وقفے وقفے سے فاقہ، ٹائپ ٹو ذیابیطس میں افاقہ

[Night_Hawk]

وقفے وقفے سے فاقہ، ٹائپ ٹو ذیابیطس میں افاقہ
ویب ڈیسک پير 15 اکتوبر 2018

ہر 24 گھنٹے بعد کا فاقہ ٹائپ ٹو ذیابیطس کو ختم کرسکتا ہے۔ فوٹو: فائل

ٹورنٹو، کینیڈا: برطانوی ماہرین نے کہا ہے کہ ان کی نگرانی میں رہنے والے ٹائپ ٹو ذیابیطس کے ایسے تین مریضوں کو اپنی نگرانی میں رکھا جنہیں وقفے وقفے سے فاقے کروائے گئے اور اب تینوں افراد کو انسولین کی کوئی ضرورت نہیں رہی؟

اس کے لیے منصوبہ بندی کے تحت ماہرین نے ٹائپ ٹو ذیابیطس کے تین مریضوں کو وقفے وقفے سے فاقے کرائے اور اس سے حیرت انگیز نتائج برآمد ہوئے ہیں۔ اس عمل کو طب کی زبان میں ’انٹرمٹنٹ فاسٹنگ‘ کہا جاتا ہے۔ یہ عمل ٹورانٹو میں واقع اینٹینسو ڈائٹری مینجمنٹ کلینک میں انجام دیا گیا ہے۔

تینوں مریض شوگر کنٹرول رکھنے کے انسولین کے محتاج تھے جن کی عمریں 40 سے 67 برس تھیں جن میں کولیسٹرول اور بلڈ پریشر کے امراض ۔ تحقیقی عمل میں معمول کے دوائیں اور انسولین دی جاتی رہیں لیکن ان میں سے دو افراد کو ہر 24 گھنٹے بعد 24 گھنٹے کا فاقہ کرایا گیا ۔ تیسرے مریض کو ایک ہفتے میں تین روز تک فاقہ کرایا گیا ۔

تمام شرکا کو فاقے کے روز شام میں کم کیلوری کی چائے ، کافی، پانی یا یخنی دی گئی اور ہر ایک نے شام میں کم کیلیوریز کا کھانا بھی کھایا۔ اس سے قبل تمام مریضوں کو چھ گھنٹے تک غذائیت، ذیابیطس اور دیگر امور پر اہم لیکچراور تربیت دی گئی۔ پھر ان سے کہا گیا کہ وہ دس ماہ تک اس پروگرام پر سختی سے عمل کریں۔

اس دوران ان کا فاسٹنگ گلوکوز، دوسرا اوسط بلڈ گلوکوز، وزن اور کمر کی موٹائی کو مسلسل نوٹ کیا گیا۔ حیرت انگیز طور پر ایک ماہ کے بعد ہی تینوں مریضوں کو انسولین کی ضرورت نہیں پڑی اور ایک مریض نے تو صرف پانچ روز بعد ہی انسولین سے جان چھڑالی۔

دو مریضوں نے شوگر کی ساری دوائیں چھوڑدیں اور تیسرے مریض نے چار میں سے تین دوائیں ترک کردیں۔ سب نے اوسطاً 10 سے 18 فیصد وزن کم کیا۔ ان کی بلڈ شوگر ریڈنگ بہتر ہوتئی گئیں جسے کسی انقلاب سے تعبیر کیا جاسکتا ہے۔

اس زبردست کامیابی کے بعد بھی ماہرین کسی حتمی نتیجے سے انکاری ہے ۔ ایک تو سارے مریض مرد تھے اور ان کی تعداد بہت کم ہے لیکن سب کے باوجود فاقے کے حیرت انگیز نتائج ضرور برآمد ہوئے ہیں۔

تاہم ماہرین نے اعتراف ضرور کیا ہے کہ فاقوں کو نظرانداز کیا جاتا رہا ہے لیکن وہ شوگر کے مریضوں کے لیے بہت فائدہ مند ثابت ہوسکتے ہیں۔ یہ تحقیق برٹش میڈیکل جرنل میں شائع ہوئی ہے۔

https://www.express.pk/story/1378717/9812​

 

[پیر جی]

کیا آپ بتا سکتے ہیں کہ صرف کھانے سے وقفہ تھا یا پانی دودھ چاے وغیرہ کا بھی فاقہ تھا؟
وقفہ یا فاقہ چوبیس گھنٹے کا تھا یا کم؟

