Hormonal
In individuals with type 2 diabetes and existing complications, a 5-day prolonged fasting-mimicking diet followed by a glucose load significantly reduces cellular resistance to dicarbonyl stress and increases oxidative stress markers, indicating heightened susceptibility to metabolic harm upon refeeding.
If you have Type 2 Diabetes with known complications (like kidney or nerve issues), extreme fasting followed by a large carbohydrate load may stress your cells more than it helps them. While fasting can improve insulin sensitivity in some, it appears to reduce your cells' ability to handle stress in this specific subgroup. Consult your doctor before attempting prolonged fasting, as your body may react with increased oxidative stress rather than metabolic improvement.
We found that cellular resistance against dicarbonyl stress is reduced after glucose load following prolonged fasting in type 2 diabetes individuals with diabetes complications, while cellular dicarbonyl detoxification and oxidative stress response are inadequately increased.
Why this rating
Small sample size (n=10 per group), exploratory pilot study, but rigorous mechanistic measurements (EC50, qPCR, Western blot).
Source
Glucose Load Following Prolonged Fasting Increases Oxidative Stress– Linked Response in Individuals With Diabetic Complications
Ekaterina von Rauchhaupt et al. · Diabetes Care · 2024
DOI 10.2337/dc24-0209
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