How Weight Loss Can Reverse Type 2 Diabetes
TIME Health For more, visit TIME Health. An analysis published in The BMJ aims to let doctors and the public in on a little-known secret: Type 2 diabetes, in many cases, is curable. People can reverse their diabetes by losing about 33 pounds, say the authors of the new paper, despite popular belief that the diagnosis is always a permanent one. If more people were striving for this goal, and if more doctors were documenting instances of diabetes remission, complication rates and health-care costs could both be reduced dramatically, the authors say. The analysis is based on evidence from recent clinical trials. In one from 2011, people who were recently diagnosed with Type 2 diabetes returned their blood sugar levels to normal when they lost weight on a calorie-restrictive diet. In a 2016 follow-up study, people who had been diabetic for up to 10 years were able to reverse their condition when they lost about 33 pounds. TIME Health Newsletter Get the latest health and science news, plus: burning questions and expert tips. View Sample Sign Up Now Mike Lean, professor of human nutrition at the University of Glasgow in Scotland, is an author of both the new analysis and of those earlier trials. He says a person’s likelihood of remission from diabetes is greatest in the first five years after being diagnosed. Type 2 diabetes, he wrote in an email, is a disease “best avoided by avoiding the weight gain that drives it.” For people who do develop it, he believes that evidence-based weight-loss programs could help them achieve lasting remission. “Not all can do it, but they should all be given the chance with good support,” Lean writes. “Taking tablets or injections for life to reduce blood sugar is a poor second rate treatment.” Current guidelines for the managemen Continue reading >>
Type 2 Diabetes: How To Lose Weight
Weight loss is a common recommendation for treatment for type 2 diabetes. Many people are overweight when they’re first diagnosed, and that extra fat actually increases their insulin resistance (when their bodies can’t properly use the hormone insulin). By losing weight, people with type 2 diabetes can become less insulin resistant, and they’re able to use insulin better. (To learn more about how the hormone insulin works, read our article on how insulin regulates blood glucose levels.) If you’ve recently been diagnosed with type 2 diabetes and you're overweight, you should get started as soon as possible on a weight loss plan. It is important to work with a registered dietitian to help you figure out a plan that will work for you—a healthy meal plan, physical activity, and realistic goals will help you reach a healthy weight. There are many advantages to losing weight (and not just diabetes-related ones): Boost your energy level Lower your cholesterol levels (especially important for people with type 2 diabetes) Protect your heart (also important for people with diabetes, since heart-related complications are very common) Make it easier to control your blood glucose level As you may already know, losing weight can be a challenge, but don’t let that stop you. Do whatever you need to in order to stay motivated. It is the amount of calories we eat that contributes to weight gain. Make small changes. Learn portion sizes and reduce the amount of snacks in your day to reduce the total amount of calories you consume each day. Find cookbooks with healthier recipes using low-fat options. For a little fun, take our carb counting quiz to see how well you know the carb content of certain foods; this can help you make healthier choices. Work with a registered dietitian Continue reading >>
Weight And Diabetes
A balanced diet and an active lifestyle can help all kids maintain a healthy weight. For kids with diabetes, diet and exercise are even more important because weight can affect diabetes and diabetes can affect weight. This is true for kids and teens with type 1 diabetes or type 2 diabetes. In diabetes, the body doesn't use glucose properly. Glucose, a sugar, is the main source of energy for the body. Glucose levels are controlled by a hormone called insulin , which is made in the pancreas. In type 1 diabetes , the pancreas does not make enough insulin. Undiagnosed or untreated type 1 diabetes can cause weight loss. Glucose builds up in the bloodstream if insulin isn't available to move it into the body's cells. When glucose levels become high, the kidneys work to get rid of unused sugar through urine (pee). This causes weight loss due to dehydration and loss of calories from the sugar that wasn't used as