Publication at Faculty of Medicine in Hradec Králové |
2010
Abstract
Controlled fasting in a hospital setting can be a method of choice in the treatment of obesity in patients who are not able to reduce their weight at home by a calorie-restricted diet and exercise. Presented patient lost 7,5 kg of body weight after 7 days of fasting and maintained this reduction in body weight after fasting.
This patient tolerated the period of fasting. Glycemia during fasting was maintained at 5 mmol/l by adjustment of the basal insulin dose.
There was no severe hypoglycemia in this patient during the fasting period. The total fasting is a safe therapeutic tool in the management of obesity in type 1 diabetes mellitus patients.