Thank you Doctor.

[@tomd720]

Thank you. I was wondering about taking insulin and fasting.

[@johanna6050]

Because you are taking medication, you should check with your doctor before beginning IF.

[@nalinisingh2684]

Thank you for sharing interesting

[@AlexAlex-gj4jd]

Wow Dr.! I think I asked you to do a video on fasting yesterday and here it is today!! Thank you! Next question about intermittent fasting...Which timed fasting might be best for Diabetics? I am on 2k Metformin and fluctuate my Lantus shots in the evening between 12-20 depending on what I have eaten and how much exercise I have had that day. I am getting meter readings of between 90 and 115 usually. No other medical problems and I am 58. Thanks again! I guess 24 hour fasting worries me compared to a 12 or 16 hour fasting!!

[@anomarnamloh7444]

Start with the 12-16hr fasting and keep increasing the Fasting window until you get to 24hrs. You will be surprised how easy it becomes. Currently I do 16:8, 6 days a week and do 24+hr once a week. I'm currently pushing to get to 48hrs, 5days eating, 2 days Fasting. I just finished doing 42hrs. I'm on 750er MG Metformin. I also do moderate intensity exercises daily even while Fasting

[@Steve-qn1lj]

Hello, when will the Advanced Glucose Support supplement be back in stock?

[@rockabilly3333]

hey I take insulin I'm from Canada 🇨🇦, I fast all the time.sometimes forb2 days,I drink tea and water..take less insulin, keep a good eye on my glucose level.but I started off slow, I started with half a day an worked my way up. I'm 48 years old male,had diabetes for 40 years.

[@SugarMDs]

Thanks for sharing!

[@annabanana86469]

Also, are pre-diabetic people supposed to take metformin or any other medicine for diabetes?

[@SugarMDs]

At prediabetes stage I don’t recommend meds. Supplements are ok.

[@nushar]

Dr. Ergin, What are all the nutritional supplements a T2 should take? In fact, why don't you come up with with ONE tablet that contains everything even if it costs more.

[@someoneelseentirely3452]

I am type 2 and take 2000 metformin daily. When I fast my sugar reading goes UP. Why does this happen? Thank you.

[@28GG]

Same here :( and I eat low carb

[@Mr7141983]

from the liver.

[@takcmanels]

DOC CAN I TAKE ALPHA LIPOIC ACID AND BENFOTIAMINE AT THE SAME DAY AND ALSO B COMPLEX? IM 69 YEARS OLD STILL ACTIVE IN EXERCISES... THANKS...

[@maribelrodriguez2121]

Can you do a video on reading nutritional labels and what a diabetic plate should look like(visual)? thank you in advance..

[@bobbiewalker4403]

Hey Dr. Erwin. Hello from Fort Myers. I was looking at your merchandise and noticed there is a mistake in the spelling of “medicine”. But also the site has it misspelled in the description. Was this intentional? Or Will there be new merch coming? I am very interested in lurching 5 different items. I am also waiting for book to come back in stock. ❤️

[@reginamarshall3027]

Thank you for the advice.

[@SugarMDs]

Of course. Thank you for watching

[@قناةسوميةمتنوعة]

تبارك الله عليك روعة بتوفيق

[@victorbaez3688]

HI DOC I AM TYPE 2 AND LOOKING FORWARD TO FAST I USE OZEMPIC AND XIG DUO 5/1000

[@ismatnaquib600]

Please tell us how to fast during Ramadan with diabetes.

[@garrykernohan2290]

Id doing 72 hour fast would you still take metformin, gliclizide, sitaglioton??

[@rebygrace9120]

Hi Doctor...I'm type 1 diabetic and I tried to fast taking half NPH dose omitting the regular one but , the hyperglycemia became more problematic became around 230 , just 4 hrs later I usually start to with FBS of 70_80 to avoid hyperglycemia... I stopped because of it. Doctor I want to know how to fast safely in type one DM especially when you're physically active , the gluconeogenesis tends to predominate, how can I balance that??

