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 >>
Weight Loss As A Symptom
As a rule, if you have lost weight and do not know why then see a doctor. A doctor's assessment and tests will usually be able to find the cause. Weight loss is often a matter of choice - we choose to change our diet and exercise habits to become more healthy. If there is a clear and healthy reason then weight loss is normal. However, it is also common to lose weight if you have a serious disease. For most serious diseases, there will usually be one or more other symptoms that develop well before any weight loss. The weight loss in these situations is explained and can often be expected. However, occasionally, the first symptom to develop in some serious diseases is weight loss. Other symptoms usually develop at some point later. Also, some people with weight loss as a first symptom actually have one or more symptoms if they were questioned about them. But, they may not have been aware of the significance of the other symptoms. For example, weight loss is a common symptom of untreated type 2 diabetes. Some people may see a doctor to say that they have lost weight and don't know why. A doctor may then ask if they have been passing more urine than usual (a typical symptom of diabetes). To this question the person may say something like "now you mention it, yes I have. But I had just put that down to my ageing prostate gland and not thought much about it." The rest of this article lists some of the more common conditions where weight loss is sometimes the first symptom noticed by the person, relative or friend. It does not relate to people who are dieting or exercising to lose weight deliberately. The list is not exhaustive. On the Forums 56 years (male, former smoker)- I am 5 feet 5 inches. Generally my body weight varies between 59 to 62 kgs when I am healthy. I have bee Continue reading >>
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 >>
Is Weight Loss Caused By Diabetes Dangerous?
Ask the experts I have a friend that is 35 and has diabetes. For the past eight years, his weight has always been in check and if anything he may have been a little overweight. Just recently, he has lost a lot of weight and he told me that he weighs less than he did in high school. I think he looks too thin and I am concerned about his health with him being a diabetic. Should there be a concern and what kind of advice can you give me to pass on to him. Doctor's response 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 make muscles 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 to help glucose enter these tissues to be metabolized. If these tissues are resistant to insulin, higher than normal levels are needed for this process to occur. This is often the case in Type 2 diabetes. As a result, a vicious cycle occurs, the higher the insulin levels are, the harder it is to lose weight (insulin is anabolic, and is a hormone that likes to store fat). On the other hand, the heavier a person is, the more likely they are to have higher insulin levels. As you can see, the cycle is often hard to break. What causes unintentional weight loss in diabetes? While intentional weight loss in people with diabetes is usually a good thing, unintentional weight loss is not. If blood sugars are very high, patients with diabetes tend to urinate a lot, and this results in dehydration as a possible cause of weight loss. Also, mus Continue reading >>
How To Put On Weight When You Have Diabetes
Not everybody with diabetes needs to lose weight. Some people have the opposite problem; the pounds just won’t stay on. Although certainly a great source of calories, filling up on hot fudge sundaes isn’t the best way to fill out your frame if you have diabetes. Before we talk about some healthful strategies for weight gain, it is important to make sure your efforts to add a few pounds are not sabotaged by out of control blood glucose numbers. If your glucose level is very high, all the extra calories in the world won’t have the desired effect. When the body perceives it is starving –that is essentially what occurs when it can’t use all the glucose building up in the blood stream– glucose (energy or calories) spills into the urine. So instead of keeping those precious calories to add muscle and some fat you will end up losing weight. If you are losing weight and your glucose levels are in good control then a visit to your health care provider is in order to look for other causes of weight loss. The old adage says; to gain a pound a week, add 500 calories a day to your current calorie level. Now new research tells us that this isn’t entirely accurate, but it is still a good place to start. You can find out about how many calories you are eating now by using any one of a hundreds of nutrition management websites on the internet: Caloriecount.com, Myfitnesspal.com and Fitday.com are three options. One of the first things to look at when you are trying to gain weight is low calorie foods to eliminate. Plain beverages such as black coffee or tea, broth soups, low calorie salads all fill you up without providing much in the way of calories. All of your food chooses should be as calorie dense as possible. If you like salads for example, keep the lettuce to a mini Continue reading >>
How Can I Lose Weight If I Am A Diabetic 2?
