Intermittent Fasting Explained: Is It Safe for Africans With Diabetes, Fatty Liver & High Blood Pressure?

Intermittent Fasting Explained: Is It Safe for Africans With Diabetes, Fatty Liver & High Blood Pressure?

Intermittent fasting is one of the most talked-about health trends today. Some people praise it as life-changing, while others warn that it is dangerous—especially for Africans living with diabetes, high blood pressure, or fatty liver disease.

The confusion is understandable.

Many Africans were never taught how fasting works in the body. Instead, fasting is often viewed as:

  • starvation

  • religious suffering

  • something only young or “strong” people should try

But intermittent fasting is none of those things.

When done correctly, intermittent fasting is not about punishment.
It is a metabolic tool—and one that aligns closely with how African bodies traditionally ate before modern snacking culture.

This article explains intermittent fasting clearly, safely, and in an African context.

Intermittent fasting is not about what you eat, but when you eat.

It simply means:

You eat within a specific time window
and allow your body to rest from food for the remaining hours.

During the fasting period:

  • insulin levels drop

  • the body switches from sugar-burning to fat-burning

  • organs like the liver get time to recover

This is very different from starving.

According to the World Health Organization, constant eating and excess refined carbohydrates contribute significantly to insulin resistance and metabolic diseases (WHO, 2023).

Intermittent fasting focuses on when you eat rather than what you eat. By allowing the body regular breaks from constant food intake, insulin levels are reduced and metabolic processes such as fat burning and cellular repair are activated. Constant eating, especially refined carbohydrates and sugary foods, has been shown to worsen insulin resistance and metabolic health (World Health Organization, 2023).

Africans Used to Fast Naturally (Without Calling It Fasting)

Before modern lifestyles:

  • There was no midnight snacking

  • No sugary drinks every hour

  • Meals were eaten at set times

  • Physical activity was built into daily life

People ate breakfast, lunch, and dinner—not all day long.

Intermittent fasting simply restores that natural rhythm.

Common Myths Africans Believe About Intermittent Fasting

❌ Myth 1: “If I don’t eat early, my sugar will drop and I’ll collapse”

This is not true for most people, especially those with insulin resistance or type 2 diabetes. In fact, constantly eating keeps insulin high and worsens blood sugar control.


❌ Myth 2: “Fasting will give me ulcer”

Ulcers are caused mainly by H. pylori infection and long-term medication use—not fasting. Many people fast safely without stomach problems.


❌ Myth 3: “Intermittent fasting is only for young people”

Age is not the main factor—metabolic health is. Many adults in their 40s, 50s, and 60s benefit when fasting is done gradually and safely.

Intermittent Fasting and Diabetes (What Africans Must Know)

Intermittent fasting can be helpful for people with type 2 diabetes, because it:

  • lowers insulin levels

  • improves insulin sensitivity

  • reduces constant blood sugar spikes

However, not everyone with diabetes should fast.

⚠️ Important Safety Note

Intermittent fasting is NOT recommended for:

  • people with type 1 diabetes

  • people on insulin or sulfonylurea medications without medical supervision

👉 Internal link:
Diabetes: Early Warning Signs You Shouldn’t Ignore

The Centers for Disease Control and Prevention confirms that insulin resistance is a key driver of type 2 diabetes and metabolic disease (CDC, 2022).

Intermittent fasting may be beneficial for people with type 2 diabetes because it can improve insulin sensitivity and reduce frequent blood sugar spikes when done carefully. However, fasting is not suitable for everyone, particularly individuals with type 1 diabetes or those using insulin or sulfonylurea medications without medical supervision (Centers for Disease Control and Prevention, 2022).

Intermittent Fasting and Fatty Liver Disease

Fatty liver disease is closely linked to excess sugar intake and high insulin levels.

When insulin remains high:

  • the liver converts excess sugar into fat

  • fat accumulates in liver cells

  • liver function becomes impaired

Intermittent fasting helps by:

  • reducing insulin levels

  • allowing the liver to burn stored fat

  • improving liver enzyme levels over time

👉READ

Early Signs of Fatty Liver Disease You Shouldn’t Ignore

The NHS states that early lifestyle changes can significantly improve fatty liver disease (NHS, 2023).

intermittent fasting and fatty liver

Intermittent Fasting and High Blood Pressure

Intermittent fasting supports blood pressure control by:

  • promoting weight loss

  • reducing insulin-driven sodium retention

  • improving blood vessel flexibility

However, fasting does not replace blood pressure medication.
Medication should only be adjusted by a healthcare professional.

