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In addition to my dia
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10/16/09 01:05 PM

"In addition to my diabetic meds, I take other meds that cause weight gain. What can I do to control this problem?"
Asked By: karenpate  
Category: Weight Issues

Background Info Hide
I am a type II diabetic. I take Lantus, Amaryl and Actos . I also take Cymbalta, Lyrica, Detrol LA, Synthroid, Advair, Singulair, Celebrex, Zocor and Singulair. I exercise for an hour daily and consume only 1200 calories a day and I'm still gaining weight. I'm getting totally frustrated. What more can I do to control this very major problem? It's increasing my depression.

Expert Answers (1)

10/16/09 09:49 PM

This is a challenging situation - I don't have diabetes & struggle with the same issue. Although it sounds counterintuitive you may need to eat a little more - focus on 1200-1500 calories. Make sure the added calories are not simple carbs. Think of things like unstarchy vegetables (green beans, salads), lean protein and monosaturated fats (nuts, olive oil), whole grains. Smaller more frequent eating helps keep the metabolism efficient. Be sure you are paying close attention to portion size - it is not unusual to "under estimate" the actual amount of food we eat. Keeping a food journal often shows patterns or areas that can be improved. An hour of exercise seems more than adequate, but are you getting the most from that hour? Think intervals - walking a little faster for a few steps, usual pace, faster. Increase the faster intervals as tolerated. Also resistance exercise is critical to building and maintaining the muscle mass that does the calorie burning. I would recommend an appointment with a certified diabetes educator to review your meal & activity plan. Small changes can make a huge difference. Sometimes we have to accept maintanence as a good thing - continue doing the things you know are good for you even if the scale does not reflect the weight loss you want.
Answered By: Beth McKinzie
Accreditations: RN, BSN, CDE
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