Type 2 & other diabetes

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

Diabetes CarePublished Randomised controlled trial

Authors' conclusion

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.

Study context

Population
People with insulin-treated T2D; dietary counseling and CGM providedrandomized
Participants
46 people
Comparison
Intermittent fasting vs control
Primary endpoint
Coprimary: change in HbA1c from baseline; composite end point:
  • Weight reduction ≥2%
  • Insulin dose reduction ≥10%
  • HbA1c reduction ≥3 mmol/mol
Follow-up
12 weeks

Primary result

As reported in the abstract

Coprimary end points: HbA1c change; composite end point
GroupValueComposite end point achieved
Intermittent fasting (IF)−7.3 ± 12.0 mmol/mol8 people
Control0.1 ± 6.1 mmol/mol0

Value

Intermittent fasting (IF)−7.3 ± 12.0 mmol/mol
Control0.1 ± 6.1 mmol/mol

Composite end point achieved

Intermittent fasting (IF)8 people
Control0
  • IF vs Control: P = 0.012 — significant HbA1c reduction with IF
  • IF vs Control: P < 0.001

Safety

No severe hypoglycemia occurred

Original publication

Efficacy and Safety of Intermittent Fasting in People With Insulin-Treated Type 2 Diabetes (INTERFAST-2)—A Randomized Controlled Trial. Diabetes Care. Published 12 December 2022. doi:10.2337/dc22-1622

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