energy. Kids who develop type 1 diabetes often lose weight even though they have a normal or increased appetite. Once kids are diagnosed and treated for type 1 diabetes, weight usually returns to normal. Developing type 1 diabetes isn't related to being overweight, but keeping a healthy weight is important. Too much fat tissue can make it hard for insulin to work properly, leading to both higher insulin needs and trouble controlling blood sugar. In type 2 diabetes , the pancreas still makes insulin, but the insulin doesn't work in the body like it should and blood sugar levels get too high. Most kids and teens are overweight when they're diagnosed with type 2 diabetes. Being overweight or obese increases a person's risk for developing type 2 diabetes. Also, weight gain in people with type 2 diabetes makes blood sugar levels even harder to control. People with type 2 di Continue reading >>
The Dilemma Of Weight Loss In Diabetes
People with diabetes receive mixed messages about weight loss from magazines, newspapers, friends, family, and, yes, even health professionals. Few subjects have accumulated as much misleading and potentially dangerous folklore as the subject of obesity. A common message is that losing weight is just a matter of willpower, and if you have been losing weight and reach a plateau, it's because you've lost your willpower and are no longer following your diet. Furthermore, for people with type 2 diabetes, the message often is that weight loss is the answer to improving glucose control: “If you just lose 20 lb, you won't need insulin.” What does research tell us about these issues, and what should our messages as health professionals be to people with diabetes? Obesity is a serious worldwide problem and is associated with the risk of developing diabetes. Today, more than 1.1 billion adults worldwide are overweight, and 312 million of them are obese.1 In the past 20 years, the rates of obesity have tripled in developing countries that have adopted a Western lifestyle, with the Middle East, Pacific Islands, Southeast Asia, India, and China facing the greatest increase. Consequently, the number of people with diabetes in these countries is expected to increase from 84 million in 2000 to 228 million by 2030. Thus, preventing obesity is a high priority for the prevention of diabetes and other chronic diseases. According to some obesity researchers, it may not be possible to decrease the current numbers of overweight and obese people in the United States, but we need to try to slow or prevent the increase that has been occurring at an alarming rate.2 The hope is that slowing the rising prevalence of obesity will also slow the diabetes epidemic. Can this be accomplished? Thus fa Continue reading >>
Why Am I Losing Weight With Type 2 Diabetes?
Amy Reeder is a Certified Diabetes Educator with a master’s degree in nutrition from the University of Utah. She has worked in the diabetes field since 2005 and has been a Certified Diabetes Educator since 2007. If you have type 2 diabetes, weight loss can be a good thing. This is assuming the weight loss is part of a balanced approach to your diabetes management, involving sound nutrition and physical activity. Why weight loss is (usually) a good thing Decreased weight is a goal usually associated with type 2 diabetes for many reasons: it helps in lowering blood sugars, decreases your risk of heart disease, and contributes to overall health, to name a few. In fact, a decrease in body weight by as little as five to 10 percent can result in tremendous benefits when talking about blood glucose and health in general. But if you have type 2 diabetes and you’ve had unintentional weight loss, take it as a warning sign, and consult your physician. More on diabetes and weight loss: How Does Losing Weight Help With Type 2 Diabetes? Weight Loss and Diabetes: A Balancing Act There are three worrisome causes of unintentional weight loss for those with type 2 diabetes: 1. Continual high blood sugar With type 2 diabetes, the body is not able to effectively get glucose from the bloodstream into the cells for use in all bodily functions. And if your type 2 diabetes is not managed or controlled, blood sugar gets high very quickly and stays high until something is done about it. If nothing is done to resolve high blood sugar, the glucose that is causing the high blood sugar can’t get into the body’s cells for energy and is excreted in the urine. In other words, if you eat carbohydrates to fuel your body, those carbohydrates that are broken down into glucose aren’t used as fuel, Continue reading >>
Unexplained Weight Loss
