Why It Pays To Lose Weight If You Have Type 2 Diabetes
The point is not to get skinny. The point is to gain the benefits of exercise.(ISTOCKPHOTO) About eight out of every 10 people with type 2 diabetes are overweight or obese, and excess weight—particularly around the bellyis a major cause of type 2 diabetes. Some people can even "cure" the disease with massive weight loss (including bariatric surgery). However, the relationship between weight and type 2 diabetes is a tricky one. Complex relationship between genes, weight, and diabetes An unexplained weight loss is sometimes a sign that's something wrong. So when you are finally diagnosed and treated you may actually gain weight. In addition, it's not clear if extra weight causes diabetes, or if some underlying genetic component contributes to both. "A lot of folks who are overweight and who are sedentary won't get diabetes. So there's an important genetic contribution to developing diabetes that's out of people's control," says William Bornstein, MD, an endocrinologist at the Emory Clinic in Atlanta. "Secondly, it may be actually harder for folks with diabetes to lose weight, that that may be part of the disease as well." Certain diabetes drugs, such as sulfonylureas, thiazolidinediones, meglitinides, and insulin, are associated with weight gain, too. However, the blood-sugar-lowering benefits of these drugs outweigh the risks of gaining weight. (Others, such as Byetta and metformin, may result in weight loss). While it may feel like the deck is stacked against youparticularly if you've lost and regained weight in the pastyou should still make an all-out effort to shed excess pounds. Now that you have type 2 diabetes, the goal isn't to get back into your high school jeans, but to prevent heart attacks, save your vision, and avoid amputations. Trying to lose weight is im Continue reading >>
Low Birthweight, Rapid Weight Gain And Metabolic Syndrome In Adolescence: An Illustrative Case Report
A 16-year-old boy whose diabetes mellitus was diagnosed 3 months previously in a private hospital but was not placed on medication. The presenting complaints were fast breathing for 24 hours, weakness for 2 hours, and unresponsiveness to calls for 0.5 hours. His father was obese with type 2 diabetes mellitus and died 8 months earlier from cardiac arrest. His birthweight was low, 2.2kg. At first presentation, his weight, BMI and blood pressure were 60kg (25th-50th percentile), 19.4kg/m2 (25thpercentile) and 110/70mmHg (systolic BP 50th percentile, diastolic BP 50th-90th percentile), respectively. He was managed for diabetic ketoacidosis and was discharged on subcutaneous premixed insulin, 1 Unit/kg/day. At point of discharge, weight and BP were 60.5 kg and 120/70 mmHg, respectively. The patient defaulted but presented again 6 months later at the age of 17 years. At second presentation, his weight, BMI and BP were 89 kg (95th percentile), 27.5 kg/m2 (90th-95th percentile) and 180/80 mmHg (systolic 99th percentile; diastolic 90th percentile), respectively. His waist circumference was 98.7cm (> 90th percentile). We had no record of previous waist circumference. His lipid profile showed low HDL-cholesterol 0.7252 mmol/L [(28mg/dl); <5thpercentile]. His fasting blood glucose and HbA1C were 6.5 mmol/L (117mg/dl) and 34 mol/mol (5.3%), respectively. A diagnosis of metabolic syndrome in a patient with ketosis-prone type 2 diabetes was made. He was referred to the pediatric cardiologist for management of his hypertension. He defaulted again and was lost to follow up. Conclusion: This report illustrates the association of low birth weight and rapid weight gain with metabolic syndrome in adolescence. 1. Kahn R, Buse J, Ferrannini E, Stern M. The metabolic syndrome: time for critica Continue reading >>
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Pregnancy Weight Gain May Increase A Woman's Risk Of Gestational Diabetes
Follow all of ScienceDaily's latest research news and top science headlines ! Pregnancy weight gain may increase a woman's risk of gestational diabetes Women who gain excessive weight during pregnancy, especially in the first trimester, may increase their risk of developing diabetes later in their pregnancy, according to a new study. Women who gain excessive weight during pregnancy, especially in the first trimester, may increase their risk of developing diabetes later in their pregnancy, according to a study by the Kaiser Permanente Division of Research that appears online in the current issue of Obstetrics and Gynecology. The three-year study of 1,145 pregnant women from an ethnically diverse population found that women who gained more weight