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Warsaw Ghetto Uprising’s 80th anniversary remembered with daffodils, 3 presidents and an 11th commandment against ‘indifference’

WARSAW (JTA) — Exactly 80 years ago, a few hundred ragtag, half-starved Jews emerged from sewers in Warsaw to battle Nazis – and held them off for nearly a month rather than surrender themselves and their Jewish brethren to the Treblinka and Majdanek death camps. 

On Wednesday, thousands of Poles and international visitors, including Polish President Andrzej Duda, Israeli President Issac Herzog and German President Frank-Walter Steinmeier, marked the 80th anniversary of the Warsaw Ghetto Uprising in a stirring Holocaust commemoration festooned with daffodils, the emergent symbol of the largest Jewish rebellion against the Nazis during World War II.

“As German federal president, I stand before you today and bow to the courageous fighters in the Warsaw Ghetto,” Steinmeier told a few hundred politicians, Jewish leaders and others at the Ghetto Heroes Monument, marking the first time a German president has joined in the annual commemoration. “I stand before you today and ask for your forgiveness for the crimes committed here by Germans.”

This was also the first time leaders from all three countries came together for the official uprising ceremony to commemorate the fighters, none of whom are alive today. The last surviving fighter, Simcha Rathajzer-Rotem, also known as Kazik, died in December 2018. A handful of Warsaw Ghetto survivors who were not old enough to join the fighting remain, according to Holocaust scholars.

In another first, the three heads of state attended a commemorative service led by Poland’s Chief Rabbi Michael Schdurich at Warsaw’s Nozyk Synagogue. By the end of the ceremony, which was conducted mostly in Hebrew and featured Polish-Jewish children singing the Polish and Israeli national anthems, many attendees had tears in their eyes.

“I just thought, the leaders are here, this is something we should do, it’s part of building relationships and collective memory that partnerships are built on,” Schudrich told the Jewish Telegraphic Agency. 

Earlier in the day, Polish President Duda called the fighters “the heroes of the Jews all over the world” and “the heroes of Poland and the Poles.” 

Herzog, a day after Yom Hashoah, Israel’s Holocaust Remembrance Day, praised the fighters for sparking hope during one of humanity’s most tragic times. “In a world falling apart, in the shadow of death, under conditions of humiliation, famine, and forced labor, in the ghettos… they succeeded — mothers, fathers, children, grandfathers, and grandmothers — in upholding human morality, mutual responsibility, faith and basic humanity,” he said. 

From left to right: German President Frank-Walter Steinmeier, Polish President Andrzej Duda and Israeli President Issac Herzog hold hands before the 80th anniversary commemoration of the Warsaw Ghetto Uprising, in front of the city’s Monument to the Ghetto Heroes, April 19, 2023. (German Government Press Office/Getty Images)

Wednesday’s diplomatic tribute, which also included speeches by World Jewish Congress President Ronald Lauder and Marian Turski, a Lodz Ghetto survivor whose so-called 11th commandment — “Thou shalt not be indifferent” — became the slogan for programming by the POLIN Museum of the History of Polish Jews around the commemoration. 

Eleven years ago, POLIN commissioned Jewish artist Helena Czernek to design a simple paper flower daffodil that has since been worn on the uprising’s anniversary to raise awareness of the day. The pin design was inspired by a commander of the uprising, Marek Edelman, who died in 2009. Each year he would receive a bouquet of daffodils to mark the anniversary date from an anonymous sender, and he would in turn place them on the city’s Monument to the Ghetto Heroes — a large sculpture standing at the site of the uprising’s first battle.

The daffodil marker has since changed the landscape of Holocaust memory in Poland, according to POLIN museum spokeswoman Marta Dziewulska. 

“Our research shows that since we began our educational programs around this event, including handing out the daffodils, the rise in general public knowledge about the uprising has been enormous,” said Dziewulska.

This year, thanks in part to financial support from Lauder, a billionaire heir to the Estee Lauder fortune and a major Republican donor, the daffodil campaign reached far more people than ever, both in Poland and beyond. Throughout the center of Warsaw, the paper daffodil was ubiquitous among pedestrians and cafe dwellers across generations. All crew members on LOT Polish airline flights wore them. 

For the first time, the daffodils were also distributed to 150,000 people in 100 Jewish communities around the world. More than 3,000 volunteers gave out 450,000 paper daffodils in six cities across Poland, and over 7,000 schools, libraries and cultural institutions participated in the museum’s daffodil campaign, which includes films and educational materials about the uprising.

