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Type 2 - switching to fasting safely?

I’m type 2. I’d like to give fasting (not intermittent fasting) a try. From reading articles and posts, i think my biggest concern would be blood sugar dropping too low. I’m not on insulin, but i am on 3 different diabetic medication. Metforming 2x 1000, Glimipiride 2x 4mg, Pioglitazone 1x 30mg.

I did the 100 day keto chow thing, lost a bunch of weight and my health and A1C improved dramatically (lost around 25lbs, so just shy of 8% of my bodyweight at the time. My A1C dropped to 6.3% from 8.5% in 3+ month. With the keto chow i maintained a 2000 to 2200 calorie daily intake (added cheese, pickles, walnuts for snacks and to get my calories right). I’m not here advocating for doing only keto chow or any other low carb shake, but the 100 gave me a boost in morale and got my journey started. Going forward, when doing IF, i can see myself doing one shake a day for ease of use.

My ultimate goal in regards to fasting is to complete a 21 day fast without breaking it.

My thinking to get there safely.

  1. do 10/14 for about a week (this is mainly so i can finish eating the food i already have i.e. eggs, breakfast sausage, i just hate wasting food every time i start a new lifestyle/diet/fast) - this will still be low carb or carb conscious. - i know this eating does drop my blood sugar, maintains it fairly well
  2. switch to 8/16 for two weeks or more, mostly likely 11am-7pm. Keeping an eye on my morning sugar levels, see how high they get (i have somewhat of a dawn phenomenon problem). Also, during this time i will be making sure i don’t have any issues with low blood sugar. - if my dawn blood sugar levels stay acceptable, and i don’t have issues with low blood sugar, i’ll move onto pure fasting
  3. i think for my initial true fasting period, i’ll aim for 3-5 days (longest i have gone before was 24 hours). During this time i will keep a close eye on my dawn blood sugar and making sure i don’t get low blood sugar (i might have something with sugar close by just in case, like an orange or banana). I think 3-5 days, maybe 7 days should give me a good idea if i have problems with low blood sugar or dawn spikes. - if this works out ok, i’ll go back to IF 8/16 for one week, and then do my first attempt at either 14 days or 21 days of fasting.

My next bloodwork & doctor checkup is in November. Depending on how it works out, i might ask if we can reduce or eliminate some of the medicine. During this entire time i will continue to drink at a minimum of 1 gallon of water (already do that semi consistently). I’ll incorporate more walking with the occasional short jog to get my heart rate up a bit while walking. Depending how i feel, i might try to incorporate some at home body weight exercises (push ups, squads, some light kettle bell exercises).

So, i’m open for suggestions, hints, tips. I think one of the things i will miss the most during the fast will be the bulletproof coffee, i just love the taste (coffee, grass fed butter, MCT oil, 1 Stevia). Even before bulletproof, i added and still do coconut oil to my coffee (to help increase my HDL). During the fast i plan on water, black coffee, salt (table or special fasting packets), tea (black, green, macha) and lemon water.

Anyone have recommendations on fasting salt, or just stick with regular salt? I will still take my Throne multi-vitamins.

WHY? I’m trying lose weight and fix my insulin resistance/sensitivity. In a couple years i plan on doing some extensive traveling, and i want to be in good enough health to enjoy it and also to enjoy a few meals without constant worrying about my sugar levels. I don’t believe type 2 can be truly cured, but i think it can be well enough controlled even the occasional carb meal. I think for some/most it can be controlled to a point where planning meals around it is no longer and all day, every day thing.

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Answer

I went from a week intermittent to then a week OMAD, and then fasted.

I think you’re over complicating it. Monitor your blood sugars, and if you need to break the fast, break the fast. It’s not failure, there’s no penalty, there’s nothing wrong with it.

And honestly, I was on Jardiance, and I did get low, but I just broke my fast and went right back to it. It’s not a big deal.

If you’re fasting because of diabetes, your primary goal is to unload all the stored glucose from your organs. Breaking the fast briefly for safety is no big.

Please read Dr. Jason Fung’s book. It will help you understand why it’s not a big deal to break fast briefly here and there, and then get back on the pony.

My doctor was very enthusiastic about my fasting, so he was willing to help me test my numbers.

The number one thing, above all else, is monitor your BG and the second is to take care of yourself gently.

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