than is recommended by the Institute of Medicine had a 50 percent increased risk of developing gestational diabetes mellitus, also known as GDM. The association between pregnancy weight gain and gestational diabetes risk was more pronounced among overweight and non-white women. The study included 345 pregnant women with gestational diabetes and 800 pregnant women without gestational diabetes. Gestational diabetes is defined as glucose intolerance that typically occurs during the second or third trimester of pregnancy. It causes complications in as much as seven percent of pregnancies in the United States. It can lead to early delivery, C-sections and type 2 diabetes, and can increase the child's risk of developing diabetes and obesity later in life. This study is among the first to support a direct link between pregnancy weight gain and gestational diabetes risk. Previous research has shown that weight gain before pregnancy and being overweight or obese at the start of pregnancy are risk factors for gestational diabetes. This st Continue reading >>
Diabetes Detectives €“ Finding Uncommon Conditions Beverly Thomassian, Rn, Mph, Cde, Bc-adm
- Diabetes Educational Services Training Healthcare Professionals On State-of-the-Art Diabetes Care Another Downloadable Article from the Diabetes Educational Services Site This article provides health care professionals with strategies to detect common, yet often underdiagnosed, complications associated with hyperglycemia and diabetes. It also describes how medications, organ transplants, and chronic illnesses can cause hyperglycemia. Diabetes Educational Services Beverly Dyck Thomassian PO Box 3749 Chico, CA 95928 530 893-8635 [email protected] www.DiabetesEd.net Diabetes Detectives – Finding Uncommon Conditions Beverly Thomassian, RN, MPH, CDE, BC-ADM Rebecca* has Type 2 diabetes. Her diabetes and weight were stable, but over the last three weeks, her blood sugars have been consistently elevated, up to 300 mg/dL, and she has gained 10 pounds. Rebecca takes two diabetes oral medications plus insulin injections three times a day, thyroid replacement therapy, a cholesterol medication, and a new medication for “mood swings.†Frustrated and depressed, Rebecca wants to get her diabetes and weight back under control. Since people with diabetes are at greater risk for a long list of comorbidities, health care professionals often double as detectives while uncovering complications.1 Several common, yet often underdiagnosed, complications are associated with diabetes. People with diabetes can also experience weight gain or weight loss, or complain of something not feeling right because of a variety of factors that warrant investigation. By improving their “diabetes detective†skills, health care professionals can help patients improve the management of their diabetes — and their quality of life. Unexplained weight gain If patients complain o Continue reading >>
Losing Weight With Diabetes: What Prevents It And Causes Weight Gain
I recently was included in a discussion on a Facebook group for athletes with diabetes about how hard it can be to lose weight through exercise. While I would never claim to have all the answers on this topic, here are some ideas about what can make you gain weight or keep you from losing weight with diabetes, based on my decades of professional and personal experience with diabetes and weight management, and what you can do about it. Insulin My former graduate student with type 1 diabetes went on an insulin pump and promptly gained about 10 pounds, even though his blood glucose control improved only marginally. Why did this happen to him (and why does it happen to so many other insulin users)? As a naturally occurring anabolic hormone, insulin promotes the uptake and storage of glucose, amino acids, and fat into insulin-sensitive cells around your body (mainly muscle and fat cells). It doesn’t matter whether it’s released naturally, injected, or pumped—all insulin and insulin analogues have these same effects. Going on intensive insulin therapy is associated with fat weight gain (1), for people with both type 1 and type 2 diabetes. Some of the weight gain comes from that if you’re using insulin to keep your blood glucose in control, you’ll be keeping and storing all of the calories that you’re eating instead of losing some glucose through urine (during hyperglycemia). Unfortunately, this realization has led some people to try skipping or limiting their insulin use to help them lose weight (2), but that is a dangerous practice that can lead to loss of excess muscle mass and life-threatening conditions like DKA. The best way to balance your insulin use and your body weight, in my opinion, is to be physically active to keep your overall insulin levels lower. I Continue reading >>