 

[Lord Botta]

کیا آپ بتا سکتے ہیں کہ صرف کھانے سے وقفہ تھا یا پانی دودھ چاے وغیرہ کا بھی فاقہ تھا؟
وقفہ یا فاقہ چوبیس گھنٹے کا تھا یا کم؟

You can take water , black tea (without milk and sugar) during intermittent fasting but no other food item as anything that contains calories shall spark insulin response and fasting state shall be over. Other than that , the minimum time of fasting is 16 hours which can be expanded to 24 hours later

 

[Night_Hawk]

What Is Intermittent Fasting And Is It Actually Good For You?
Sustainable weight loss. Protection from diabetes, heart disease and cancer. Improved brain health. Enhanced physical fitness and strength. It seems like every week, researchers turn up some new and profound benefit associated with intermittent fasting: eating schedules that incorporate regular periods of low or no food consumption.

By eating normally for several days a week and eating much less on the others, a person may be able to shift her body’s cellular and metabolic processes in ways that promote optimal health. And experts who study intermittent fasting say that while many blanks still need to be filled in, some of the positive health effects of intermittent fasting are no longer in doubt.

“There continues to be good evidence that intermittent fasting is producing weight-loss benefits, and we also have some evidence that these diets can reduce inflammation, they can reduce blood pressure and resting heart rate, and they seem to have beneficial effects on the cardiovascular system,” says Benjamin Horne, director of cardiovascular and genetic epidemiology at Utah’s non-profit Intermountain Healthcare system, who has published research on the effects of intermittent fasting. “[Intermittent fasting] is something that is moving into practice in the medical field, and it’s a reasonable approach for people who don’t like daily restriction of their calories.”




The bulk of the early research on fasting focused on weight loss. Studies comparing intermittent fasting (also known as intermittent energy restriction) to traditional calorie-cutting diets have found that people lose more weight on the fasting plans. They also seem to like the diet better; intermittent fasters tend to drop out of dietary studies at lower rates than calorie cutters.

“Intermittent fasting is a good option for weight loss for overweight and obese people,” says Michelle Harvie, a research dietitian with the Prevent Breast Cancer unit at the Manchester Breast Centre in the UK. Harvie has coauthored several studies on intermittent fasting, and her research has repeatedly shown that it outperforms traditional diets in terms of weight loss, reduced body fat and improved insulin resistance. She’s also found some evidence that intermittent fasting may beat traditional weight-loss plans when it comes to lowering a woman’s risk for breast cancer, and that, at least in rodents, fasting plans may disrupt or counteract the development of neurological diseases like Alzheimer’s and Parkinson’s.

Most of Harvie’s research has examined 5:2 fasting plans—or protocols that restrict calorie intake two days a week while allowing normal eating the other five. But she says there’s also promising research on diets that impose fasting every other day (usually referred to as alternate-day fasting plans), and also on time-restricted fasting, which are diets the restrict daily food consumption to a six- or eight-hour window.

“None of these have been studied head to head, but they all improve health,” says Mark Mattson, chief of the Laboratory of Neurosciences at the National Institute on Aging and a professor of neuroscience at the Johns Hopkins School of Medicine.

Mattson has published multiple studies and reviews on intermittent fasting. There’s evidence these diets bolster stress resistance and combat inflammation at a cellular level, he says. “People undergo a metabolic switch in which the liver’s energy stores are depleted, and so the body’s cells start using fat and ketones for energy,” he explains. This switch is a form of mild challenge to the human body that he compares to exercise; just as running or lifting weights stresses the body in beneficial ways, the stress imposed by fasting appears to induce some similarly beneficial adaptations. Whether you’re talking about physical activity or fasting, “these cycles of challenge, recovery, challenge, recovery seem to optimize both function and durability of most cell sites,” he says.

Fasting also makes sense from an evolutionary standpoint, he says. All-the-time access to food is a relatively new phenomenon in human history. Back when sustenance was harder to come by, “natural selection would have favored individuals whose brains and bodies functioned well in a food-deprived state,” he says.

Horne agrees. “You think back to long ago, when food gathering and production were not what we have today, and people would go extended periods of time without eating,” he says. “The people who survived to have children were individuals who were able to survive those periods, so just from that perspective, you would expect fasting would have an effect to improve health.”

But while experts are optimistic about intermittent fasting, they acknowledge there are still many unknowns. Almost all the human research to date has been in overweight or obese adults. “We don’t know of its benefits in normal weight people, as it has not been studied,” Harvie says.

