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- Title
Intermittent fasting in the management of diabetes: a review of glycemic control and safety.
- Authors
Santos, Heitor O
- Abstract
Intermittent fasting (IF) regimens have emerged as a dietary tool to improve the glycemic profile, but a critical appraisal of clinical studies assessing the effects of IF regimens in patients with diabetes is needed. Thus, this review encompasses clinical studies examining the impact of different IF regimens on markers of glycemic control in patients with diabetes. Furthermore, clinical nuances relative to pharmacological treatment are also addressed, mainly insulin therapy, to discuss the risk of hypoglycemic events. Only a handful of clinical studies have investigated the effects of IF on patients with diabetes. Overall, IF regimens may elicit modest benefits on glycemic parameters in patients with diabetes, but their effects are not necessarily greater than those of control diets. Last, although IF regimens may be considered safe for patients receiving insulin therapy within interventional and observational research, markers of glycemic control must be constantly monitored in clinical practice to reduce the risk of hypoglycemia and its related complications.
- Subjects
BRAZIL; OBESITY complications; DIABETES prevention; INSULIN therapy; DIET therapy for diabetes; RISK assessment; PREDIABETIC state; TYPE 1 diabetes; PATIENT safety; GLYCOSYLATED hemoglobin; BEHAVIOR modification; EXERCISE; GLYCEMIC control; TREATMENT effectiveness; INTERMITTENT fasting; MEDLINE; TYPE 2 diabetes; HEALTH behavior; SLEEP; ONLINE information services; DIABETES; BIOMARKERS; HYPOGLYCEMIA; NUTRITION; DISEASE risk factors; DISEASE complications
- Publication
Nutrition Reviews, 2024, Vol 82, Issue 10, p1437
- ISSN
0029-6643
- Publication type
Article
- DOI
10.1093/nutrit/nuad132