5 Weight Gain Causes You Can’t Control
The frustration and annoyance of seeing extra pounds on the scale, or of the sudden tightness of a favorite pair of pants, is understandable. But did you know that anything from a hormonal imbalance to vitamin deficiencies to your medication can help control how much you weigh? READ: 10 Must Have Eco-Chic Items For Your Household “A lot of people make what we think are lifestyle choices but are actually our bodies reacting to factors we can’t control,” says Robert J. Hedaya, MD, clinical professor of psychiatry at Georgetown University Medical Center. “Whether it’s hormonal, a medication side effect, or something else, too often we put the onus on the individual, and there are factors that sometimes justify a doctor’s help.” Here are seven health issues that could be standing between you and your ideal weight–and how to fix them. Anti-Depressants Many anti-depressant medications cause weight gain–so if you’re depressed and taking pills for it, expect to see a bump in weight between 5 and 15 pounds, with continued gradual accumulation over the years, says Dr. Hedaya, who is also the founder of the National Center for Whole Psychiatry in Chevy Chase, MD. If you’re not taking pills, there’s evidence that feelings of depression can correlate to weight gain. One 2010 study published in the American Journal of Public Health found that people who feel sad and lonely gain weight more quickly than those who report fewer depression-related symptoms. “They may be eating more high-fat, high-calorie comfort foods,” says Belinda Needham, PhD, assistant professor in the department of sociology at UAB and the lead author of the study. Solution: “If I see patients who are taking anti-depressants and that could be the culprit of their weight gain, I may wean Continue reading >>
Why Did I Gain Weight When I Started Taking Insulin?
There are several factors at work to lead you to believe that insulin is "to blame" for your weight gain. People who have poorly controlled diabetes also sometimes experience weight loss because their bodies are unable to properly convert food into energy. This is because they either are not producing enough insulin or their bodies are unable to use the insulin they produce properly. This food winds up as excess glucose circulating in the blood (resulting in high blood glucose!). Ultimately the body can't use all that extra glucose circulating in the blood and so it is eliminated in the urine. When your blood glucose runs high, you can become dehydrated as your body works to clear itself of all that excess glucose — which makes you think you've lost weight, but you've only lost water. Then, when you start taking insulin and get your blood glucose under better control, you start over-retaining fluids initially to make up for your dehydration, which makes you think you've rapidly gained a lot of weight. You associate it with taking insulin, but really what is happening is taking your insulin properly is just enabling your body to better use food and maintain a proper water balance. Also, once you start taking insulin injections and start getting your blood glucose under control, you now have enough insulin circulating in your blood to help the glucose get into the body's cells where it can be used as energy. So the glucose produced by the food you eat is no longer spending time in your bloodstream and being excreted out as urine. You gain weight. Your high blood glucose may have also made you feel more hungry because not all the food you were eating was able to get into the cells as energy to nourish the cells. Then, you started taking insulin — and continued to eat t Continue reading >>
Symptoms Of Diabetes
It is possible to have diabetes with only very mild symptoms or without developing any symptoms at all. Such cases can leave some people with diabetes unaware of the condition and undiagnosed. This happens in around half of people with type 2 diabetes.1,2 A condition known as prediabetes that often leads to type 2 diabetes also produces no symptoms. Type 2 diabetes and its symptoms develop slowly.3 Type 1 diabetes can go unnoticed but is less likely to do so. Some of its symptoms listed below can come on abruptly and be accompanied by nausea, vomiting or stomach pains.2-4 It is important to see a doctor if there is any suspicion of diabetes or if any of the below signs and symptoms are present - prompt diagnosis and management lowers the likelihood of serious complications.5 The most common symptoms are