It’s also not yet clear whether there are any potential long-term risks associated with intermittent fasting, or if older adults or kids would benefit from these eating plans. Another unknown is whether intermittent fasting could increase a person’s risk for anorexia. But almost everything we’ve learned about intermittent fasting thus far suggests it’s likely to be beneficial for most adults, Mattson adds.

How should you try it? Mattson says there are several methods, but the 5:2 plan has the most data backing it up. For two days a week (either consecutive or broken up), aim to consume just 500 daily calories of fat or protein—foods like eggs, fish and nuts. For example, one day’s meal plan could be two scrambled eggs for breakfast (180 calories), a quarter cup of almonds for a snack (200 calories), and a four-ounce cod fillet for dinner (100 calories). You can divvy up your calories however you like during the day. “But better to have no or very little carbohydrates,” he says. While you’ll want to eat healthy foods the other five days of the week, you don’t have to worry about counting calories or avoiding carbs.

“You can jump right into it,” he adds, “although it may be easier if you start off with just one day a week for a month or two.” He says you can expect to feel hungry and irritable for the first few weeks. You might also have headaches. “But by the end of the first month, we’ve found almost everyone has adapted and there are no symptoms,” he says.

It may eventually turn out that longer periods of true fasting—say, going 24 hours or even several days without any food at all—could be even more beneficial. “There’s some evidence that the longer you do a complete fast, the more benefit you get,” Horne says.

Research from Valter Longo, a professor of gerontology and director of the Longevity Institute at the University of Southern California, has found that fasting for four or five consecutive days a month may extend life and reduce disease risks. But again, more human data is needed—especially when it comes to fasting’s effects on older or sick adults.

“I suggest people talk to their physician first,” Horne says. He also warns that intermittent fasting is not a silver bullet. “There’s no amount of exercise or fasting that can overcome a bad diet or an unhealthy lifestyle,” he says.

The research on intermittent fasting is exciting. But the old rules of good health still apply.

 

[Xiggs]

کیا آپ بتا سکتے ہیں کہ صرف کھانے سے وقفہ تھا یا پانی دودھ چاے وغیرہ کا بھی فاقہ تھا؟
وقفہ یا فاقہ چوبیس گھنٹے کا تھا یا کم؟

Carbohydrates kam se kam khayen lekin khayen zaroor. Protein zyada khayen. Carbs ko 100 avoid kerne se body pe buhat bura asar parta hai, it wouldnt be able to function properly.

24 ghantay ka faqa aasan baat nahi hai. Sirf pani aur sugarless black tea pe body guzara nahi ker sakti 24 ghantay tak kuch na kuch carbs to lene parengay. Diabetes walay to wese bhi hypoglycemia ka shikar hojayengay agar woh 24 hrs tak kuch carbs na khayen to.

 

[Xiggs]

You can take water , black tea (without milk and sugar) during intermittent fasting but no other food item as anything that contains calories shall spark insulin response and fasting state shall be over. Other than that , the minimum time of fasting is 16 hours which can be expanded to 24 hours later

I agree but what about hypoglycemia? Most diabetes patients are also hypoglycemic and it's a state far worse than diabetes itself.

 

[Night_Hawk]

Nutrition
Intermittent Fasting 101 — The Ultimate Beginner's Guide


Intermittent fasting (IF) is currently one of the world's most popular health and fitness trends.

People are using it to lose weight, improve their health and simplify their lifestyles.

Many studies show that it can have powerful effects on your body and brain and may even help you live longer (1, 2, 3).

This is the ultimate beginner's guide to intermittent fasting.
What Is Intermittent Fasting (IF)?
Intermittent fasting (IF) is an eating pattern that cycles between periods of fasting and eating.

It doesn’t specify which foods you should eat but rather when you should eat them.

In this respect, it’s not a diet in the conventional sense but more accurately described as an eating pattern.

Common intermittent fasting methods involve daily 16-hour fasts or fasting for 24 hours, twice per week.

Fasting has been a practice throughout human evolution. Ancient hunter-gatherers didn't have supermarkets, refrigerators or food available year-round. Sometimes they couldn't find anything to eat.

As a result, humans evolved to be able to function without food for extended periods of time.

In fact, fasting from time to time is more natural than always eating 3–4 (or more) meals per day.

Fasting is also often done for religious or spiritual reasons, including in Islam, Christianity, Judaism and Buddhism.