Tweet Unexplained weight loss is the term used to describe a decrease in body weight that occurs unintentionally and can be a warning sign of diabetes. The amount you weigh is determined by a number of factors including age, your calorie intake and overall health. Once you reach middle adulthood, your weight should remain relatively stable from year to year. Losing or gaining a few pounds here and there is normal, but unexplained weight loss that is significant (10 lbs/4.5kg or more or over 5% of your body weight) or persistent may signal an underlying medical condition. Unexplained weight loss means weight loss that occurs without trying through dieting or exercising. What are the possible causes of unexplained weight loss? Unintentional or unexplained weight loss can be caused by a number of things, including depression, certain medication and diabetes. Potential causes of unexplained weight loss include: Addison’s disease Coeliac disease Chronic diarrhoea Dementia Diabetes mellitus Eating disorders (anorexia and bulimia) Exocrine Pancreatic Insufficiency HIV/AIDS Hypercalcemia Hyperthyroidism Malnutrition Medicines, including chemotherapy drugs, laxatives, and thyroid medications Parkinson’s disease Recreational drugs, including amphetamines and cocaine Tuberculosis Diabetes and sudden weight loss In people with diabetes, insufficient insulin prevents the body from getting glucose from the blood into the body's cells to use as energy. When this occurs, the body starts burning fat and muscle for energy, causing a reduction in overall body weight. Unexpected weight loss is often noticed in people prior to a diagnosis of type 1 diabetes but it may also affect people with type 2 diabetes. When to call your doctor If you have unintentionally lost more than 5% of your Continue reading >>
Can Losing Weight Get Rid Of Diabetes?
New research has found that the more weight you lose, the more likely type 2 diabetes will go away. Diabetes that goes away is good. But whats most important is diabetes that stays away. From the physicians and dietitians at the Pritikin Longevity Center, get key facts on how to lose weight and lose diabetes permanently. Can losing weight get rid of type 2 diabetes? Yes. In fact, important new research published in The Lancet has found that the more weight you lose, the more likely type 2 diabetes will go away. New research 1 from scientists in the United Kingdom suggests that remission of type 2 diabetes is possible through weight management. The trial, led by Michael Lean, MD, of the University of Glasgow, included 306 overweight and obese people, ages 20 to 65, who had type 2 diabetes for a maximum of 6 years. Half of the participants were randomly assigned to an intervention group that put them on a very low-calorie diet. The other half, the control group, received standard diabetes care but no specific guidelines to cut calories dramatically. After one year, the intervention group lost an average 22 pounds. The control group shed just 2 pounds. And after one year, 46% of those in the intervention group were able to achieve remission of type 2 diabetes. Only 4% in the control group did. Remission was defined as achieving an HbA1c (a measure of long-term blood sugar control) that was less than 6.5% without the use of medication for a minimum of 2 months. Among those in the low-calorie intervention group, nearly a quarter shed 33 pounds or more, which was the studys primary goal. None in the control group achieved such a weight loss. More weight loss, more diabetes remission The scientists found that the more weight lost, the greater the likelihood of diabetes remiss Continue reading >>
Weight And Diabetes: Lose Pounds To Lower Your Risk
If you’re overweight, you’ve probably thought about shedding some pounds. If you have diabetes or are at risk for getting it, you should stop thinking and start doing -- now. Why? Because excess weight puts a strain on your body in all sorts of ways. “If I suddenly take a bunch of gravel and throw it in the back of your car, you can still probably make 70 mph on the interstate. But you’re going to make the engine work a little harder. If I put 1,000 pounds in your car, that effect increases. I can probably put enough weight in so, eventually, your car no longer can perform like it needs to,” says David Marrero, PhD, president of health care and education for the American Diabetes Association. It sounds harsh, but the truth is, that extra weight in your trunk? It can lead to a higher risk of heart disease, stroke, high blood pressure, cancer, and diabetes, according to the National Heart, Lung, and