Mostly false Certainty of evidence: moderate provisional C-FAST-01

Fasting brings gut hormones, above all insulin, to zero ('your fasting insulin equals zero').

Safety note: Do not stop or reduce insulin on the basis of this claim. In type 1 diabetes and other insulin-deficient states, stopping insulin leads within hours to days to diabetic ketoacidosis, which is life-threatening. Medically accepted position (ADA Standards of Care 2026): insulin treatment is essential for people with type 1 diabetes; people on intensive insulin therapy should not stop basal insulin even when not eating. Any change of diabetes medication should be made together with the treating physician.
Conclusion: Fasting lowers insulin but does not and should not bring it to zero.

Original statement

فالصيام يُصفّر الهرمونات المعوية، وعلى رأسها الأنسولين، فيمنح الكبد والأمعاء فرصة الإصلاح وإخراج السموم.

verbatim according to source. Translation by the project; the Arabic wording is authoritative.

Translation

Fasting brings gut hormones, above all insulin, to zero ('your fasting insulin equals zero').

Origin

Source status
Archive editors
Attribution
Archive editors summarising Elawady's view (homepage summary; not the quote box)
Origin
https://eltayebat.com/
Attribution uncertainty
Homepage summary written by the archive operators describing Elawady's views; partly cites his 'statement of the theory' video (aEbRfVSJIOw), otherwise no video reference.
Claimed mechanism

Insulin is only secreted in response to food in the gut.

Claimed health effect

Insulin falls to zero during fasting

Population concerned

Everyone

Geographic restriction by Elawady

none found

Diverging source versions

Source status
Video transcript (own words)
Attribution
Elawady (machine transcript)
Video
Dr Diaa Al Awady د ضياء العوضي is live!فلسفة الصيام مع السحور المحترم (Open source)
Published
23 February 2026
Timestamp
not available (transcript has no timings)
Attribution uncertainty
Archive transcript (YouTube CC or AI-generated); no timestamps; 'published' is the date listed by the archive and may be the upload date. Live-stream transcripts can contain viewer comments read aloud; the quoted passage was checked in context to be spoken by Elawady.
Source status
Video transcript (own words)
Attribution
Elawady (machine transcript)
Video
ارتفاع السكر والأسيتون ؟خطر والا ده الطبيعي ؟#ضياء_العوضي (Open source)
Published
23 December 2025
Timestamp
not available (transcript has no timings)
Attribution uncertainty
Archive transcript (YouTube CC or AI-generated); no timestamps; 'published' is the date listed by the archive and may be the upload date. Live-stream transcripts can contain viewer comments read aloud; the quoted passage was checked in context to be spoken by Elawady.

Scientific assessment

Mostly false – Essential parts of the statement are not supported by the evidence or are strongly exaggerated.

Certainty of evidence: moderate – Further research may still affect the assessment.

1. What was claimed?

Fasting reduces insulin (and other gut hormones) to zero.

2. What is demonstrably correct?

Insulin secretion falls during fasting, which permits lipolysis and ketone body production; ketones (beta-hydroxybutyrate) become a major brain fuel in prolonged starvation (I-FAST-01). Fasting regimens can lower fasting insulin (I-FAST-05).

3. What is wrong or exaggerated?

Insulin does not fall to zero in healthy people; a low basal level persists and restrains ketone production and hepatic glucose output. When insulin truly approaches zero (type 1 diabetes), ketoacidosis develops (I-INS-08). A fasting glucose of 700 mg/dL, which Elawady mentions as compatible with 'zero insulin', is a medical emergency indicating severe insulin deficiency, not a healthy fasting state. Insulin is also not only a gut hormone; it is a pancreatic hormone released into the portal vein, with secretion modulated by gut hormones (incretins).

4. What remains unclear?

Exact basal insulin concentrations during fasts of different length were not extracted from the sources reviewed; it is also uncertain whether Elawady meant 'zero' literally or as 'very low'.

