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The End Jew Hatred Movement is spreading across the country — and sparking controversy

(New York Jewish Week) — Last month, Colorado Gov. Jared Polis, a Jewish Democrat, proclaimed April 29 “End Jew Hatred Day,” citing “an urgent need to act against antisemitism in Colorado and across the country.”

Similar proclamations came from New York Rep. Mike Lawler, a Republican, and dozens of other elected officials nationwide. 

But in the New York City Council, an identical effort proved controversial. While the overwhelmingly Democratic council approved April 29 as End Jew Hatred Day annually, six council members either abstained from or voted against what organizers had intended to be an unanimous decision.

The initiative behind the proclamations, called the End Jew Hatred Movement, is a relatively new presence based in New York City that is increasingly making its voice known nationally — through rallies, petitions, a relentless press campaign and now in the halls of government. One measure that demonstrates the initiative’s growth is the number of April 29 proclamations. Last year, there were a handful. This year, according to End Jew Hatred, there were 30. 

The movement also provided the spark for the unexpected opposition in the New York City Council. Lawmakers who did not support the proclamation said they demurred because the End Jew Hatred Movement, while run by people who say they “set aside politics and ideology,” has been associated with right-wing Jewish activists. 

End Jew Hatred doesn’t publicize much about its structure or funding. It is not a registered nonprofit organization, and would not tell the New York Jewish Week its annual budget or how it receives donations. 

Its backers call it an unapologetic voice that’s fighting a growing problem, antisemitism, while its critics say it is an attempt to inject hawkish rhetoric into a national effort to combat anti-Jewish persecution. Amid that debate, the movement’s growth, and its successful spearheading of resolutions nationwide, show how an initiative founded by conservative activists has wielded influence in the conversation about antisemitism, even in liberal political spaces.

Here’s what we know about End Jew Hatred, how it’s establishing itself in New York City and beyond, and why its activities are drawing backlash. 

A movement founded in the politics of 2020

Founded in New York City near the beginning of the pandemic, End Jew Hatred first drew local attention in October 2020, when it organized a rally in front of the New York Public Library protesting the way its activists said New York City Mayor Bill De Blasio and New York Gov. Andrew Cuomo were unfairly targeting Orthodox New Yorkers with public health restrictions. 

Haredi New Yorkers and their backers railed against the city’s regulations that year, and claimed that policies limiting group prayer and other religious ceremonies were selectively enforced against their communities. 

“Never in my life did I think I would see this type of blatant Jew-hatred from our public officials,” Brooke Goldstein, who founded End Jew Hatred, said at the rally, which drew dozens of protesters. “Singling out New York Jews for blame in the coronavirus spread is unconscionable and discriminatory.”

But while the movement’s first significant action concerned the pandemic, a spokesman for End Jew Hatred said it was inspired by another seismic event that took place in 2020: the racial justice protests and the growth of the Black Lives Matter movement. 

“How can we replicate this for the Jewish people?” said Gerard Filitti, senior counsel for the organization Goldstein directs, the Lawfare Project, describing End Jew Hatred’s genesis. “We saw antisemitism shoot up during the pandemic. So it was kind of the right time to launch this idea.”

Since then, in addition to spearheading the proclamations, the initiative has continued holding rallies, protesting the United Nations Relief and Works Agency, which aids Palestinian refugees, for “promoting Jew hatred”; speaking out against antisemitism in Berlin, Toronto and other cities around the globe; and, earlier this year, opposing a reported plea bargain for the men who assaulted Joseph Borgen while he was en route to a pro-Israel rally in May 2021. It was also a signatory on a letter to Manhattan District Attorney Alvin Bragg protesting the plea deal, and members of the movement showed up to the alleged attackers’ court hearing. 

Nearly three years after its launch, the movement remains opaque about its structure, declining to share any financial information or elaborate on its relationship to the Lawfare Project, which bills itself as an “international pro-Israel litigation fund.” In a brief statement to the New York Jewish Week, a spokesperson for End Jew Hatred said the organization accepts donations from local community members and support from like-minded nonprofit groups, though he declined to detail how those donations were processed.  

“Our network of activists spans the globe, from New York City to Los Angeles, from Toronto to Berlin,” he said. “Also, the movement is supported by people from all walks of life who donate both their time and money to make the movement a success. Activists are encouraged to fundraise within their community, and some actions have been supported by organizations that have taken part in them.”

Roots in pro-Israel and right-wing activism 

The Lawfare Project, Goldstein’s group, has represented Jewish students who settled a discrimination lawsuit with San Francisco State University, and the following year, represented an Israeli organization that settled a suit with the National Lawyers’ Guild, after the guild declined to place the group’s ad in its annual dinner journal.

This year, the group is providing legal aid to a Las Vegas-area Jewish teen who had a swastika drawn onto his back. And it sued the mayor of Barcelona over her decision to sever ties with Tel Aviv.  

Goldstein also has a history of right-wing activism and controversial statements. She has made appearances on conservative news networks such as Fox News, One America News and NewsmaxShe once said that “there’s no such thing as a Palestinian person,” and on Election Day in 2016, tweeted, “Can I run the anti-anti-islamophobia department in the Trump administration?”

Goldstein has said she sees Ronald Lauder — the philanthropist, World Jewish Congress president and conservative donor — as an ally. In a virtual conversation between the two hosted by Manhattan’s Fifth Avenue Synagogue last year, Goldstein thanked Lauder for his “support and his friendship,” and Lauder called Goldstein “so smart and wonderful.” Lauder was also involved with the movement’s effort to establish End Jew Hatred Day in New York City last year.