Blood Institute. Your engine already is whining. Ditch the gravel. You might be surprised at how dropping just a few pounds can make a dramatic difference. “What we know in diabetes prevention, and in prediabetes, is that a very modest amount of weight loss has this huge reduction in risk,” Marrero says. “You lose 7% of your body weight, you cut your risk [of developing diabetes] by 60%. And, in fact, if you’re over 65, it’s over 70%." But how do you not just lose weight, but keep it off? Through a combination of exercise and watching what you eat. If you’re overweight and have diabetes, or are at risk of getting it, you have to exercise. There’s no way around it. “In your body, what exercise does, is it allows you to bind or uptake insulin more efficiently,” Marrero says. Your pancreas makes insulin, a hormone that “unlocks” the cells so they c Continue reading >>
Keeping The Pounds On: Causes Of Unexplained Weight Loss
Our society is obsessed with weight, if you haven’t noticed. More than two thirds of US adults are overweight or obese, there are more diet books published than we can count, and, of course, we have the privilege of watching shows like The Biggest Loser to help keep us in line. And according to government statistics, more than 85% of people with Type 2 diabetes are overweight. So it stands to reason that much of the focus of managing Type 2 diabetes is based on reaching and staying at a healthy weight. It’s important to note that thin people can get diabetes too, and not just Type 1 diabetes. In a 2008 study published in the journal Diabetes Care, adults age 60 to 79 years old with a body-mass index (BMI) of less than 18.5 (which is considered to be underweight) were 30% more likely to get Type 2 diabetes than adults with a “normal” BMI of 18.5 to 24.9. In a society where being thin equates with beauty, youth, intelligence, and success, there is often little sympathy or patience for people who are too thin and who desperately want to gain weight. If you’ve struggled with losing weight and keeping it off, you know all too well how challenging that can be. People who want to gain weight often face the same kind of battle. And to have diabetes on top of that can make it doubly difficult. First things first: identify the cause If you have diabetes, are underweight, and would like to gain weight, it’s helpful to first have a talk with your doctor. Make sure there are no health or medical reasons for you being underweight (especially if you’ve recently lost weight without trying) such as having an overactive thyroid, a digestive disorder (such as Crohn disease), or cancer, for example. A physical exam, blood work, and other tests may be needed to rule out certai Continue reading >>
Type 2 Diabetes: 8 Steps To Weight-loss Success
Losing weight is at the top of many people's to-do lists. But for those with type 2 diabetes, weight control is especially important. “Carrying excess body fat increases the body's resistence to insulin, making blood glucose management more challenging,” says Sue McLaughlin, RD, CDE, past 2009 national president of health care and education for the American Diabetes Association. "According to the World Health Organization, 90 percent of people with type 2 diabetes are overweight or obese." In fact, research indicates that the longer someone has a high body mass index or BMI (a common measure of being overweight or obese), the greater their risk of developing type 2 diabetes. It’s no secret that losing weight — and keeping it off — isn’t easy. But it is possible, and the benefits for those with diabetes are great. So how do you get started? Experts say the right way to lose weight is to incorporate a healthful diet into your overall diabetes management plan. Diabetes Diet Control: Steps to Success Here's how to get started on the path to weight-loss success: Get physical. Exercise can help keep off the weight. “Research shows that people who increase physical activity along with reducing calorie intake will lose more body fat than people who only diet,” says McLaughlin, now a certified diabetes educator at Nebraska Medicine, Children's Hospital and Endocrine Clinics, in Omaha and Lincoln, Nebraska. For confirmation, look at the National Weight Control Registry (NWCR), a database of 10,000 men and women who have lost a significant amount of weight and kept it off. Only 10 percent reached and maintained their weight-loss goal without exercise. Most people in the register chose walking as their form of exercise. Eat breakfast. The most effective diabetes die Continue reading >>
Is Weight Loss Caused By Diabetes Dangerous?
