Macro partitioning
Intermittent Fasting or Time-Restricted Eating (TRE) combined with a Low-Carbohydrate diet can improve glycemic control and reduce insulin requirements in T2DM patients, though it carries a risk of hypoglycemia if medications are not adjusted.
If you are interested in Time-Restricted Eating (eating within an 8-10 hour window), do it alongside a low-carb diet. However, because fasting lowers blood sugar, you MUST work with your doctor to reduce or stop your diabetes medications (especially insulin) to avoid dangerous lows. Use a glucose monitor to track your levels.
TRE can be supplemented with an LC plan that incorporates 'eating windows.'... The mechanism of action is likely multifactorial, targeting hyperinsulinemia and insulin resistance as well as producing a caloric deficit to enable weight loss.
Why this rating
Cites a study showing improved control, but notes VA/DoD guidelines recommend against it due to hypoglycemia risk; long-term data is lacking.
Source
Low-Carbohydrate and Ketogenic Dietary Patterns for Type 2 Diabetes Management
Robert Oh · Federal Practitioner · 2024
DOI 10.12788/fp.0429
More from this paper
- Adopting a low-carbohydrate (LC) or very low-carbohydrate ketogenic (VLCK) diet (defined as <50g, 50-100g, or 101-150g carbohydrates per day) improves glycemic control and facilitates the deprescribing of antihyperglycemic medications in patients with Type 2 Diabetes Mellitus (T2DM).Good
- Type 2 Diabetes Mellitus can be put into remission (defined as HbA1c < 6.5% for ≥ 3 months without T2DM medications) through the use of therapeutic carbohydrate reduction and subsequent medication deprescription.Good
Related findings · Macro partitioning
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- Resistance exercise training combined with sufficient dietary protein intake acts synergistically to maximize skeletal muscle hypertrophy, with protein intake saturating around 1.6 g/kg/day for general populations and potentially requiring 2.0-2.2 g/kg/day for resistance-trained individuals.Strong
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