Ronald S Lauder, President of the World Jewish Congress (WJC) recorded before a bilateral a conversation with Chancellor Scholz. (Michael Kappeler/Getty Images)

End Jew Hatred has also worked with Dov Hikind, a former Brooklyn Democratic state assemblyman who now runs a group called Americans Against Antisemitism. Hikind’s group has partnered with End Jew Hatred, and he has appeared at its events. Hikind told the New York Jewish Week that his group and End Jew Hatred are “involved in terms of pushing the same agenda.”  

Hikind has stirred controversy as well: In 2013, he wore blackface as part of a Purim costume, and in 2005, sponsored a bill that would have allowed police to profile Middle Eastern men on the subway. He was a follower of the late right-wing extremist Rabbi Meir Kahane.

Controversy or consensus?

Even as its right-wing connections have sparked suspicion from progressive activists, End Jew Hatred has garnered support from establishment Jewish groups. The Conference of Presidents of Major American Jewish Organizations promoted End Jew Hatred Day on Twitter last week, posting a graphic with the logo of the movement. And the city’s Jewish Community Relations Council also backed the City Council resolution. 

“All people, regardless of party affiliation, have a role to play in combating antisemitism and other forms of hatred, and we should not lose sight of that,” a JCRC spokesperson told the New York Jewish Week. “From our perspective, every day should be End Jew Hatred Day.” 

Lauder has also advocated the use of the term “Jew hatred” in place of antisemitism in a video published by the World Jewish Congress that has been viewed more than 480,000 times. 

“No one is embarrassed anymore when they’re called an antisemite,” he said. “Antisemitism must be called what it really is: Jew hatred.”

That view is not universally shared among antisemitism watchdogs. Holly Huffnagle, the American Jewish Committee’s U.S. director for combating antisemitism, said that the term “Jew hatred” is “jarring” and “makes people stop and think.” But she said the term does not capture the way antisemitism is often expressed via coded conspiratorial language.

“[People] might not know what [the term] antisemitism is, but Jew hatred they know,” she said. “In that sense it can be used to get attention, to help people call it out.”

“On the other hand, the antisemitism we see today, in its primary form, which is conspiratorial, is not captured by the term ‘Jew hatred,’” she added. “I hear from a variety of people that they don’t hate Jews, they’re against Jew hatred, they’re not antisemitic, but they believe that Jews have too much power [or] they control the media.”

And End Jew Hatred’s right-wing ties have also made some progressive activists in its home base of New York City wary of its motives. The lead sponsor of the City Council’s End Jew Hatred Day resolution was Queens Republican Inna Vernikov, a former aide to Hikind who has previously spotlighted antisemitism allegations at the City University of New York. 

Her resolution, which passed overwhelmingly, garnered a mix of 14 co-sponsors, including some prominent Jewish Democrats and all six of the council’s Republicans — two of whom have links, respectively, to white supremacists and a person arrested for storming the U.S. Capitol on Jan. 6, 2021. 

Council Member Inna Vernikov introduced a resolution to create an annual “End Jew Hatred” day in the New York City Council on April 27, 2023. (New York City Council Flickr)

Those right-wing connections were part of what led six progressive council members to either abstain from or vote against the resolution. One of the council members who voted no, Brooklyn’s Shahana Hanif, told the New York Jewish Week that she has participated in multiple actions against antisemitism but opposed the resolution because she didn’t want to endorse End Jew Hatred as a movement. 

“Antisemitism is real,” Hanif said. “I understand the urgency. I understand the opportunity when there is a resolution or any kind of symbolic gesture that comes along, that every legislator wants to be united in supporting our Jewish colleagues. But in the same breath, it is our responsibility to know who is leading on these efforts.” 

City Comptroller Brad Lander, a prominent Jewish progressive politician, vouched for Hanif’s record of standing up to antisemitism and echoed her concerns. He told the New York Jewish Week that End Jew Hatred’s activists are “right-wingers who have a track record of working very closely with people who foment hatred.” 

Jews for Racial and Economic Justice, a progressive group, also opposed the resolution. Rafael Shimunov, a member of the group, said the resolution was “clearly associated with the right,” and noted that at a hearing ahead of the vote, an activist decried bail reform, something right-wing advocates have pushed for years to repeal

Shimunov also took issue with remarks Vernikov has made about George Soros, the billionaire Jewish liberal megadonor who has become an avatar of right-wing antisemitism, and whom Vernikov called ”an evil man, who happens to be Jewish.” JFREJ activists also noted that also noted that some Republican cosponsors of the bill, such as Vernikov, Vickie Paladino and Joann Ariola, have called for transgender women to be barred from women’s sports at schools and universities.  In addition, Paladino has a history of anti-LGBTQ comments. The activists say these views undercut the council members’ calls to oppose hatred directed at Jews.

End Jew Hatred’s supporters dismissed accusations that their cause is right-wing. In a text message, Vernikov told the New York Jewish Week that “this resolution has nothing to do with politics or right-wing extremists.” Hikind also echoed that message. 

“Everyone in the Jewish community supported this idea,” Hikind said. “To say it’s just right-wing organizations is dishonest and hypocritical.” 

Filliti, the Lawfare counsel, said the aim of the resolution — and End Jew Hatred as a whole — was to send “a unifying message.”

“We’re not looking to make this political,” he said. “We have had so much success with this and we are so happy to see this going forward.”


The post The End Jew Hatred Movement is spreading across the country — and sparking controversy 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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