related to hyperglycemia (high blood sugar levels), especially the classic symptoms of diabetes: frequent urination and thirst. Fatigue related to dehydration and eating problems can also be related to high blood sugars.5,6 The International Diabetes Foundation highlight four symptoms that should prompt someone to get checked for diabetes as soon as possible:1 Common symptoms of diabetes The most common signs and symptoms of diabetes are: Frequent urination Have you been going to the bathroom to urinate more often recently? Do you notice that you spend most of the day going to the toilet? When there is too much glucose (sugar) in your blood you will urinate more often. If your insulin is ineffective, or not there at all, your kidneys cannot filter the glucose back into the blood. The kidneys will take water from your blood in order to dilute the glucose - which in turn fills up your bladder. Disproportionate thirst If you are urinating more than usual, you will need to r Continue reading >>
Your Weight And Diabetes
Diabetes is a group of disorders characterized by chronic high blood glucose levels (hyperglycemia) due to the body's failure to produce any or enough insulin to regulate high glucose levels. There are two main types of diabetes. Type 1 diabetes, which often occurs in children or adolescents, is caused by the body's inability to make insulin or type 2 diabetes, which occurs as a result of the body's inability to react properly to insulin (insulin resistance). Type 2 diabetes is more prevalent than type 1 diabetes and is therefore seen in roughly 90% of all diabetes cases. Type 2 diabetes is predominantly diagnosed after the age of forty, however, it is now being found in all age ranges, including children and adolescents. The impact of diabetes goes beyond chronic hyperglycemia. Diabetes is the leading cause of blindness (diabetic retinopathy), end stage kidney diseases (diabetic nephropathy) and non-traumatic lower extremity amputations (diabetic neuropathy) in working-age adults. People with diabetes are also two to four times more likely to experience cardiovascular complications and strokes. Diabetes and its related complications result in an estimated 200,000+ deaths each year, making diabetes one of the major causes of mortality in the U.S. In 2012, the NIH reported an estimated 29.1 million Americans (9.3% of the population) living with diabetes. Of these, an estimated 8.1 million persons were unaware that they had the disease. How does my weight relate to type 2 diabetes? There are many risk factors for type 2 diabetes such as age, race, pregnancy, stress, certain medications, genetics or family history, high cholesterol and obesity. However, the single best predictor of type 2 diabetes is overweight or obesity. Almost 90% of people living with type 2 diabetes a Continue reading >>
Paleo Diet Touted As Better For Diabetics Could Cause Rapid Weight Gain, Research Finds
Researchers who set out to prove the benefits of the Paleo diet have instead discovered it could cause significant and rapid weight gain. The study by Melbourne University researchers, took two groups of overweight mice with pre-diabetes symptoms. One group was put on the low-carb, high-fat Paleo diet, and the other on their normal diet The scientists found that mice on the Paleo diet gained 15 per cent of their body weight, in only eight weeks. The findings, published in Nature's Nutrition and Diabetes journal have reignited the debate between scientists and celebrity chefs over the controversial diet. The increasingly popular Paleo (or "caveman") diet has been touted as a way to lose weight and even reverse or better manage conditions like diabetes, irritable bowel syndrome, and multiple sclerosis. Media player: "Space" to play, "M" to mute, "left" and "right" to seek. But University of Melbourne diabetes researcher Associate Professor Sof Andrikopoulos said the results of his study were a cautionary tale about fad diets. Professor Andrikopoulos began research to find out whether the Paleo diet could benefit patients with diabetes or pre-diabetes. Mice were used for the study due to their genetic, biological, and behavioural characteristics which closely resemble that of humans. Professor Andrikopoulos said he expected some weight loss, but was instead surprised by the extent of weight gain. "The fat mice became even fatter and their glucose control became even worse," Professor Andrikopoulos said. He said, comparing this to a person, it would mean an 80-kilogram man would soon hit 92 kilograms on the scales. "The Paleo diet may not necessarily be good for everybody. My advice is that if you're concerned about weight and your health, go and seek professional advice, g Continue reading >>