home / health & living center / diet & weight management a-z list / is weight loss caused by diabetes dangerous article Is Weight Loss Caused by Diabetes Dangerous? Medical Author: Ruchi Mathur, MD, FRCP(C) Ruchi Mathur, MD, FRCP(C) is an Attending Physician with the Division of Endocrinology, Diabetes and Metabolism and Associate Director of Clinical Research, Recruitment and Phenotyping with the Center for Androgen Related Disorders, Department of Obstetrics and Gynecology at Cedars-Sinai Medical Center. I have a friend that is 35 and has diabetes . For the past eightyears, his weight has always been in check and if anything he may have beena little overweight . Just recently, he has lost a lot of weight and he toldme that he weighs less than he did in high school. I think he looks toothin and I am concerned about his health with him being a diabetic. Shouldthere be a concern and what kind of advice can you give me to pass on tohim. We often assume weight loss is good and healthy. A slow steady intentional weight loss using nutritional change and exercise is associated with beneficial effects on the heart, blood pressure , and cholesterol levels . In addition, weight loss can reduce " insulin resistance " and makemuscles and fat tissues more sensitive to circulating insulin levels in the blood. What type of diabetes causes weight loss? A reduction in insulin resistance is problematic because insulin is needed tohelp glucose enter these tissues to be metabolized. If these tissues areresistant to insulin, higher than normal levels are needed for this processto occur. This is often the case in Type 2 diabetes . As a result, a viciouscycle occurs, the higher the insulin levels are, the harder it is to loseweight (insulin is anabolic, and is a hormone that likes to store Continue reading >>
Is Type 2 Diabetes Reversible?
Type 2 diabetes is a serious, long-term medical condition. It develops mostly in adults but is becoming more common in children as obesity rates rise across all age groups. Several factors contribute to type 2 diabetes. Being overweight or obese is the biggest risk factor. Type 2 diabetes can be life-threatening. But if treated carefully, it can be managed or even reversed. Your pancreas makes a hormone called insulin. When your blood sugar (glucose) levels rise, the pancreas releases insulin. This causes sugar to move from your blood to your cells, where it can be used as an energy source. As glucose levels in your blood go back down, your pancreas stops releasing insulin. Type 2 diabetes impacts how you metabolize sugar. Either your pancreas doesn’t produce enough insulin or your body has become resistant to its effects. This causes glucose to build up in the blood. This is called hyperglycemia. There are several symptoms of untreated type 2 diabetes, including: excessive thirst and urination fatigue increased hunger weight loss, in spite of eating more infections that heal slowly blurry vision dark patches on the skin Treatment for type 2 diabetes includes monitoring your blood sugar levels and using medications or insulin when needed. Doctors also recommend losing weight through diet and exercise. Some diabetes medications have weight loss as a side effect, which can also help reverse diabetes. If you start eating healthier, get more exercise, and lose weight, you can reduce your symptoms. Research shows that these lifestyle changes, especially physical activity, can even reverse the course of the condition. Studies that show the reversal of type 2 diabetes include participants who have lived with the condition for only a few years. Weight loss is the primary fact Continue reading >>
One Man's Weight Loss Was A Sign Of Type 2 Diabetes
One Man's Weight Loss Was a Sign of Type 2 Diabetes One Man's Weight Loss Was a Sign of Type 2 Diabetes Kim Palmaffy was diagnosed with diabetes at age 51. If you have type 2 diabetes, you may feel abnormally thirsty and have a need to urinate frequently. One other possibility? You may lose weight without even trying. If it sounds like a weight-loss dream come true, it's actually more of a nightmare. Because your body doesn't have enough insulin or is losing sensitivity to insulin, you can't shuttle blood sugar into muscle cells. Blood sugar rises to toxic levels and you begin to excrete that excess sugar into the urine. At this point some people may shed pounds without dieting. Kim Palmaffy, 61, a contractor in Maplewood, N.J., was close to 300 pounds when he began to show signs of type 2 diabetes ten years ago. At 5'10", he knew he needed to lose weight. And then it started happening all on its own. The pounds started