Ask the Experts: "How will losing weight help with my diabetes?"
 Amy Navarre-Cantrell, PA-C Certified Diabetes Educator Cascade Valley Darrington Clinic |
Q: I am 40 pounds overweight and have recently been diagnosed with diabetes. My doctor says I should lose weight. How will that help with the disease?
A: Excess weight leads to insulin resistance. In normal metabolism, nearly every functioning cell in the body requires insulin to aid in the absorption of glucose (sugar), which the cells use as fuel. In a resistant state, the cells fail to recognize insulin; initially, the body responds by producing more in an effort to "override" the resistance. Too much insulin in the system stimulates fat storage, which makes the situation worse. Eventually, the pancreas cannot maintain the elevated production of insulin, and it begins to burn itself out. At this point, blood sugar starts to rise out of the normal range, creating the condition of diabetes and all the associated complications.
Controlling both how many calories and carbohydrates you eat, as well as increasing your physical exercise are the cornerstones for helping you control your diabetes. Many times, a loss of just 5% to 10% of your starting weight can significantly improve (and sometimes even reverse) the cycle of insulin resistance. Discuss this with your provider, and consider scheduling a visit with a dietitian to help create a workable plan. Good luck!
Disclaimer: This information is provided for educational purposes only. It should not replace a visit with your health care professional. Call your doctor if you need more information or have additional questions.