Letter from the Editor
Quite often we see patients that we feel should lose some weight, but when we do the labs and physical checkup everything else seems perfect. That makes it hard to really talk to the patient about losing weight, but now Nadeen Ayad, BCPS, PharmD Candidate, University of Colorado, has researched the latest metabolic information from multiple sources to give you the ammunition needed to talk to your patients.
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We can make a difference!
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Dave Joffe
Editor-in-chief
TOP STORIES -- Diabetes News and Research
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Did You Know: Fasting Makes the News Again -- Alternate Day Fasting (ADF) Improves Aging
People who start fasting every other day may lose more weight than they would if they stuck to their usual eating habits, a small study suggests. The 60 healthy people in the four-week study were not overweight. Researchers randomly assigned them to either stick to their usual eating habits or switch to alternate-day fasting, with 12 hours of unrestricted food followed by 36 hours of no food. With alternate-day fasting, people reduced weekly calories by 37% on average and shed an average of 3.5 kilograms (7.7 pounds). That compares with an average calorie reduction of 8.2% and an average weight loss of 0.2 kilograms (0.44 pounds) without this diet. It is felt that it could be a good regime for some months for patients with obesity. To ensure that people assigned to alternate-day fasting didn’t eat on fasting days, researchers asked them to wear continuous glucose monitors. Spikes in blood glucose levels might mean people had a snack. Researchers also asked participants to fill in food diaries documenting their fasting days. After 4 weeks of alternate-day fasting, people had more lean muscle and less body fat, lower cholesterol levels and improved heart health – all things that can happen with a wide variety of exercise and nutrition programs. The ‘starvation mode’ the body goes into during alternate day fasting can have some benefits. For example, fasting can improve the body’s ability to use the hormone insulin to transform sugars into energy, a process that can help reduce blood sugar and prevent diabetes.
bit.ly/341MXUZ Cell Metabolism, online August 27, 2019.
See more articles and videos from experts on Intermittent Fasting
Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletters:
Nadeen Ayad, BCPS, PharmD Candidate, Skaggs School of Pharmacy, University of Colorado
Adam Chalela B.S., PharmD Candidate, USF College of Pharmacy Class of 2020
Keri Hames, PharmD Candidate, Florida A&M University, College of Pharmacy & Pharmaceutical Sciences
Emma Kammerer, L|E|C|O|M Bradenton School of Pharmacy, PharmD Candidate
Amber Satz, PharmD Candidate, LECOM School of Pharmacy
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