Helena Czernek designed the paper daffodil over a decade ago. (Dinah Spritzer)

Krystyna Budnicka, who was 11 at the time of the uprising, told journalists about her story on Monday. The fighters of the Jewish Combat Organization (ŻOB) were armed with home-made grenades and Molotov cocktails. In the end, roughly 13,000 Jews were were burnt alive or suffocated as the Nazis burnt down the ghetto to quell the rebellion, sending the remaining some 50,000 Jews to be murdered further east.

Budnicka told the Polish newspaper Gazeta Wyborcza that “as the ghetto was burning, the underground was like a bread oven.”

But Budnicka and some of her 10 immediate family members, none of whom survived the Holocaust, had one advantage. Her brothers and father were observant Jews who happened to be carpenters. They had constructed a bunker to lead to the sewers so that eventually, at least she and her brother, who later died of typhus, were able to make it out.

Budnicka was later taken in by a Catholic orphanage while the war was still raging and hid her Jewish identity, changing her last name to Kuczer. Until the 1990s, she told almost no one of her travels. But today she is the ambassador of POLIN Museum.

Her recollection of life at the time is limited, except that she had hope for survival. The fighters slept during the day in bunkers the Nazis couldn’t easily find, and came out of the sewers to fight at night. She remembers hunger, being the only girl among many boys and dreaming about what bread tasted like, a distant memory.

Many decades later, after the end of the Communist dictatorship, a “Children of the Holocaust” association was formed in Poland. For the first time, Budnicka and many others started telling their stories out loud, and at schools.

“Now I feel that I have to do it,” she told Gazeta Wyborcza. “When I mention my loved ones at meetings, it’s like I’m erecting a monument to my family. They live then. I see them. It’s in order: my mother Cyrla, father Josef Lejzor, brothers Izaak, Boruch, Szaja, Chaim, Rafał.”

Budnicka is not the only Warsaw Ghetto survivor to ask the world to remember what she endured. Helena Birnbaum, 93, who also survived by hiding in a bunker, participated in this year’s March of the Living — an annual Holocaust remembrance event that brings thousands of participants from around the world to Auschwitz-Birkenau. She told reporters at the march on Tuesday why she flew all the way to Poland from Israel to talk about her ordeal.

“The importance of knowing about the Holocaust is to know the person in all situations, on the brink of death,” she said. “The importance of knowing that the Holocaust was life within death and not everyone died at once. The individual stories matter.”

An iconic photo from the Warsaw Ghetto shows Jews being led by Nazis in 1943. (U.S. Holocaust Museum/Wikimedia Commons)

The act of international unity in display at the official uprising ceremony comes at a time when Poland’s right-wing government continues to espouse a nationalist narrative that international scholars say downplays Polish antisemitism and violence towards Jews before, during and after World War II. Multiple Polish laws connected to Holocaust rhetoric and restitution payments caused diplomatic tensions between Poland and Israel for years, and the two only resumed more full relations last month. The rapprochement came after Israel’s foreign minister announced the resumption of Israeli student trips to Holocaust sites in Poland, which now could include sites that explain Nazi violence against non-Jewish Poles.

Six years ago, some Polish Jews who rejected their government’s patriotic narrative launched their own uprising commemoration, which has grown from a group of hundreds to nearly a thousand. During the alternative commemoration on Wednesday, which featured Yiddish songs sung by school children and recitations of poetry by Polish-Jewish authors, participants laid paper and real daffodils at Warsaw Ghetto monuments such as Umschlagplatz, where the Nazis deportee 350,000 Jews by train to Treblinka. 

Patrycja Dolowy, director of Warsaw’s Jewish community center, was an early supporter of what she called a grassroots alternative to the pomp and circumstance of the government’s ceremony, only a few hundred feet away. 

“Jews were sentenced to death in the center of their own city and the majority of people outside the ghetto were doing nothing about this,” said Dolowy, who believes government focus on heroism should not erase inquiry into less heroic actions by Poles. 

“If Jews were not treated before the war as strangers, it would have been much easier for everyone, Jews and non-Jews, to rise together and resist,” she theorized. 

The counter-commemoration reflects the contrasting attitudes in Poland towards honoring Jewish and Holocaust memory. In 2017, the government passed a law that assured public schools taught history from a heroic, patriotic perspective, and in 2018 made it illegal to insult the Polish nation’s Holocaust record, condemning scholars who dared delve into historical Polish aggression against Jews. 

