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The Question
11/24/09 03:36 AM

"I'm 44 with diabetes (10 -12 on the scale) has lost 10 Kg within a year. How can I increase my weight coupled with my diabetes diet?"
Asked By: edison1  
Category: Weight Issues

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Expert Answers (1)

11/26/09 07:20 PM

Hello Edison1: Great job with what you have done, you must be proud, be sure to celebrate YOUR success! Considering, 1# of body fat contains 3,500 calories and muscle burns calories at a higher rate than body fat-to be 'brief' and to the 'point'-the answer is more activity/exercise. It is a numbers game,(diabetes and weight): A deficit of 500 calories per day or approx. 1-2# of weight loss is seen, (by the experts) as a permanent weight loss!
I'm sure you know:
  • weight loss
  • and diabetes self-management are very 'behavior' dependent! Both require a great deal of effort and support.

    Weight loss is one of the best treatments for Ty2 diabetes. Your weight loss

  • usually lowers blood pressure
  • reduces the risk of heart disease and any
  • risk of blood vessel damage, as well as
  • improve the blood glucose readings. A strategy that may help with continued weight loss, is to have a goal, (behavior change goals need to be broken down into small achievable steps), as to obtain a 'reasonable-maintainable-achievable' weight.

    To continue with your weight loss, I would suggest: continue with the diabetic meal plan and guidelines of diabetes and complement with activity/exercise per the ADA"s recommendations: 1. Perform at least 150 min/week of moderate-intensity aerobic activity (50-70% of maximum heart rate). 2. Perform resistance training three times per week (in the absence of contraindications).
    Start gradual and advance per your ability, monitor measures, blood glucose is very good, include body measures, waist, hip, mid-arm muscle circumference, (www.fitday/www.sparkpeople.com, nutrient analysis and metabolic nutrient needs assessment assist). Maintaining motivation is very important!
    Be your best.
    Call on us as needed, regards Sue.

    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

    Community Answers (2)

    11/30/09 12:04 PM

    If weight LOSS is an issue....sometimes small frequent snacks or meals can help you add extra calories. Also, sometimes people use products like Glucerna Shakes that are diabetic friendly and similar to Ensure/Boost to get in more calories without causing a huge rise in blood glucose.
    Answered By: heie0008
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    11/28/09 10:17 AM

    The question posted by this 44 yo with a 10 kg weight loss reads as if this may actually be "unintentional" weight loss. Your response thoroughly considers effects of exercise related to "intentional" weight loss. Was hyperglycemia considered first as a possible cause of the weight loss? * That this person would like to increase weight, might indicate muscle tissue has been lost (along with fat) as glucotoxity leads to increased gluconeogenesis. If this is true, then the acidity added ketones in the blood may also trigger hormonal responses. As adrenoline and ketones rise the added stress from hyperglycmia triggers other inflammatory responses. * Because insulin is a fat storage hormone, the 10 kg weight loss may either be related to: a. Not using enough insulin or insulin secretagogues. b. Possible over-exercising along with (a) above * Exercise for this patient could increase oxidative stress and life threatening cardiovascular events. In this patient population, MI, CVA and PAD occur at 2 - 4 times higher rate than those without Diabetes. If hyperglycemic, exercise in the presence of more viscous, hypercoagulable blood could then trigger cardiovascular events. To exercise when hyperglycemic, may actually add further risk for both microvascular and macrovascular complications. * This patient may also be experiencing hypertension from compensatory osmotic fluid shifts and the subsequent pressure changes. To exercise while hypertensive would also be contradicated. A cardiac evaluation would be highly recommended prior to the recommendation of increased exercise for this patient. Thank you for allowing me this opportunity to respond. Sandy Pieschel MPA, BSW, RN, CDE 30 years management experience Cardiac Rehabilitation and DiabetesTraining programs.
    Answered By: spieschel
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