5. Which studies support it?

I-FAST-01 (insulin falls, ketones rise); partly I-FAST-05 (fasting insulin reduced in some trials; nothing supports insulin falling to zero).

6. Which studies contradict it?

I-INS-08, I-INS-10.

7. What applies to Germany and Europe?

Not region-specific.

8. What is known about Egypt?

Not region-specific; Ramadan fasting practice is common.

9. What practical conclusion is appropriate?

Fasting lowers insulin, which is part of its metabolic effect, but a body without any insulin is in danger. People with diabetes on insulin must not stop basal insulin during fasting without medical advice.

Assessment details

Rationale for certainty of evidence

It is well established that insulin falls during fasting while glucagon rises, enabling fat breakdown and ketone production (kernel correct). Basal insulin secretion continues in healthy people and is essential: complete absence of insulin (type 1 diabetes) leads to uncontrolled ketogenesis and DKA. ADA advises that people on intensive insulin therapy should not stop basal insulin even when not eating. Evidence is physiological and guideline-based; no direct study measuring 'zero' was reviewed (moderate).

Source quality

Homepage editorial paraphrase plus own words in machine transcripts.

Regional transferability

Universal.

Regional scope of the claim
general (biological/medical)
Last reviewed
25 October 2026 provisional

In plain language

When we do not eat, insulin goes down and the body starts burning stored fat. That part is correct. But insulin never reaches zero in a healthy person, because a small amount is always needed to keep acids in the blood under control. When insulin really is missing, as in type 1 diabetes, life-threatening ketoacidosis follows.

Studies on this claim

Studies supporting the claim (1)

  • How the body fuels itself during starvation

    Cahill GF. Annu Rev Nutr 2006 · PMID 16848698 · DOI 10.1146/annurev.nutr.26.061505.111258
    Narrative reviewindependent cross-checkabstract only checked

    During long fasting the brain uses ketones from fat, which allows survival.

    Does the study support the specific claim? Partly · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Fuel metabolism in prolonged starvation

    How was the study done?

    Narrative/biographical review

    How many people, animals or samples were studied?

    not applicable; Humans in starvation (historical studies)

    What was actually found?

    Ketones fuel the brain in starvation.

    How large was the observed effect?

    not reported

    What do the results mean in everyday life?

    Fasting ketosis is normal physiology in healthy people.

    What are the study's limitations?

    Narrative; No quantitative data in abstract

    What does it say about Elawady's specific claim?

    Supports physiological kernels of C-FAST-01, C-FAST-03, C-FAST-04 (fasting ketosis is normal).

    Do the results apply to Germany and Europe?

    Physiology universal.

    What can explicitly not be concluded from this study?

    That high glucose plus ketones is harmless in diabetes.

    Scientific details →

Studies contradicting or limiting the claim (2)

  • Review on diabetic ketoacidosis

    Dhatariya KK et al.. Nat Rev Dis Primers 2020 · PMID 32409703 · DOI 10.1038/s41572-020-0165-1
    Narrative reviewindependent cross-checkfull text checked

    DKA is an emergency that can kill; it is treated with fluids, insulin and salts, and insulin must not be stopped in type 1 diabetes even when not eating.

    Does the study support the specific claim? No · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Epidemiology, pathogenesis, diagnosis and management of DKA

    How was the study done?

    Narrative expert review (Nature Reviews Disease Primers)

    How many people, animals or samples were studied?

    not applicable; Adults and children with diabetes

    What was actually found?

    DKA is diagnosed by high glucose, ketones and acid; it kills <1% when treated in rich countries but up to 26-41% where treatment is lacking; treatment is fluids, insulin and potassium, and insulin must never be stopped in type 1 diabetes even when not eating.

    How large was the observed effect?

    not applicable

    What do the results mean in everyday life?

    DKA is an emergency.

    What are the study's limitations?

    Narrative expert review without systematic methods; one author has research support from insulin makers.

