Efficacy and Safety of Intermittent Fasting in People With Insulin-Treated Type 2 Diabetes (INTERFAST-2)-A Randomized Controlled Trial.


Journal

Diabetes care
ISSN: 1935-5548
Titre abrégé: Diabetes Care
Pays: United States
ID NLM: 7805975

Informations de publication

Date de publication:
01 02 2023
Historique:
received: 18 08 2022
accepted: 15 11 2022
pubmed: 13 12 2022
medline: 31 1 2023
entrez: 12 12 2022
Statut: ppublish

Résumé

To investigate the safety and feasibility of 3 nonconsecutive days of intermittent fasting (IF) per week over 12 weeks in participants with insulin-treated type 2 diabetes. Forty-six people were randomized to an IF or control group. Dietary counseling and continuous glucose monitoring was provided. Coprimary end points were the change in HbA1c from baseline to 12 weeks and a composite end point (weight reduction ≥2%, insulin dose reduction ≥10%, and HbA1c reduction ≥3 mmol/mol). The IF group showed a significant HbA1c reduction (-7.3 ± 12.0 mmol/mol) compared with the control group (0.1 ± 6.1 mmol/mol) over 12 weeks (P = 0.012). The coprimary end point was achieved by 8 people in the IF and none in the control group (P < 0.001). No severe hypoglycemia occurred. IF is a safe and feasible dietary option to ameliorate glycemic control while reducing total daily insulin dose and body weight in insulin-treated people with type 2 diabetes.

Identifiants

pubmed: 36508320
pii: 148123
doi: 10.2337/dc22-1622
pmc: PMC9887629
doi:

Substances chimiques

Blood Glucose 0
Glycated Hemoglobin 0
Hypoglycemic Agents 0
Insulin 0

Types de publication

Randomized Controlled Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

463-468

Subventions

Organisme : Austrian Science Fund FWF
ID : KLI 851
Pays : Austria

Informations de copyright

© 2023 by the American Diabetes Association.

Références

Diabetes Care. 2018 Dec;41(12):2669-2701
pubmed: 30291106
Diabetes Care. 2014 Aug;37(8):2108-13
pubmed: 24824546
Transl Res. 2014 Oct;164(4):302-11
pubmed: 24993615
JAMA Netw Open. 2018 Jul 6;1(3):e180756
pubmed: 30646030
Nutr Healthy Aging. 2018 Jun 15;4(4):345-353
pubmed: 29951594
J Clin Endocrinol Metab. 2021 Mar 8;106(3):902-911
pubmed: 33319233
Diabetes Res Clin Pract. 2021 Feb;172:108589
pubmed: 33316309
Obesity (Silver Spring). 2018 Feb;26(2):254-268
pubmed: 29086496
Exp Clin Endocrinol Diabetes. 2017 Oct;125(9):618-624
pubmed: 28407662
Prog Cardiovasc Dis. 2017 Nov - Dec;60(3):422-434
pubmed: 28958751
Nutrients. 2021 Sep 03;13(9):
pubmed: 34578983
Cell Metab. 2020 Sep 1;32(3):366-378.e3
pubmed: 32673591
Lancet. 2016 Apr 9;387(10027):1513-1530
pubmed: 27061677
Diabetes Res Clin Pract. 2021 Sep;179:109003
pubmed: 34391831
Diabet Med. 2022 Jun;39(6):e14813
pubmed: 35179802
Diabetes Care. 2019 May;42(5):731-754
pubmed: 31000505
Nat Rev Endocrinol. 2022 May;18(5):309-321
pubmed: 35194176

Auteurs

Anna Obermayer (A)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Norbert J Tripolt (NJ)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Peter N Pferschy (PN)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
CBmed - Center for Biomarker Research in Medicine, Graz, Austria.

Harald Kojzar (H)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Faisal Aziz (F)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Alexander Müller (A)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Markus Schauer (M)

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Abderrahim Oulhaj (A)

College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates.
Research and Data Intelligence Support Center, Khalifa University, Abu Dhabi, United Arab Emirates.

Felix Aberer (F)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Caren Sourij (C)

Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Hansjörg Habisch (H)

Gottfried Schatz Research Center for Cell Signaling, Metabolism and Aging, Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria.

Tobias Madl (T)

Gottfried Schatz Research Center for Cell Signaling, Metabolism and Aging, Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria.
BioTechMed-Graz, Graz, Austria.

Thomas Pieber (T)

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
CBmed - Center for Biomarker Research in Medicine, Graz, Austria.

Barbara Obermayer-Pietsch (B)

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Endocrinology Lab Platform, Division of Endocrinology and Diabetology, Department of Internal Medicine and Department of Gynecology and Obstetrics, Medical University of Graz, Graz, Austria.

Vanessa Stadlbauer (V)

CBmed - Center for Biomarker Research in Medicine, Graz, Austria.
Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.

Harald Sourij (H)

Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH