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The management of Type II Diabetes Mellitus (DMII) is primary focused on managing patients blood sugar levels through medication and surgery. By doing this, we are only managing the symptom of DMII rather than the underlying cause of the disease, insulin resistance (IR). The Intensive Dietary Management (IDM) Program focuses on using lifestyle modifications to resolve the insulin resistance rather than mange the symptoms of it. Our patients follow various intermittent fasting (IF) regimens in conjunction with low carbohydrate diets rather than medications or bariatric surgery to combat the IR. This presentation seeks to explain the role of IF in the treatment of IR, and why life-threatening surgery is not necessary. Determining the particular fasting regimen a person requires can be quite challenging. There are many physiological, psychological and socioeconomic factors that need to be taken into consideration when determining a patient’s fasting regimen. We will review four different case studies of patients following very different fasting regimens based on the various selection criterion used in the IDM Program, and examine their progress. Type II Diabetes Mellitus does not have to be a chronic, progressive disease if the underlying causation of the disease is properly managed through lifestyle modification. Recorded live at Ketofest 2017 at the Garde Arts Center in New London, CT July 16, 2017. Produced by Pwop Studios