    What does it say about Elawady's specific claim?

    Contradicts C-INS-08, C-INS-02, C-FAST-01, C-FAST-03.

    Do the results apply to Germany and Europe?

    International.

    What can explicitly not be concluded from this study?

    Quantitative estimates.

    Scientific details →

  • ADA guideline 2026: blood sugar goals and emergencies

    American Diabetes Association Professional Practice Committee for Diabetes* . Diabetes Care 2026 · PMID 41358894 · DOI 10.2337/dc26-S006
    Guideline / position statementindependent cross-checkfull text checked★ key study

    Most adults should aim for HbA1c below 7%, avoid low sugar, and measure ketones when at risk.

    Does the study support the specific claim? Partly · Methodological quality: high · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Glycaemic goals, hypoglycaemia and hyperglycaemic crises

    How was the study done?

    Clinical practice guideline (ADA Standards of Care 2026, Section 6)

    How many people, animals or samples were studied?

    not applicable; People with diabetes

    What was actually found?

    Individual targets; do not stop basal insulin when not eating.

    How large was the observed effect?

    not applicable

    What do the results mean in everyday life?

    Moderate targets and safety rules.

    What are the study's limitations?

    US-centred; Partially read

    What does it say about Elawady's specific claim?

    Supports C-INS-04, C-INS-11; contradicts C-FAST-01, C-FAST-03, C-DIAB-02.

    Do the results apply to Germany and Europe?

    Consistent with EASD guidance.

    What can explicitly not be concluded from this study?

    Not applicable.

    Scientific details →

Studies with mixed or unclear results (1)

  • What intermittent fasting does to metabolism

    Patterson RE et al.. Annu Rev Nutr 2017 · PMID 28715993 · DOI 10.1146/annurev-nutr-071816-064634
    Narrative reviewindependent cross-checkfull text checked

    Fasting regimens seem to help weight loss and may improve metabolism; much is still hypothesis.

    Does the study support the specific claim? Partly · Methodological quality: low · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Metabolic effects of intermittent fasting

    How was the study done?

    Narrative review

    How many people, animals or samples were studied?

    not applicable; Humans and animal models

    What was actually found?

    Most small fasting trials showed some weight loss; fasting was not better than eating less every day; benefits for liver and metabolism come mainly from mouse studies.

    How large was the observed effect?

    not reported

    What do the results mean in everyday life?

    A possible tool, not a cure.

    What are the study's limitations?

    Not a systematic review; small, short human studies; much evidence from male mice; no long-term disease outcomes.

    What does it say about Elawady's specific claim?

    Partial support for C-FAST-02, C-FAST-05; kernel of C-FAST-01.

    Do the results apply to Germany and Europe?

    General.

    What can explicitly not be concluded from this study?

    Superiority or detox effects.

    Scientific details →

Regional context

Germany / EU

Not region-specific.

Egypt

Not region-specific; Ramadan fasting practice is common.

What applies in my country?

General scientific assessment

Mostly false Fasting lowers insulin but does not and should not bring it to zero.

This statement concerns biological or medical relationships. The scientific assessment above applies regardless of the country; country-specific food data do not change it.

References

  1. Fuel metabolism in starvation.. Cahill GF. Annu Rev Nutr 2006 · PMID 16848698 · DOI 10.1146/annurev.nutr.26.061505.111258
  2. Diabetic ketoacidosis.. Dhatariya KK et al.. Nat Rev Dis Primers 2020 · PMID 32409703 · DOI 10.1038/s41572-020-0165-1
  3. 6. Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises: Standards of Care in Diabetes-2026.. American Diabetes Association Professional Practice Committee for Diabetes* . Diabetes Care 2026 · PMID 41358894 · DOI 10.2337/dc26-S006
  4. Metabolic Effects of Intermittent Fasting.. Patterson RE et al.. Annu Rev Nutr 2017 · PMID 28715993 · DOI 10.1146/annurev-nutr-071816-064634

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