Attendees shown at an alternative Warsaw Ghetto Uprising commemoration, which has grown in recent years. (Dinah Spritzer)

Jerzy Warman, 76, a Polish-born Jew participating in the non-governmental commemoration whose parents survived the Warsaw Ghetto, said the Polish government wants to turn the uprising commemoration into an event where “they can do a roll call of Poles who they say helped the Jews.”

Warman noted that his father joined Edelman at the Warsaw Uprising, a major Polish resistance campaign that took place year after the Ghetto Uprising. “The Jews tried to join the Polish Home Army as a group but were rejected by them,” Warman recalled his father explaining. 

Moshe Kis, 22, a Jewish political science student from Warsaw whose grandmother spent two years in the ghetto, echoed Warman’s view. 

“So many people here still don’t understand their own history,” said Kis, who will immigrate to Israel next year. He added, fiddling with a daffodil over coffee, “when the sirens went off today in honor of the uprising, I heard people around me saying on the street, ‘what is this for, are we being invaded?’”


The post Warsaw Ghetto Uprising’s 80th anniversary remembered with daffodils, 3 presidents and an 11th commandment against ‘indifference’ appeared first on Jewish Telegraphic Agency.

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Why NBA Teams Start Defending Before Half Court

Image Source: Infographic by author

An NBA defender who meets a ball handler near the opposite baseline is trying to interfere with the possession before the offense gets organized. The immediate reward need not be a steal. Making a guard change direction, protect the ball, or find another receiver can interrupt the route into a play. But pressure has several possible results, and slowing that first journey does not necessarily slow the whole game.

In Logan Murdock’s November 2025 report on full-court defense, Phoenix Suns guard Jordan Goodwin described his aim: “Try to make them take at least six seconds off the clock.” That was his target, not a measured average. Indiana Pacers coach Rick Carlisle described another purpose: getting opponents to play faster than they prefer. Both approaches interfere with timing, though one delays the setup while the other hurries decisions.

The shot clock helps explain the difference. In a normal NBA possession following a made basket, the offense has 24 seconds, with the countdown starting when the inbound pass is legally touched on the court. It must also advance out of the backcourt within eight seconds. Crossing half court does not start a fresh shot clock. Time spent getting there leaves less time to create a shot. A defensive deflection that stays inbounds does not restart the countdown.

Defensive pressure also needs careful interpretation in basketball betting. An NBA matchup on the Bovada website cannot be reduced to whether one team presses: the combined score depends on how often both sides get the ball and what they do with their chances. A defender delaying the first pass into an offense can leave less time for a good attempt. A turnover followed by a quick basket has a different effect.

Those possibilities make defensive intensity an incomplete description of a scoring outlook. A team can force its opponent to work harder while creating quick attacking chances for itself. It can also concede an easy chance when pressure fails. Understanding the tactic means separating its purpose from its outcome, rather than treating an aggressive defender as evidence that the game must produce fewer points.

Pressure does not always mean a trap

One defender following the ball is different from two defenders closing around it. The first can contest the dribbler while teammates remain with their own assignments. A trap commits another player to the ball, so teammates elsewhere must cover the passing options and protect the basket.

A stopped dribble changes the contest. Once a player voluntarily picks up the ball, he cannot simply start dribbling again. He can still pivot, pass, or shoot, but moving away from pressure with another dribble is no longer an option. A defender can therefore restrict movement without taking possession. This is also why a guard’s choice to keep the dribble alive deserves attention: it preserves a way to move while searching for a pass.

Watch where the ball goes next. A trap can succeed by forcing an awkward pass that another defender intercepts. The players surrounding the ball do not have to be the ones who take it away. Reaching for a steal also differs from keeping the ball handler contained; abandoning position can give the guard a route past the pressure.

The offense has answers. In the Murdock report referenced earlier, Golden State guard Brandin Podziemski described using his body to shield the ball against smaller defenders and quickness to get beyond longer opponents. Beating the first defender can leave that player trailing, creating a temporary advantage farther upcourt. The remaining defenders then have to respond to an attack before their teammate has time to recover.

Three possible outcomes of early pressure: delayed setup, hurried decisions, or an attacking advantage when pressure is beaten

The work before a highlight

Former NBA guard Keith Bogans gives a defender’s perspective in his conversation with Vernon Maxwell. Discussing Jaden McDaniels, Bogans says that seeing a defender pick up a superstar across the court gets him excited in the way a dunk or crossover excites other viewers.

