Fasting as a Metabolic Switch - What the Numbers Should Look Like, and Why This Matters.
- Melissa McLane
- 14 hours ago
- 4 min read

Fasting is not about pushing through hunger or proving discipline. It is about turning on systems that are designed to activate only when insulin stays low long enough.
Think of fasting like walking down a long hallway inside the body.
Each door opens to a different room. Each room turns on a different repair process. And the only key that unlocks the doors is stable blood sugar and low insulin.
This is where data matters.
Without glucose, ketones, and GKI, people guess. With data, you can see exactly which room you are in.
The Foundation: What “Good” Glucose Control Actually Looks Like
Before talking about fasting windows, we need to talk about baseline metabolic health.
If this foundation is shaky, longer fasts become stress instead of repair.
Here is what we want to see clinically.
Fasting Glucose
Ideal fasting glucose: low to mid 80s
Consistently above 90 suggests insulin resistance
Consistently below 70 with symptoms suggests poor metabolic stability
The goal is calm, steady glucose not forced lows.
Post-Meal Glucose Response
After eating:
Glucose should not rise more than 30 points
Example: 85 fasting → peak no higher than ~115
You should return to baseline within 2 hours
If glucose spikes higher or stays elevated, insulin is working too hard.
If glucose crashes, cortisol compensates.
Both block fat burning and autophagy.
This glucose stability is what allows fasting to open doors instead of triggering alarms.
Introducing the GKI
Why Glucose Alone Is Not Enough
The Glucose Ketone Index (GKI) tells us what fuel you are using and how deep into repair mode you are.
GKI combines:
Blood glucose (mg/dL)
Blood ketones (mmol/L)
Lower GKI means deeper metabolic repair.
GKI Ranges and What They Mean
GKI 6–9Glucose-dominantEarly metabolic improvementCommon in new fasters
GKI 3–6Fat-burning dominantImproving insulin sensitivityIdeal for metabolic health and fat loss
GKI 1–3Deep ketosisAutophagy and cellular repairTherapeutic range
GKI < 1. Very deep ketosis. Clinical or research use only. Not needed for most people
For menopausal women, the goal is consistency, not extremes.
Walking the Hallway: What Happens as You Fast
12 Hours
At 12 hours, insulin finally drops enough for the body to pause storage mode.
This room turns on:
Blood sugar stabilization
Reduced digestive demand
Early fat access
Improved insulin signaling
This is where many women should live most days.
If fasting glucose is already in the 80s and post-meal spikes are controlled, this door opens smoothly.
If not, the body resists going further.
15–17 Hours
The Metabolic Switch Room
This is where the body clearly switches fuel sources.
Glycogen is largely depleted. Fat and ketones take over.
This room activates:
Ketone production
Growth hormone signaling
Improved brain fuel
Early autophagy
Typical data here:
Glucose: stable, often high 70s to low 80s
Ketones: 0.5–1.5 mmol/L
GKI: usually 3–6
For many women in menopause, this is the most powerful and sustainable fasting window.
Hormones stay supported. Fat loss improves. Energy stabilizes.
18–24 Hours (OMAD)
The Repair Room
Now the body shifts priorities.
This is no longer about fuel efficiency alone.This is about cleanup.
This room turns on:
Autophagy (cellular recycling)
Insulin sensitivity reset
Immune downshifting
Reduced inflammatory signaling
Typical data here:
Glucose: 60s–70s without symptoms
Ketones: 1.5–3.0 mmol/L
GKI: 1–3
This room is powerful but not meant to be occupied daily for most menopausal women.
Used occasionally, it restores sensitivity. Used chronically, it can elevate cortisol and suppress thyroid signaling.
36–48 Hours
The Immune Reset Room
This room exists for deeper pattern interruption.
Here, the body begins clearing old immune cells and signaling renewal.
This room activates:
Immune system recalibration
Stem cell signaling
Deep fat utilization
Reduction in inflammatory memory
Typical data:
Ketones remain elevated
Glucose is low but steady
GKI often 1–2
This is not lifestyle fasting. This is a strategic visit, done infrequently and intentionally.
72 Hours to 5 Days
The Master Reset
Using a Fasting Mimicking Diet
This is the far end of the hallway.
Clinically, we use a fasting mimicking diet (FMD) to access this room safely.
The most studied model is ProLon, developed by L-Nutra.
This approach keeps calories and protein low enough to signal fasting while protecting:
Lean muscle
Thyroid signaling
Gut integrity
Hormonal balance
This room activates:
Profound autophagy
Immune renewal
Stem cell regeneration
IGF-1 suppression
Deep metabolic reset
This is done 2–3 times per year
Why Menopause Changes the Strategy
In menopause:
Estrogen no longer buffers insulin
Cortisol has a stronger effect on glucose
Muscle loss happens faster
Stress responses are amplified
This means:
Glucose stability matters more
Longer fasts require more preparation
Protein and minerals are non-negotiable
Cycling is essential
The goal is no longer fasting. The goal is better signaling.
The Tools That Make This Work
To fast intelligently, you need feedback.
I recommend:
CGM to track glucose patterns
A blood ketone meter, such as Keto-Mojo
GKI tracking to guide depth and duration
Labs to assess insulin, thyroid, cortisol, and inflammation
Data removes fear and guesswork.
You are no longer asking, “Is this working?”You can see it.
Why Doing This Regularly Changes Everything
Fasting works when it is cyclical.
A powerful rhythm looks like:
Daily 12–14-hour fasts
Regular 15–17 hour fasts
OMAD days
Periodic FMD cycles
This keeps the hallway accessible. The switches stay responsive. The body remains adaptable.
Fasting is not starvation. It is a sequence of metabolic switches.
Each hour opens a different door. Each door activates a different repair system. Each system depends on glucose stability, insulin control, and readiness.
When fasting is guided by data, supported by proper nutrition, and adapted for menopause, it becomes one of the most powerful tools we have for metabolic health, fat loss, immune balance, and longevity.