10 Ways Stress Makes You Fat And Diabetic
In the first part of this series on diabesity, we “got under the hood” to look at the underlying mechanisms of both obesity and diabetes. We’ve now moved on to discussing the environmental and lifestyle risk factors that drive these conditions. In the last article we learned about the top 3 dietary causes of diabesity. In this article, we’re going to see how stress can independently cause both obesity and diabetes. A huge – and I mean huge – amount of research over the past two decades shows that stress causes both obesity and diabetes in a variety of ways. Studies also show that stress makes it hard to lose weight. This is one reason why some people just can’t seem to lose weight no matter how well they eat or how much they exercise. I believe stress is one of the most important – yet most often ignored – factors driving the diabesity epidemic. Stress is a bigger problem than you think Hans Selye, the famous physiologist who coined the term “stress”, defined it this way: …the nonspecific response of the body to any demand made upon it. The prominent psychologist Richard Lazarus offers a similar definition: …any event in which environmental demands, internal demands, or both tax or exceed the adaptive resources of an individual… Most people only think of psychological stress when they hear the term “stress”. When asked what causes stress, they might say things like losing a job, having a fight with your spouse, driving in traffic or getting audited by the IRS. While it’s true that psychological challenges like this are major stressors, what many people don’t realize is that stress is also caused by physiological challenges, such as: insomnia chronic infections inflammation autoimmune disease environmental toxins dieting too much exerc Continue reading >>
The Deliberate Lies They Tell About Diabetes
By some estimates, diabetes cases have increased more than 700 percent in the last 50 years. One in four Americans now have either diabetes or pre-diabetes (impaired fasting glucose) Type 2 diabetes is completely preventable and virtually 100 percent reversible, simply by implementing simple, inexpensive lifestyle changes, one of the most important of which is eliminating sugar (especially fructose) and grains from your diet Diabetes is NOT a disease of blood sugar, but rather a disorder of insulin and leptin signaling. Elevated insulin levels are not only symptoms of diabetes, but also heart disease, peripheral vascular disease, stroke, high blood pressure, cancer, and obesity Diabetes drugs are not the answer – most type 2 diabetes medications either raise insulin or lower blood sugar (failing to address the root cause) and many can cause serious side effects Sun exposure shows promise in treating and preventing diabetes, with studies revealing a significant link between high vitamin D levels and a lowered risk of developing type 2 diabetes, cardiovascular disease, and metabolic syndrome By Dr. Mercola There is a staggering amount of misinformation on diabetes, a growing epidemic that afflicts more than 29 million people in the United States today. The sad truth is this: it could be your very OWN physician perpetuating this misinformation Most diabetics find themselves in a black hole of helplessness, clueless about how to reverse their condition. The bigger concern is that more than half of those with type 2 diabetes are NOT even aware they have diabetes — and 90 percent of those who have a condition known as prediabetes aren’t aware of their circumstances, either. Diabetes: Symptoms of an Epidemic The latest diabetes statistics1 echo an increase in diabetes ca Continue reading >>
All About Weight Gain In Older Dogs
Weight gain in dogs is a huge problem today, and the number of obese dogs is on the increase. According to a recent study conducted by the Association For Pet Obesity Prevention, 53% of dogs are overweight to some degree. This is really worrying because weight gain is a double-whammy for your dog because it can be caused by poor diet or disease.... ... and that extra weight can also cause more health issues to develop. Sudden weight gain in an older dog is something that you always need to take seriously. 