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His reaction focuses on the challenge being accepted. The scorer has someone to deal with before reaching a preferred attacking position. Bogans also describes the recognition that such defensive work receives from teammates and coaches, even when it attracts little attention elsewhere.

The assignment does not end when the scorer passes. The defender still needs to follow the play and be ready for the ball to return. Early pressure can force a star to give up the ball without removing him from the possession. Watching the next pass shows whether the defense has actually disrupted the attack or merely moved it.

When defense creates offense

Indiana scored 19 points off turnovers in Finals Game 6 against Oklahoma City on June 19, 2025. The figure does not isolate full-court pressure.

A change of possession ends one team’s opportunity and begins another’s. The team winning the ball can attack immediately or organize its offense, depending on the space and defenders ahead. Pressure therefore cannot be assessed only by the time an opponent spends bringing the ball forward.

Look beyond the pickup point. Does the offense arrive late but still organized? Does it make a hurried pass? Does the ball handler escape and make the remaining defenders cover extra ground? The first defender can use up time without winning the ball. If the guard gets past him, watch whether the other defenders can stop the drive without leaving someone open.

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In ex-Knick Michael Sweetney, Jewish friends mourn a beloved coach ‘who knew exactly how to show up’

Tamir Goodman stuck out like a sore thumb, a yarmulke-wearing redhead at a practice for a showcase of Greater Washington’s top high school talent. The year was 2000, and Goodman, an Orthodox Jewish hoops prodigy, had already been on the cover of Sports Illustrated. What he did not have at that practice was a friend.

But when the all-star team’s coach had players pair up for shooting practice, one teammate approached Goodman: the 6-foot-8, Georgetown-bound power forward Michael Sweetney.

“He’s like, “Hey, I’ll be your shooting partner,” Goodman, 44, recalled by phone Thursday. “And from that moment, we just never left each other.”

Sweetney, who went on to play for the New York Knicks, later said he had never met a Jewish person before that day. But when he died Wednesday of complications from a heart attack, he had not only one Jewish friend mourning his passing, but hundreds.

Mike Sweetney, left, with Tamir Goodman on a trip to Israel in 2019. Courtesy of Tamir Goodman

Orthodox Jewish New Yorkers, who got to know Sweetney through his years teaching basketball at their schools, summer camps, synagogues and even birthday parties, remembered him in tributes Thursday as a humble mentor, a model of courage and a loyal friend in times of Jewish vulnerability.

Those early shooting sessions with Goodman, it turned out, had planted the seed for Sweetney’s post-NBA basketball endeavors, including a four-year stint at Yeshiva University, where he served as an assistant during the men’s team’s famous 50-game win streak.

“The world lost a giant today,” Elliot Steinmetz, Yeshiva’s head coach, wrote Thursday on X. “I lost a close friend. The basketball world lost a beloved star. Our Jewish community lost an ally and someone who knew exactly how to show up.”

Sweetney, who was 43, is survived by his wife, India, and three children.

A perfect matchup

Sweetney brought undeniable but understated starpower to the basketball-obsessed Orthodox community. That community’s embrace also helped Sweetney find purpose after his playing career and reignite his love for the game.

After starring at Georgetown, Sweetney was selected ninth by the Knicks in the 2003 NBA Draft — eight picks after LeBron James. But Sweetney’s career in the league lasted just four years, derailed by struggles with weight and depression that followed his father’s sudden death. (He later revealed he had contemplated suicide as a rookie.) He played another decade for pro teams in China and Latin America before washing out of the sport.

Sensing that his friend was in a bad place, Goodman invited Sweetney to Israel in 2019 to help with a basketball camp he had started.

“I told him a lot of good things happen when you come to Israel,” Goodman said. During the visit, Sweetney opened up about the challenges he had been experiencing. Goodman suggested he go into coaching, and soon connected him with Steinmetz — a Knicks die-hard — who offered him a job.

“When Tamir called me about him, initially, I’m like, ‘Oh, cool, I get to talk to Mike Sweetney, that’ll be fun,’” Steinmetz said Thursday in an interview. “Once I spoke to him the first time, I’m like, ‘That’s just such a nice guy.”

A Yeshiva League staple

Sweetney’s entry into the world of Orthodox Jewish basketball, initiated by Goodman, helped facilitate his turnaround, transforming a point of professional failure into a source of inspiration for others.

A classic back-to-the-basket player in his day, Sweetney relished working with the Yeshiva forwards, who delighted in trying their post moves on a former NBA lottery pick.