flying off, sometimes up to three pounds a week. "I got down to like 250 pounds over a period of weeks." His clothes began to fit better, but Palmaffy was feeling terrible. "I couldn't sleep, I started to urinate all the time, and I was always thirsty." It began to interfere with his work. "I had to get off the roof and take a leak all the time, as dumb as it sounds," he says. A visit to his doctors showed that Palmaffy's blood glucose, the type of sugar the body uses for energy, was a whopping 450 mg/dL, four times what's considered normal on a fasting blood glucose test110 mg/dL. "He started me on a whole battery of medications; I found that the medications were very positive," he said. "We finally settled on Glucotrol (glipizide), five milligrams twice a day." He also takes a cholesterol-lowering drug. Palmaffy had to make some dietary changes to cop Continue reading >>
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How To Lose Weight When You Live With Diabetes
Losing weight can be difficult for anyone, and living with diabetes definitely doesn’t make it easier. However, there ARE people who set out to lose weight and end up so extraordinarily successful that you wonder if they have some inside information you don’t. That information EXISTS. I’m here to give you the rundown on how to successfully lose weight when you live with diabetes. In this post, I will go through: How to set realistic goals How many calories to eat How much protein, carbs, and fat to eat How much to exercise How blood glucose control affects your weight Without further ado…lets GET TO IT! Temper expectations at the start People these days have this intensive need for instant gratification. They want that 15 lbs gone by yesterday! While I’m all for efficiency, I’m going to be short and sweet and show reality with a pop quiz: True or false: it took more than a week to gain the weight you are trying to lose. The answer is undeniably “True”. So if it took you X number of months to gain weight, why would it take you a week or two to lose it? It doesn’t. It takes time and some concerted effort. Don’t expect to lose all of the weight immediately, but know that with proper habit formation and consistency, you WILL see the results you are after. The general rule for healthy weight loss is to aim for A MAX of 1-2 lbs. per week. It’s also quite common for people living with diabetes to take as long as 2-3 weeks before seeing any weight loss at all on a new diet. “Why?” you ask. Changing caloric intake and workout routines may require a reduction of insulin (or other diabetes medication) as well as diet manipulation, which takes a little trial and error to adjust. BE PATIENT. Once the ball is rolling, a slow and controlled weight loss makes Continue reading >>
Diabetes Dieting: What To Eat To Lose Weight On The 2-day Diet
Diabetes Dieting: What to Eat to Lose Weight on the 2-Day Diet Get a print subscription to Reader's Digest and instantly enjoy free digital access on any device. Diabetes Dieting: What to Eat to Lose Weight on the 2-Day Diet By Juliana LaBianca from the book The 2-Day Diabetes Diet Dieting just two days a week blasts fat and balances blood sugar. Reader's DigestFor folks with diabetes, weight loss is a natural form ofmedication. But in an ironic twist, losing weight may be more difficult if you have type 2 diabetes. Now breakthrough research has revealed a better way for people to go about diabetes dieting to lose weight and reduce insulin resistance. The secret is a concept called intermittent fasting. British researchers created this revolutionary new diet, which strictly limits caloric intake for two days of the week but permits larger portions for the rest of the week. Women who followed the plan lost almost twice as much fat as those who restricted calories every day. Within three months, participants reducedinsulin resistance by 25 percent more on nonfast days and inflammation by 8 percent more thanpeople who dieted continuously. These are the 10 life-saving things you must do if you have diabetes . Reader's DigestAfter seeing this research, Reader's Digest asked registered dietitian and certifieddiabetes educator Erin Palinski-Wade to create a simple and delicious menu that incorporated the findings. She developed the book The 2-Day Diabetes Diet . You dont have to count carbs, calories, fat grams, or anything elseall you have to do is follow the special eating style in which you Power Burn two days a week and Nourish on the rest. Reader's DigestOn Power Burn days, youll fillup on low-calorie, low-carbohydrate foods that include delicious soups, tasty stir fries Continue reading >>