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Two-timing diabetes

By Michael Roizen, M.D. on

Bob Wills sang, "Texas two-step ... Spin me around/You got to hold me up/When you dip me down." You could also say a "diabetes two-step" can spin you around and dip your risks down. That's the finding of two recent studies.

The first, presented at ENDO 2025, took a look at intermittent energy restriction (IER), time-restricted eating and continuous energy restriction and found that fasting twice a week (that's IER) could spin your Type 2 diabetes around so that your fasting blood glucose and triglycerides are dipping down.

The second, published in the Annals of Internal Medicine, found that whether you exercise three times a week for 150 minutes or more, or if you're a weekend warrior who gets 150-plus minutes crammed into two days, you'll improve your longevity. Over two decades, regularly active folks reduced their risk for all-cause mortality by 21% and the weekenders reduced it by 17%; and they had 33% and 19% lower risk of death from cardiovascular causes, respectively.

Now you may not have Type 2 diabetes -- yet -- but if you're prediabetic, another new study might help. Pre-diabetics are often told to have 15-30 grams of carbohydrates as a nighttime snack to help regulate nighttime/morning glucose levels. But trading that for 2 ounces of pistachios nightly can alter your gut biome, so you reduce chronic inflammation. And that may slow or help halt the development of diabetes. Tasty and smart!

For more info on how to improve your pre- or full-blown diabetes, sign up for the free newsletter at LongevityPlaybook.com.

 

Health pioneer Michael Roizen, M.D., is chief wellness officer emeritus at the Cleveland Clinic and author of four No. 1 New York Times bestsellers. Check out his latest, "The Great Age Reboot: Cracking the Longevity Code for a Younger Tomorrow," and find out more at www.longevityplaybook.com. Email your health and wellness questions to Dr. Mike at questions@longevityplaybook.com.

(c)2023 Michael Roizen, M.D.

Distributed by King Features Syndicate, Inc.


(c) 2025 Michael Roizen, M.D. Distributed by King Features Syndicate, Inc.

 

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