Losing weight has many benefits for people with type 2 diabetes, including better control over blood sugar levels. 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 weight makes managing blood sugars more difficult, and 80 percent of people with type 2 diabetes are overweight,” says dietitian Sue McLaughlin, RD, CDE, diabetes educator and president of health care and education for the American Diabetic Association. In fact, a study published in the Archives of Pediatrics & Adolescent Medicine found 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 keeps off the weight. “Research shows that people who increase physical activity along with reducing calorie intake will lose more body fat that people who only diet,” says McLaughlin. For confirmation, look at the National Weight Control Registry (NWCR), a database of 4,000 men and women who have lost 30 or more pounds and kept it off. Only 9 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 diet includes breakfast. Skipping breakfast can lead to overeating later in Continue reading >>
Losing Weight Can Reverse Diabetes Without Drugs
Putting a person with type 2 diabetes on an intensive weight loss programme can reverse the disease with no need for medication, according to a landmark study. The findings could revolutionise the way it is treated, researchers said, benefiting both patients and the NHS. Almost half of the participants in a weight-loss programme that used low-calorie shakes and soups were in remission after 12 months, despite some having had type 2 diabetes for six years. Almost one in ten adults in Britain has type 2 diabetes and the condition costs the NHS about £14 billion a year. Mike Lean from the University of Glasgow, lead researcher of the Diabetes Remission Clinical Trial (Direct), said: “Putting type 2 diabetes into remission as early as possible after… Continue reading >>
Millions Of Diabetics Could Be ‘cured’ By Losing Weight And Eating Healthier
MILLIONS of Type 2 diabetics could be “cured” by losing weight. A study put 298 volunteers on a low-calorie soup and shakes diet. Getty - Contributor After a year, 57 per cent of those who shed from 1st 8lbs to 2st 5lbs were in remission. This rose to 86 per cent of those losing more. The weight loss enabled the pancreas, which helps control blood sugar, to work properly again. Failing to control the disease increases the risk of stroke, heart disease and limb amputations. Getty - Contributor Study leader Prof Roy Taylor, of Newcastle University, said: “Significant weight loss could result in lasting remission.” Patient Isobel Murray, 65, from North Ayrshire, lost over 3½ stones after 17 weeks on the low calorie diet and no longer needs her drugs. She said: “I am one of the lucky ones to have gone into remission. I don’t think of myself as a diabetic anymore. “When the doctors told me that my pancreas was working again, it felt fantastic.” Dr Elizabeth Robertson, from Diabetes UK, said: “These findings demonstrate the potential to transform the lives of millions of people. “We’re very encouraged by these initial results, and the building of robust evidence that remission could be achievable for some people." The NHS spent £957million on diabetes drugs last year – around £2.6million a day. Around 10 per cent of the NHS budget is spent treating diabetes and its complications. Scarlett Moffatt reveals her diabetes scare before three-stone weight loss Continue reading >>
Why Does A Diabetic Person Lose Weight?
Answered by: Dr Sujeet Jha | Director, Institute of Endocrinology, Diabetes & Metabolism, Max Healthcare, New Delhi Q: I am 37 years old, weighing 69 Kg with a height of 176 cm. In the past six months I have lost 6 Kgs. During 3 routine fasting blood sugar tests, my sugar levels have been 160, 183, 223 respectively and I have seen that my sugar levels are increasing. My father, who is about 65 years of age, also experienced weight loss and when investigated he was found to have high blood sugar levels. Subsequently, he took ayurvedic medicine and his blood sugar levels have become normal now. I am doing exercises & diet control now. I am told that weight loss is because the body cells are actually starving due to inability of the body to absorb glucose properly. Is this true? Do I need to take protein & vitamin supplements to make up for the nutrition loss if any? A:More than 90% patient with diabetes are overweight but unfortunately in Indians (most Asians) can get this even if their weight is slightly high. Your current body mass index is 22.3 and in Indians it should be less than 23. Your waist size may be high (should be less than 88 cms) or you may have lost weight due to diabetes. Many patients with type 2 diabetes have a family member with type 2 diabetes or conditions commonly associated with diabetes, such as high blood lipid levels, high blood pressure, or obesity. As an example, 39 percent of patients with type 2 diabetes have at least one parent with the disease. The lifetime risk for a first-degree relative (sister, brother, son, daughter) of a patient with type 2 diabetes is five to ten times higher than that of a similar age and weight person who has no family history of diabetes. The likelihood of developing type 2 diabetes is greater in Asians. The comm 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 >>
6 Tips For Losing Weight When You Have Diabetes