“All the bigs’ favorite part of practice was going up against Mike,” recalled Gabriel Leifer, a team captain during Yeshiva’s win streak.

Sweetney was getting something out of the work, too. Those who worked with him up close could see his passion for the sport — which had become a dark place for him — coming back to life.

Sweetney signs autographs on Yeshiva’s home court. Courtesy of Elliot Steinmetz

Harold Katz, a coach who occasionally helped with the Yeshiva program, said that despite his NBA pedigree, Sweetney had no pretenses when it came to learning the school’s motion offense. Instead, he seemed to enjoy it. “He would always say it’s fun — like playing this way is fun.” Katz remembered. “He’d say, ‘I wish I played in this.’”

Sweetney told the New York Post in 2019 that the Jewish world had helped him find stability after basketball.

“I’m comfortable here. I’m treated well here. It’s been amazing,” he said at the time. “To be happy and be at peace, I would’ve been shocked. I wouldn’t have thought it was possible.”

The coaching roles — at Yeshiva and at Ramaz, an Orthodox high school where he coached the girls’ team — also helped Sweetney book speaking engagements and countless youth basketball clinics. He also became an advocate for Black-Jewish relations.

“It starts off that, ‘Oh my God, there’s this big NBA guy who’s at all the YU games,’” Steinmetz said, “but then people start talking to him and they fall in love with his personality because he’s just such a warm, caring guy.”

Driving to and from Yeshiva games over the years, Steinmetz and Sweetney grew close — a friendship that held even after the latter left Yeshiva in 2023 to work in the mental health arena.

The true testament to the kind of person Sweetney was, Steinmetz said, came after they stopped working together, on Oct. 7, 2023. Steinmetz was in Israel at the time; the first text message he received as the attacks were unfolding, he said, was from Sweetney.

“He’s like, ‘Please confirm for me that you’re okay,’” Steinmetz said. “Two days later: ‘Hey, did you get home yet?’ He just cared. He wasn’t checking a box — he cared.”

If you are in crisis, please call, text or chat with the Suicide and Crisis Lifeline at 988, or contact the Crisis Text Line by texting TALK to 741741.

The post In ex-Knick Michael Sweetney, Jewish friends mourn a beloved coach ‘who knew exactly how to show up’ appeared first on The Forward.

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Sacred fasting meets Ozempic

Millions of people worldwide – as many as 1 in 8 adults in the U.S. – are on GLP-1 medication, such as Ozempic, Mounjaro, Wegovy and Zepbound, for treating diabetes or for weight loss.

These drugs are adding a medical twist to religious observances that involve fasting, such as the Jewish holiday of Yom Kippur, which will be observed from sundown on Sunday until nightfall on Monday. Traditionally, fasting on Yom Kippur means forgoing food and water for about 25 hours, which can strongly affect a person’s metabolism.

Other religious traditions include different types of fasts. For example, Muslims who fast during Ramadan neither eat nor drink from dawn to sunset, but they break their fast each night. Christian and Hindu traditions also include dry fasts as well as partial fasts, such as Lent and Navratri, in which people avoid certain foods.

As a specialist in obesity medicine, I work with many patients who take GLP-1 drugs. Most people can safely fast for Yom Kippur or other religious or cultural observances. But depending on their circumstances, they may need to plan ahead, take certain precautions and be clear on when it’s medically advised that they break their fast.

Common GLP-1 side effects and fasting

GLP-1 drugs such as Ozempic, Mounjaro, Wegovy and Zepbound mimic a natural gut hormone– glucagon-like peptide 1 – that lowers your blood sugar by triggering insulin release when your blood sugar is high. These drugs also slow how quickly food passes through the stomach, which reduces appetite to aid in weight loss.

GLP-1s have some common side effects that can occur in anyone taking them, including nausea, vomiting, dizziness, constipation and dehydration. Fasting may exacerbate them, especially in people who are prone to an upset stomach. GLP-1 side effects are also more common when a patient is increasing their dose, which usually happens monthly as tolerated until they reach their full dosage.

That’s why, if you’re planning to fast for Yom Kippur, it’s best to avoid starting a new GLP-1 medication or increasing the dose of your medication sooner than two weeks or so before the holiday.

GLP-1 drugs work by simulating a gut hormone produced in the body, spurring the release of insulin and slowing down digestion.

Timing your dose

If you take GLP-1 drugs as weekly injections, which is the most common way of dosing these medications, you should stick to your schedule even if you plan to fast. These drugs stay in your system during the entire week, so moving or skipping that weekly dose right before fasting can interfere with their effects on blood sugar or weight loss.

