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LGBTQ Israelis fear setbacks as homophobic parties win a place in Netanyahu’s coalition

TEL AVIV and JERUSALEM (JTA) — It was the day before Israel’s Nov. 1 election. In a classroom in downtown Jerusalem, Avi Rose was teaching  about Jewish identity through art to a group of Jewish students from abroad spending a gap year in Israel. Suddenly, movement outside caught his eye.

Rose stopped his lecture and approached the second-story window. He was unprepared for what he saw. Dozens of religious Jewish youth from the homophobic Noam party were marching down Jerusalem’s Jaffa Street, chanting and carrying large anti-LGBTQ signs.

The sight was distressing for Rose, a gay Israeli artist who emigrated from Canada 20 years ago. In 2007, he and his husband, Ben, became the first Israeli citizens to have their same-sex marriage certificate from abroad recognized in Israel.

“I’m teaching this wonderful group of young people that have come from all over the world to have their moment in Israel, to finally be free in their Jewish homeland, to be in this democratic Jewish safe space. And they have to see their own teacher going, ‘Oh my God. There are these people out there who their sole purpose is to hate me.’ And it was a dissonance,” recalled Rose, who lives in Jerusalem with his husband and their 10-year-old twins.

“I mean, what the hell am I doing here if that’s the way we are as a Jewish people?” he continued. “And I was scared. I won’t lie to you. I was scared…. I had flashbacks about what my grandparents went through in Europe. And I had to remind myself we aren’t quite there yet. I’m not at the point [where I am going to] pack my bags and protect my children and get out of here.”

By the end of the next day, 14 members of the union of three far-right parties — Noam, Otzma Yehudit (or Jewish Power) and National Union — became the third-largest slate in the Knesset and the second largest in the governing coalition that Benjamin Netanyahu is now assembling. Netanyahu’s other coalition partners are two haredi Orthodox parties, Shas and United Torah Judaism. It will be the most right-wing conservative, religious government in Israel’s history, and its leaders are already vowing to roll back rights that LGBTQ Israelis have only recently won.

Israel does not permit same-sex marriage. But its Supreme Court has strengthened protections for Israelis who enter same-sex marriages abroad, requiring that the marriages be recognized by the state and ensuring that same-sex couples be permitted to adopt children and pursue surrogacy. Now, a Shas lawmaker could be appointed to head the ministry in charge of granting marriage licenses, and a self-proclaimed “proud homophobe” is poised for a leadership position as well.

“I don’t think they’ll criminalize my marriage or take my children away,” said Rose. “But there is a general sense of fear seizing the LGBTQ community.”

Noam, the smallest of three factions making up the joint Religious Zionism list, has focused on advancing policies that prevent the creation of non-traditional families, such as same-gender parents or children created through surrogacy, which it calls “the destruction of the family.” The party’s election slogan was a call to make Israel “a normal” nation.

A man sits outside Shpagat, a gay bar in Tel Aviv, in November 2022. (Orly Halpern)

In a 2019 tweet, the party outlined its vision for what “normal” means. “A father and a father is not normal,” the list began. It ended by alluding to the party’s opposition to Pride flags: “Asking to remove a flag that represents all this madness — that’s actually quite normal.”

One afternoon last week, two male cooks wearing tight black T-shirts exposing prodigious biceps were preparing for opening hour at Shpagat, Tel Aviv’s first gay bar. “Ohad,” who asked not to use his real name out of fear of being harmed, told JTA that there was great concern among his peers about how the new government would shift budgets, change laws and policies and deny LGBTQ Israelis their rights.

“I’m concerned that we will lose all the rights we gained with the recent government and over the last few years,” said Ohad. The outgoing government, a centrist interlude after more than a decade of right-wing leadership, was the most progressive in Israel’s history in terms of the gay community. “We’re talking about the most basic things, like being allowed to donate blood, being allowed to parent children through surrogacy, cancelling the prohibition of LGBTQ+ ‘conversion therapy.’ It’s both to cancel things and to go backwards.”

Yair Lapid speaks at the Tel Aviv Pride Parade on June 10, 2022, weeks before becoming Israeli prime minister. His government was Israel’s most progressive on LGBTQ issues.(Alexi Rosenfeld/Getty Images)

Indeed, one of the memes that worried Israelis have shared widely since election results came out reads, “Don’t forget that tonight, we are moving the clock back 2,000 years.”

Another issue is the distribution of government funding. Israel’s Ministry for Social Equality, for example, allocated 90 million shekels ($26.7 million) this year to benefit the LGBTQ community, which included funding for LGBTQ centers in some 70 cities. The education ministry and local municipalities also provide budgets to the Israel Gay Youth organization, and for teaching in schools about LGBTQ inclusion. Avi Maoz, the head of the Noam party, said he wants to cancel “progressive study programs” about gender.

A spokesperson for the Noam party was unable to make Maoz available and declined to otherwise offer comment.

Transgender Israelis could face the most stark changes. About 40% of transgender people have attempted suicide at least once in their life, according to the health ministry, and more than half avoid receiving medical care. Last year, the outgoing government’s health minister, Nitzan Horowitz, who is gay, set new policies to make healthcare more accessible to the transgender community.

Now the fear is that these policies will be canceled, as will be subsidies for sex reassignment surgeries and drugs. “For all the boys and girls who are in the process of defining their gender identity physically and emotionally, it will make their treatments very expensive or unaffordable,” said Ohad. “That can jeopardize their lives.”

