Therapeutic starvation in diabetes mellitus

There is a misconception about the impossibility of fasting patients with diabetes mellitus. To a greater extent, it is supported by endocrinologists. The existing treatment regimens using diet, drugs that lower blood sugar levels and insulin therapy, as well as the sophistication of these treatment regimens, allows them to have such an opinion. At the same time, fasting experts do not classify diabetes as an absolute contraindication. So, in the list of medical indications and contraindications for the use of fasting, type 2 diabetes is a relative contraindication and only type 1 diabetes is an absolute contraindication. "In the second type of diabetes mellitus, not complicated by severe vascular disorders, EAD is effectively used in some cases." / Methodical recommendations for the differentiated use of unloading and dietary therapy (RDT) in certain internal neuropsychiatric diseases. / Prof. M. A. Samsonov, prof. Yu. S. Nikolaeva, prof. A. N. Kokosova et al. - / zip-15 KB /

    The course of diabetes and fasting have some similarities. So, with diabetes and fasting, ketonomy and ketonuria are noted. In the blood of a healthy person ketone (acetone) bodies are contained in very small concentrations. However, when fasting, as well as in individuals with severe diabetes, the content of ketone bodies in the blood can increase to 20 mmol / l. This condition is called ketonemia; it is usually accompanied by a sharp increase in the content of ketone bodies in the urine (ketonuria). For example, if the norm in a day with urine is about 40 mg ketone bodies, then in diabetes, their content in a daily portion of urine can reach 50 g or more.

The cause of ketonemia is similar in both cases. Both diabetes and starvation are accompanied by a sharp reduction in glycogen stores in the liver. Many tissues and organs, in particular muscle tissue, are in a state of energy hunger (with insulin deficiency, glucose can not enter the cell with sufficient speed). In this situation, due to the excitation of metabolic centers in the central nervous system by impulses from the he-sea receptors of cells experiencing an energy hunger, lipolysis and the mobilization of a large number of fatty acids from the fat stores to the liver are intensified. In the liver, intensive formation of ketone bodies occurs. Peripheral tissues in diabetes and fasting retain the ability to use ketone bodies as an energy material, but due to the unusually high concentration of ketone bodies in the incoming blood, muscles and other organs do not cope with their oxidation and, as a result, ketonomy occurs.

 However, if during starvation ketonomy has a benign character and is used by the body in order to switch to a full internal nutrition, in diabetes mellitus ketonomy indicates decompensation of the process.  

When fasting, after the onset of hypoglycemic crisis / 5-7 day / the amount of ketones in the blood decreases, and the amount of glucose is normalized and remains so throughout the entire period of fasting.

Diabetes is preferred for fasting of medium and long term. Short starvation 1-3 days are less effective.

Care should be taken when taking fasting with diabetes mellitus and caution. Of particular importance are the preparatory period of fasting, during which it is necessary to conduct the necessary purification procedures and learn how to maintain a diet. Fasting itself is best performed in a specialized clinic under the supervision of qualified specialists on starvation (especially with diabetes of 2 type).

The correct exit from fasting and adherence to a diet during the recovery period is of great importance.

During the fasting, the metabolic processes in the whole body are normalized, including the loading of the pancreas and liver. All this has a favorable effect on these organs, normalizes their work and, ultimately, improves the course of diabetes.

In addition, the condition of all organs and systems is normalized, the pathology of which often becomes one of the causes of diabetes.

Thus, it can be safely said that the use of fasting, especially in the lungs and forms of diabetes mellitus helps to significantly improve the course of the disease and even completely cure it. Some foreign fasting clinics successfully treat diabetes of 2 and even 1 type.

In any case, it must be remembered that diabetes is not the final judgment. A person who wants to restore health will definitely do this and fasting can help him with this. As a person practicing fasting, I do not know of any other way that would allow to restore damaged organs and systems so effectively.

"I beat diabetes! "Mikhail NEBERA. (" KP "- Bishkek") ./ article from "KP" /

See also: fasting for obesity

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