1 3 Foods to Stay Away From Cut a bit of belly bloat each day, by avoiding these 3 foods nucific.com 2 Zesty Paws Turmeric Curcumin Bites... $4.50 Zesty Paws Turmeric Curcumin Bites Joint & Immune Support with BioPerine Chews... Chewy.com Common Causes Of Rapid Weight Gain In Senior Dogs Older dogs have an above-average tendency to gain too much weight, and in seniors this is more likely to be caused by an illness or health problem, than it is in younger dogs. Even when the cause of the weight gain is benign, being too heavy puts a lot of extra strain on their already tired bodies and that's why it's something to keep an eye on. If your older dog suddenly seems to have gained a lot of weight, there could be caused by a lot of different things. Some of them simple, others more serious. Here are the most common causes of weight gain in older dogs.... Poor Diet The type of weight gain in dogs that's caused by poor diet tends to appear slowly over time. When you look at your dog every day it's easy to miss this gradual change. But your senior dog's metabolism isn't as fast as it used to be, and as his ability to use up the calories he's eating slows down, the weight gain can speed up. When I say 'poor diet', that doesn't necessarily mean that you're feeding your senior a s Continue reading >>
Type 2 Diabetes: Symptoms, Causes, Treatment
MORE Diabetes is a condition characterized by high blood sugar (glucose) levels, and Type 2 diabetes is the most common form. Type 2 diabetes is a chronic disease, and left untreated, it can cause serious health complications. More than 29 million Americans have diabetes (the majority of which are Type 2), but 8 million don't know they have it, according to a 2014 report from the Centers for Disease Control and Prevention. And about 86 million U.S. adults have prediabetes, or blood sugar levels that are abnormally high, but not high enough to be classified as diabetes. Causes A hormone called insulin helps sugar get inside cells, which can then be used for energy. When the body's cells fail to respond properly to insulin, sugar builds up in the bloodstream, eventually leading to Type 2 diabetes. Exactly why the body fails to respond to insulin, a phenomenon called insulin resistance, is not known, but risk factors include being overweight, inactive or older than 45. It is thought that increases in body fat makes it harder for the body to use insulin. In contrast to Type 2 diabetes, Type 1 diabetes occurs when the pancreas makes little or no insulin. Symptoms According to the National Institutes of Health, early symptoms of Type 2 diabetes include increased thirst, increased urination, hunger, fatigue and more frequent or slow to heal infections, such as bladder, kidney and skin infections. Some people with the condition do not experience symptoms for many years. Unexplained weight loss can also be a symptom of Type 2 diabetes, said Dr. Minisha Sood, an endocrinologist at Lenox Hill Hospital in New York City. This symptom can sometimes be confusing to patients, because diabetes is associated with obesity and too much weight gain, Sood said. Although this is true, Type 2 Continue reading >>
5 Foods That Can Help In Diabetic Weight Gain
Most of us associate weight gain to diabetes but weight loss? Yes! Though, it may come as a surprise to many, but weight loss – drastic weight loss – is one of the earliest signs of a person suffering from diabetes, mostly type 2. Diabetes leads to low levels of insulin, below the minimum required levels in the human body. This propels the body cells to start breaking down fat and muscle in the body for energy, since lack of insulin means that the cells are not able to store glucose. The body feels it is starving and starts to consume all available fat and also muscle which leads to weight loss. The weight loss can be anywhere between 3-4.5 kilograms in a month and is not healthy at all. This also leads to frequent trips to the bathroom as the body is pumping and recycling the blood faster. How Can A Diabetic Gain Weight? While many who are diagnosed with diabetes need to watch their diet and daily food intake to maintain their optimum body weight, others can go on to take insulin injections to keep weight loss under check. However, there are many diabetic weight gain supplements that are now accessible to diabetic people to help them maintain their body weight. It is important that you don’t act in half knowledge and binge on sweets like doughnuts, candies and confectionery items. They will cause an increase in blood sugar levels and cause complications in the body. What else can a diabetic person do to stay at a healthy weight? Well they can: 1. Eat Several Small Meals: Since the body is unable to store what a diabetic person eats, it is important to fuel the body regularly by eating several small meals in a day. It is also important to make healthier food choices. Avoid extra oily and sugary foods and chose foods that have a high glycemic index. 2. Whey Protein Continue reading >>