Intermittent fasting may support blood pressure control indirectly by promoting weight loss, improving insulin sensitivity, and reducing inflammation. Excess insulin is known to contribute to sodium retention and blood vessel stiffness, which can raise blood pressure. Lifestyle changes remain a key part of blood pressure management alongside medical treatment (NHS, 2023).

👉 READ
Early Signs of High Blood Pressure You Shouldn’t Ignore

 

Best Intermittent Fasting Method for Africans (Start Here)

✅ Recommended Progression

  1. 12:12 – eat within 12 hours

  2. 14:10 – gentle improvement

  3. 16:8 – most common & sustainable

Example (African-friendly):

  • Dinner by 7pm

  • First meal between 9–11am

  • No late-night snacking

What to Eat When You Break Your Fast (Very Important)

Break your fast with:

  • beans and vegetables

  • eggs with vegetables

  • moi moi

  • okra, ogbono, or vegetable soups (controlled portions)

❌ Avoid:

  • sugary drinks

  • garri soaked in sugar

  • pastries

Who Should NOT Do Intermittent Fasting

Intermittent fasting is not suitable for:

  • pregnant or breastfeeding women

  • people with eating disorders

  • underweight individuals

  • type 1 diabetes

  • people advised otherwise by their doctor

plate of edikignko soup

Intermittent fasting is not recommended for pregnant or breastfeeding women, individuals with eating disorders, or people with specific medical conditions unless advised by a healthcare professional. Safe fasting practices should always be individualised and medically supervised when necessary (Centers for Disease Control and Prevention, 2022).

Final Thoughts

Intermittent fasting is not starvation.
It is not punishment.
It is not a Western trick.

When done correctly, intermittent fasting helps Africans:

  • improve blood sugar control

  • reduce fatty liver

  • support healthy blood pressure

  • regain metabolic balance

The body heals when given time.
Intermittent fasting gives the body that time.

✍️ Written by

Vivian Okpala
Public Health Educator | Wellness Coach
Founder, VeeVee Health

References

  • World Health Organization (2023). Noncommunicable diseases and metabolic risk factors. Available at: https://www.who.int

  • NHS (2023). Non-alcoholic fatty liver disease (NAFLD) and High blood pressure. Available at: https://www.nhs.uk

  • Centers for Disease Control and Prevention (2022). Type 2 diabetes, insulin resistance, and lifestyle management. Available at: https://www.cdc.gov

  • American Heart Association (2022). Lifestyle changes for heart and metabolic health. Available at: https://www.heart.org

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❓ FAQs

❓ What is intermittent fasting?

Intermittent fasting is an eating pattern that focuses on when you eat rather than what you eat. It involves alternating periods of eating and fasting, allowing the body time to rest, lower insulin levels, and improve metabolic health. Intermittent fasting is not starvation and can be adapted safely when done correctly.

❓ Is intermittent fasting safe for Africans?

Intermittent fasting is generally safe for many Africans when practiced gradually and appropriately. However, safety depends on individual health status, medications, and lifestyle. People with underlying medical conditions should seek professional advice before starting intermittent fasting.

❓ Can people with diabetes do intermittent fasting?

People with type 2 diabetes may benefit from intermittent fasting because it can improve insulin sensitivity and blood sugar control. However, intermittent fasting is not recommended for people with type 1 diabetes or those on insulin or certain diabetes medications unless supervised by a healthcare professional.

❓ Does intermittent fasting help with fatty liver disease?

Yes. Intermittent fasting may help reduce liver fat by lowering insulin levels and improving fat metabolism. In the early stages of fatty liver disease, lifestyle changes such as intermittent fasting, healthy eating, and weight loss can support liver recovery.

❓ Can intermittent fasting lower high blood pressure?

Intermittent fasting may help lower high blood pressure indirectly by supporting weight loss, improving insulin sensitivity, and reducing inflammation. It should not replace prescribed blood pressure medications, but it can complement medical treatment and lifestyle changes.

❓ What is the best intermittent fasting method for beginners?dmin Dashboard?

For beginners, especially Africans, starting slowly is best. A 12:12 fasting schedule (12 hours eating, 12 hours fasting) is a safe starting point. This can later progress to 14:10 or 16:8 depending on comfort and health status.

❓ What should I eat when breaking my fast?

When breaking a fast, it is best to eat balanced meals containing protein, vegetables, healthy fats, and fibre. African-friendly options include beans and vegetables, eggs with vegetables, moi moi, or soups with controlled portions. Sugary foods and refined carbohydrates should be avoided.
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