[@bwhite3872]

The bottom line is there is no such thing as intermittent fasting for the diabetic person. To fast you need to get off your meds and your insulin before you fast. A fast is a period of 25 1/2 hours or more. The first few times I fasted I had my blood work checked both during and at the end of a fast. My electrolytes, glucose, kidney function, lipids, etc. Once it was determined I could fast safely for up to 4 days then it is up to me whether I fast or not and for how long. I usually go by the rule if I am not hungry - keep going unless my blood sugar starts to get too low and I start feeling like I am hypoglycemic (even though I am not). Your body has a set point that must be reset slowly - that is why diets don't work. I have never fasted for greater than about 4 days. Lots of benefits to fasting, but you must be careful about both eating properly before a fast and you must be really careful about what you eat after a fast too. The benefits come from eating properly and NOT jacking your blood sugar sky high after you fast. Intermittent fasting works for "healthy" people, but everyone else you need to actually fast. Yes you can fast week after week for varying amounts of time, but also give yourself a break from fasting too. Your body will adapt to fasting and you won't get the same benefit. You must make sure your diet is high in iodised salt and potassium rich foods both before and after your fast. For every day you fast you need half a day of careful refeeding after so your body properly refuels. You also need to drink a proper amount of water while you fast and after fasting.

[@allenpana3774]

Type 2. I take trulicity and Medformin I am fasting from the dinner the night before 14 to 16 , rare 18 hours, I do drink coffee ( 3cups) and some water. The lowest reading I had on the 18 hour was 75. My AIC last blood test a month ago was 6,5’. In the back of my mind I worry for my sugar going too low, should I worry or you recommend something better.

[@juztmagic308]

thank u doc.👍👍🤞🤞

[@mesbahulhoda9539]

I was told in 2018 that I was pre-diabetic. I got introduced to intermittent fasting and low carb diets. Tried them all since then but no change in my A1C. Very disappointing.

[@SugarMDs]

You may need coaching and/or our supplements. Look further at sugarmds.com

[@Dailyvlogswithayesha5302]

My sugar is very high i am sugar from last 11 years...my fasting sugar is 200

[@mariviccruz5418]

I am prediabetic. What food supplement would you recommend?

[@Chris-vt6nl]

I'm a pre diabetic I heard that diabetics fasting for more than 24 hours could be very dangerous because of hypoglycemia and diabetic ketoacidosis could you explain more on it plz

[@djdownie3]

yes more info on the latter please

[@julieprior3126]

Just a thought.... It would be helpful if you could define 'intermittent fasting' in relation to your advice. I have seen several, very specific, but different definitions of this term. Thank you.

[@Rickenbacker954]

He speaks to people that have been following him. Watch back a few months/years. I’ve lost 30 lbs and my bp meds are cut 50%. I started in November 2019. I’m down 30 lbs and more energy than ever. I fast 20/4. One meal a day. It has changed my life.

[@saritam35]

Can a person with diabetes do intermediate fasting

[@amhenriorjoyamhenrior8767]

Hl!, pls can someone with pcos with sugar level of 5.9 take metformin?

[@cherryravelo7730]

Dear Doctor, what is your advice during Ramadan fasting? I am on Metformin 500mg, three 3x a day. I want to fast during the Ramadan. My problem is my dose after lunch . But since I want to fast then can I skip this dose then and just take the meds with dawn meals and the iftar meals? I need your advice. I’m T2 my latest A1C is 7.4 .Thank you so much,

[@dorar6123]

I'm not a doctor but I do take metformin, I was just always told to take it when I'm eating. So if there's no midday meal then I don't see why not to just take it with the evening meal.

[@Chicago48]

Dr. I have an endo and I told her that I'm trying IF, and she never blinked an eye. I wonder if I should get a referral to a nurse practitioner or educator who can coach me through IF. I don't think I'm disciplined to do it right and probably need help. How should I go about asking her for a referral?

[@krish6217]

Hi dr..m recently diagnosed with LADA and became insulin dependant..now and then my fasting levels comes around 65-75..Is dat ok if I have it for few mts..coz as i use libre, i immly improve the levels a bit by taking yoghurt..

[@SugarMDs]

Libre may not be correct at lower blood sugar levels. Do finger stick to see the difference.

[@krish6217]

@@SugarMDs yeah dats true..there s a gap of abt 15-20 points..still once n a while (once in a fortnight) I touch 60's in glucometer for few mts..should I have to really worry on that or not to stress over it..

[@Ryccee]

Then I should pray more when I try intermittent fasting

[@Dailyvlogswithayesha5302]

Plz reply

[@joserromero8327]

Can ACV help with type 2

[@SugarMDs]

Watch this video: kzbin.info/www/bejne/aaLaf59_h9hoZ9k

[@kenankilic1432]

👍👍

[@terryaguirre8271]

1 st!!!

[@SugarMDs]

Good job!

[@joserromero8327]

@@SugarMDs ACV GOOD FOR TYPE 2?