Summary Intermittent fasting (IF) is an eating pattern that cycles between periods of fasting and eating. It’s currently very popular in the health and fitness community.​

Intermittent Fasting Methods


There are several different ways of doing intermittent fasting — all of which involve splitting the day or week into eating and fasting periods.

During the fasting periods, you eat either very little or nothing at all.

These are the most popular methods:

• The 16/8 method: Also called the Leangains protocol, it involves skipping breakfast and restricting your daily eating period to 8 hours, such as 1–9 p.m. Then you fast for 16 hours in between.
• Eat-Stop-Eat: This involves fasting for 24 hours, once or twice a week, for example by not eating from dinner one day until dinner the next day.
• The 5:2 diet: With this methods, you consume only 500–600 calories on two non-consecutive days of the week, but eat normally the other 5 days.

By reducing your calorie intake, all of these methods should cause weight loss as long as you don't compensate by eating much more during the eating periods.


Many people find the 16/8 method to be the simplest, most sustainable and easiest to stick to. It’s also the most popular.

https://www.healthline.com/nutrition/intermittent-fasting-guide#what-it-is

 

[Lord Botta]

I agree but what about hypoglycemia? Most diabetes patients are also hypoglycemic and it's a state far worse than diabetes itself.

Right. Most diabetic patients , especially the elderly ones or those who have lived with diabetes for long , get hypoglycemic off and on. It is mostly due to diabetic medication especially insulin dependent patients often come up with hypoglycemic episodes. Going on IF is akin to sort of starvation and it would not cause hypoglycemia unless properly done. Long periods of starvation can push even a normal person into hypoglycemic state so a 16 hours fasting window is enough. The second problem , mostly reported in Ramadan is people getting hypoglycemic right after breaking the fast. They feel dizzy , lethargic and sleepy. It can happen with intermittent fasting too if fast is broken the wrong way.
Suppose a person is fasting for 16 hours and his fasting blood sugar is around 100 by then and his insulin is utterly down as he has not eaten anything since 16 hours. Now this person suddenly eats up some high carb food so his blood sugar shall escalate to like 250. Here , insulin kicks in in a strange way. The insulin gets a signal that the body is into a sudden shock and blood glucose levels have to be lowered down. Large amount of insulin is released and the blood glucose levels are dropped to like below 80 which puts a person in hypoglycemia despite the fact that he has just consumed high carb food.
Breaking fast ( Whether Islamic fasting or Intermittent fasting) soberly is the key. Never take sweets to break the fast and don't consume a large meal as you break the fast. Eat something with low glycemic index in small quantity and eat the main meal an hour after that.

 

[Xiggs]

Right. Most diabetic patients , especially the elderly ones or those who have lived with diabetes for long , get hypoglycemic off and on. It is mostly due to diabetic medication especially insulin dependent patients often come up with hypoglycemic episodes. Going on IF is akin to sort of starvation and it would not cause hypoglycemia unless properly done. Long periods of starvation can push even a normal person into hypoglycemic state so a 16 hours fasting window is enough. The second problem , mostly reported in Ramadan is people getting hypoglycemic right after breaking the fast. They feel dizzy , lethargic and sleepy. It can happen with intermittent fasting too if fast is broken the wrong way.
Suppose a person is fasting for 16 hours and his fasting blood sugar is around 100 by then and his insulin is utterly down as he has not eaten anything since 16 hours. Now this person suddenly eats up some high carb food so his blood sugar shall escalate to like 250. Here , insulin kicks in in a strange way. The insulin gets a signal that the body is into a sudden shock and blood glucose levels have to be lowered down. Large amount of insulin is released and the blood glucose levels are dropped to like below 80 which puts a person in hypoglycemia despite the fact that he has just consumed high carb food.
Breaking fast ( Whether Islamic fasting or Intermittent fasting) soberly is the key. Never take sweets to break the fast and don't consume a large meal as you break the fast. Eat something with low glycemic index in small quantity and eat the main meal an hour after that.

Absolutely right....right after breaking the fast in ramadan, we, majority of muslims, tend to eat a lot just to curb the hunger and that induces food coma, thus lethargy ensues. One of the reasons to break a ramadan fast with khajoor is to curb hypoglycemia because of its high glycemic value.

For insulin users, a fast of over 12-16 hrs can cause hypoglycemia which can only be taken care of by eating a small amount high GI food otherwise it could turn fatal. Those patients usually carry candies on them for a quick fix. Actually i know a few elderly diabetic ladies who always have some candies on them and my daughter always loves their company... Lol.