If your weekly injection falls on Yom Kippur, you can generally go ahead and administer it as scheduled. Some patients do report increased nausea on their injection day – if that happens to you, you may wish to delay the injection until after the fast, if you’ve cleared it with your doctor.

Patients who inject GLP-1 drugs daily may need to adjust the timing. For patients taking these medications for diabetes treatment, it may make sense to do the injection right before the meal that breaks the fast or to hold off until after the fast. This helps reduce the risk of stomach side effects, which can occur when these medications are taken on an empty stomach.

More recently, many patients have switched to oral GLP-1 medications. These pills must generally be taken on an empty stomach with a small amount of water, at a set time before taking any other drugs or any food or beverages.

Because fasting for Yom Kippur includes abstaining from drinking, taking the pill as directed may involve breaking the fast. That means you’ll need to decide in advance whether to take the medicine before the fast begins, after the fast ends or on an alternative schedule. It’s best to avoid simply skipping the daily dose scheduled for Yom Kippur and taking a double dose after the fast.

Skipping the dose won’t be harmful if you’re taking the medication for weight loss. But if you have diabetes, skipping it could dangerously elevate your blood sugar. And doubling the dose later could lead to serious side effects, such as pancreatitis, an inflammation of the pancreas that can lead to hospitalization.

Diabetes versus weight loss

If you’re using GLP-1 medications solely for weight management, fasting for 25 hours should not pose serious issues beyond stomach upset. In rare cases, though, combining these drugs with fasting can stress the pancreas enough to cause pancreatitis.

Fasting on GLP-1s carries the biggest risks for diabetic patients. That’s because GLP-1 medications are often used alongside other drugs that work primarily by lowering blood sugar, which raises patients’ overall risk of a blood sugar crash.

The greatest concern is in patients taking a GLP-1 medication together with insulin or drugs that stimulate insulin production, such as sulfonylureas. The GLP-1 medication itself may not cause a drop in blood sugar. But because it suppresses appetite and lowers glucose levels, these other medications can magnify the risk of low blood sugar during a prolonged fast.

If that’s your situation, talk to your doctor about whether you can adjust the timing, dose and type of insulin you take and reduce your dose of sulfonylurea in order to fast safely.

In general, people who have Type 1 diabetes or poorly controlled diabetes are strongly advised not to fast – as are people who:

  • Experience frequent or severe drops in blood sugar.
  • Have hypoglycemia unawareness – an absence of warning signs for high blood sugar.
  • Are managing diabetes during pregnancy.
  • Have severe kidney disease with a high risk of dehydration.
  • Experience severe gastrointestinal side effects from GLP-1 medications.
Not overeating along with drinking plenty of water beforehand is helpful for anyone fasting – but crucial for people on GLP-1 medications.

From prefast prep to the post-holiday meal

Regardless of what GLP-1 medication you take and for what indication, if you plan to fast you’ll need to do some pregaming, monitor how your fast is going and be mindful of how you break it.

  • First, if you are unsure about anything, talk to the clinician who is monitoring your GLP-1 drug treatment so you can decide together whether fasting is safe for you and whether your situation requires any special precautions.
  • Before fasting, it’s important to eat a normal meal that includes protein and to avoid both overeating and undereating. Overeating is never recommended when on GLP-1 medications, and undereating can set you up for more side effects during the fast. Although GLP-1 therapy can substantially reduce appetite, patients should avoid skipping the prefast meal entirely.
  • GLP-1 medications don’t just decrease appetite – they can also suppress the body’s natural thirst signals. So before your fast begins, aim to stay hydrated to prevent getting dehydrated while fasting.
  • If you are diabetic, make sure you fast under close guidance from your doctor – and make sure you are checking your blood sugar during fasting. Using a glucose monitor is a good idea, particularly if you are taking insulin or other glucose-lowering medications. The goal is for your blood sugar to remain within your usual daily nonfasting range.
  • Be ready to break your fast right away if you start feeling dizzy, confused, faint, nauseated or acutely ill, or if your blood sugar dips too low or spikes too high. These symptoms are dangerous and need to be addressed immediately. Stash a rapid source of carbohydrates – even just some glucose tablets or a few hard candies – within reach so you can access them quickly if needed.
  • Finally, plan a gentle, balanced meal to break the fast rather than an unusually large meal, which may provoke nausea, abdominal pain, reflux or vomiting. It’s generally best to avoid higher-fat foods, too, since they can slow down digestion.The Conversation

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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