The benefits of a healthy weight Thinking of dropping a few pounds? If you’re overweight and have diabetes, it’s one of the best things you can do for your overall health. A study at the Kaiser Permanente’s Center for Health Research in Oregon found that people who shed weight within about 18 months of being diagnosed with type-2 diabetes were more likely to keep long-term control over their blood pressure and glucose levels. When you have diabetes, a healthy weight reduces your risk of cardiovascular disease and actually helps your body’s own insulin to work better. “In addition, people who lose weight generally feel better. It’s value added!” says Dr. Ian Blumer, a diabetes specialist in Ajax, Ontario, and author of Diabetes for Canadians for Dummies. Want work towards a healthy number on the scale? These six tips will help you reach your goal. 1. Talk to your healthcare team Let your dietitian, nurse educator and/or doctor know that you’re taking on the task of losing weight. “Find out if there should be some change in your therapy,” says Blumer. Your healthcare professional can also help you set reasonable goals. Fad diets are definitely not recommended. But if you do plan to make drastic changes to your daily menu, it’s critically important you have medical guidance, Blumer says. “Before adopting a low-carb diet, a doctor should be consulted as certain medications-such as insulin-may need to be adjusted in order to avoid low blood glucose.” 2. Count your calories Losing weight means cutting calories, but it doesn’t have to mean eliminating everything you love to eat. Just eat smaller portions, and focus on low-fat foods. Try keeping a record of what you’re eating and how many calories you’re consuming. That way you’ll be able to id 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 >>
Weight Loss & Type-2 Diabetes
Click “Play” to Listen Prefer to Download & Save? Right Click Here & “save as” to your computer. Mac users cmd. + click + “save target as”. Listen to Jon Gabriel Teach About: Insulin resistance and weight gain How The Gabriel Method can help you balance your sugar levels Why the cure to Diabetes doesn’t lie in taking insulin OR Read The Lecture Transcripts Here Jon: I just wanted to talk a little bit more about Type 2 Diabetes. I’d mentioned it a couple times, and insulin resistance, and people keep asking me about it. Because what’s happening, is a lot of people that have had Type 2 Diabetes that have been following the method for maybe six months, and their blood sugar’s in check and they no longer need medication and they’re losing weight. So a lot of people are asking, what’s the relationship with Type 2 Diabetes and my approach and the FAT programs and things like that. And I first discovered the relationship — well, really with myself because at one time I was borderline, according to Dr. Atkins, I was borderline Type 2 Diabetes, and now I never have an issue with it whatsoever. My blood sugar is totally perfect. But, I remember when I first lost the weight back in 2004, I was on a publicity tour here in Australia, and after I was on a radio show a lady called into me, her name was Amanda, and she said, “I really want your book,” and I hadn’t written a book yet. And I said, “As soon as I have the book I’ll send it to you.” And she called me every six months for a year and-a-half because it took me that long to write the book. And finally in February of ’07, I had a first draft of the book finished that I sent to her. And then she called me six months later and said, “You know, I’m 69 years old. When I started reading you Continue reading >>
Will Weight Loss Help Your Diabetes?
There's no question about it. If you're overweight and have type 2 diabetes, you will lower your blood sugar, improve your health, and feel better if you lose some of your extra pounds. You'll want to work closely with your doctor or diabetes educator, because your blood sugar, insulin, and medications will need special attention while you're losing weight. If you drop even 10 or 15 pounds, that has health perks, such as: Lower blood sugar Lower blood pressure Better cholesterol levels Less stress on your hips, knees, ankles, and feet More energy Brighter mood The Right Balance for Diabetes and Weight Loss Keep tight control over your blood sugar levels while you lose weight. You don't want to get high or low levels while you change your eating habits. It’s generally safe for someone with diabetes to cut 500 calories a day. Trim from protein, carbohydrates, and fat. The USDA says that calories for adults should come from: 45% to 55% carbs 25% to 35% fat 10% to 35% protein Carbs have the biggest effect on blood sugar. Those that have fiber (whole-grain bread and vegetables, for example) are much better than eating sugary or starchy carbs, because they’re less likely to spike your blood sugar and quickly make it crash. How Exercise Helps One of the many benefits of working out is that it helps keep your blood sugar in balance. You're also more likely to keep the pounds off if you're active. If you're not active now, check in with your doctor first. She can let you know if there are any limits on what you can do. Aim to get at least 2.5 hours a week of moderate aerobic exercise, like brisk walking, to improve your health. You can split up the time any way you choose. To help yourself lose weight you’ll need to do more physical activity. You should also do strength tr 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 >>