Per the article above a 24 hrs fast for diabetics without having them eat anything in between sounds like asking them to commit suicide. It is just not possible for an insulin taker to go without food for 24 hrs. They have to have a couple of low GI food servings in between at best. But fasting is indeed perfect remedy for diabtes.

 

[Xiggs]

Nutrition
Intermittent Fasting 101 — The Ultimate Beginner's Guide


Intermittent fasting (IF) is currently one of the world's most popular health and fitness trends.

People are using it to lose weight, improve their health and simplify their lifestyles.

Many studies show that it can have powerful effects on your body and brain and may even help you live longer (1, 2, 3).

This is the ultimate beginner's guide to intermittent fasting.
What Is Intermittent Fasting (IF)?
Intermittent fasting (IF) is an eating pattern that cycles between periods of fasting and eating.

It doesn’t specify which foods you should eat but rather when you should eat them.

In this respect, it’s not a diet in the conventional sense but more accurately described as an eating pattern.

Common intermittent fasting methods involve daily 16-hour fasts or fasting for 24 hours, twice per week.

Fasting has been a practice throughout human evolution. Ancient hunter-gatherers didn't have supermarkets, refrigerators or food available year-round. Sometimes they couldn't find anything to eat.

As a result, humans evolved to be able to function without food for extended periods of time.

In fact, fasting from time to time is more natural than always eating 3–4 (or more) meals per day.

Fasting is also often done for religious or spiritual reasons, including in Islam, Christianity, Judaism and Buddhism.

Summary Intermittent fasting (IF) is an eating pattern that cycles between periods of fasting and eating. It’s currently very popular in the health and fitness community.​

Intermittent Fasting Methods


There are several different ways of doing intermittent fasting — all of which involve splitting the day or week into eating and fasting periods.

During the fasting periods, you eat either very little or nothing at all.

These are the most popular methods:

• The 16/8 method: Also called the Leangains protocol, it involves skipping breakfast and restricting your daily eating period to 8 hours, such as 1–9 p.m. Then you fast for 16 hours in between.
• Eat-Stop-Eat: This involves fasting for 24 hours, once or twice a week, for example by not eating from dinner one day until dinner the next day.
• The 5:2 diet: With this methods, you consume only 500–600 calories on two non-consecutive days of the week, but eat normally the other 5 days.

By reducing your calorie intake, all of these methods should cause weight loss as long as you don't compensate by eating much more during the eating periods.


Many people find the 16/8 method to be the simplest, most sustainable and easiest to stick to. It’s also the most popular.

https://www.healthline.com/nutrition/intermittent-fasting-guide#what-it-is

I know a few people who do that and are very healthy. It also helps detox the body. They fast on fridays usually, that also brings them more thawab. I also intend to start doing that....been intending that for a long time now lol.

i have just one thing to say about 16/8 fasting method. Skipping breakfast is not recommended because it is the most important meal of the day especially to those who work. Lunch is the meal that can easily be skipped instead and dinner is also important for the body. Have heavy protein breakfast at 6-7 in the morning and then have a light dinner by 7 in the evening. Candle light dinner will also work ;)..... Btw dinner is A MUST for married people, especially for men :) and im not joking here.

 

[Lord Botta]

Absolutely right....right after breaking the fast in ramadan, we, majority of muslims, tend to eat a lot just to curb the hunger and that induces food coma, thus lethargy ensues. One of the reasons to break a ramadan fast with khajoor is to curb hypoglycemia because of its high glycemic value.

For insulin users, a fast of over 12-16 hrs can cause hypoglycemia which can only be taken care of by eating a small amount high GI food otherwise it could turn fatal. Those patients usually carry candies on them for a quick fix. Actually i know a few elderly diabetic ladies who always have some candies on them and my daughter always loves their company... Lol.

Per the article above a 24 hrs fast for diabetics without having them eat anything in between sounds like asking them to commit suicide. It is just not possible for an insulin taker to go without food for 24 hrs. They have to have a couple of low GI food servings in between at best. But fasting is indeed perfect remedy for diabtes.

Right. 24 hours is a long stretch for insulin users and they would be very much prone to hypoglycimic episodes if they fast for so long.
Intermittent fasting is a new concept and currently there are no medical recommendations about it as the various claims being made by its proponents lack extensive clinical trials. The limited trials do seem promising though. IF is great for weight loss as well as itnot only reduces the calories intake but also any physical activity while insulin being low in the body would promote weight (fat) loss.