It’s clear that the right-wing party leaders are not sympathetic to the plight of LGBTQ Israelis.  Bezalel Smotrich, the head of the Religious Zionist party, identifies himself as a “proud homophobe.” In August, his party protested the enrollment of a third-grader at a religious boys’ school who had transitioned from his gender assigned at birth.

“There is no place in the national religious school system for such confusion of opinions and views that seriously harm the values, natural health and identity of its students,” Smotrich wrote to the education ministry.

The right-wing parties have trained their sights on Israel’s Supreme Court, which has delivered crucial victories to LGBTQ advocates and other minorities. The parties say the court is out of step with Israeli values.

One of the first legislative measures the next government intends to pass is the High Court Bypass Law, which would allow a simple majority of the Knesset’s 120 lawmakers to override Supreme Court rulings on laws that the court struck down, thereby undermining the court’s ability to protect human and civil rights.

“It will leave us as a defenseless minority,” said Liad Ortar, the head of an environmental, social and corporate governance firm, who spoke to JTA from the Climate Change Conference in Egypt. Ortar and his husband have 8-year-old twins through a surrogate from Thailand.

Liad Ortar, right, is concerned that Israel’s incoming government could enact policies that hurt families like his where both parents are of the same sex. (Courtesy Ortar)

Many LGBTQ Israelis fear that lack of tolerance from government ministers could translate into incitement, harassment and physical attacks in the public sphere, and that the religious right-wing extremists who have directed violence towards Palestinians will now target them as well.

“In recent months there has been a very extreme escalation in what’s happening with the settlers and their violence, including the army, that doesn’t really provide protection,” said Ohad. “Not long ago there was an attack on a left-wing woman activist.… Those people are now going to become the ministers of education and culture. So aside from the Arabs and what the settlers do to them there, the next easy target is the gay community.”

In 2015, a religious Jewish man stabbed and killed Shira Banki, a 16-year-old girl marching with her family in Jerusalem’s gay pride parade — weeks after he completed a 10-year sentence for a similar attack in 2005. Now, members of the Religious Zionism slate have called to abolish gay pride parades.

“It’s not only that we are really afraid and worried about our own future. But it’s also our kids’ future. How will it look? And not just the kids of a gay couple, but gay children,” Ortar said. “We’re going to go back to the time where homosexuality can’t be shown publicly, whether at school or in the public sphere. Where they might beat the hell out of a gay couple because they walked hand in hand. Or cursing children in schools because their parents are gay.”

Not all LGBTQ Israelis are alarmed by the incoming government. Gilad Halahmi, a gay man who lives in Tel Aviv, has been active in promoting the Otzma Yehudit and has developed a personal rapport with its leader, Itamar Ben-Gvir. “The fact that he and Smotrich have an anti-LGBTQ agenda doesn’t mean they hate [us],” he said.

Halahmi said he believes his involvement has mitigated Religious Zionist stances on LGBTQ issues, and he also said Amir Ohana, a Knesset member from Netanyahu’s Likud party who is gay, had helped shift right-wing politicians’ views on those issues. But even without that, he said, the tradeoff to get the policies he wants on other issues is worth it.

“I give up LGBTQ rights, but I get something that is much more important to me in return, which is the economic issue, the security issue, the migration issue, governance,” Halahmi said. “It’s things that are 10 times more important to me than public transportation on Shabbat or whether I’ll get married in Israel or abroad.”

But for those who value religious pluralism and LGBTQ rights — and polls have shown that a majority of Israelis do — the current moment is alarming. On Sunday, Ben-Gvir vowed to revoke government recognition of non-Orthodox conversions to Judaism, in the latest sign that a far-right coalition would seek to create practical changes quickly.

For Rabbi Mikie Goldstein, the new government’s threatened assault on pluralism and LGBTQ rights offers a one-two punch that has him questioning whether he should continue living in Israel. Goldstein, an immigrant from England, was the first out gay pulpit rabbi in Israel when he took the reins of a congregation in Rehovot in 2014. Now, he leads the Conservative movement’s Rabbinical Assembly in Israel, working to support rabbis and their congregations who belong to the movement, known as Masorti in Israel.

“If I can’t do my work properly, if I’m not accepted — how much can you take?” Goldstein said. “I’m not prepared to give up yet [on Israel] but it’s certainly crossed my mind.”

LGBTQ activists say they won’t give up rights without a fight — and that they are prepared to mount one.

“We are very much united,” said Ortar. “We have a very strong civil infrastructure. The LGBTQ community is very well established in social and demographic groups. A lot of us are in the media, industry, high tech. After the statement about abolishing the parade, you could hear the drums beating. There will be demonstrations if that happens.”

In 2018, some 100,000 people demonstrated — outraged after then-prime minister Netanyahu voted against a bill to allow gay couples to use surrogacy.

Members of the LGBTQ community and supporters participate in a demonstration against a Knesset bill amendment denying surrogacy for same-sex couples, in Tel Aviv, July 22, 2018. (Tomer Neuberg/Flash90)

Last week, Netanyahu tried to assuage fears and ordered officials in his close circle to tell the press that his government would not allow any change to the status quo regarding LGBT rights. But he did not come out saying it himself.

“This is the time to be angry, not scared,” said Rose. “We can’t be complacent anymore. The privilege of complacency has come to an end. That has to be the message of this election. You have to fight for what you want.”


The post LGBTQ Israelis fear setbacks as homophobic parties win a place in Netanyahu’s coalition 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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