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Weight
Management for People with Diabetes
Many of the diets we have just discussed are used for
weight loss. However, we have learned that weight must
be managed appropriately and those who lose weight
slowly have the highest success rate of maintaining this
weight loss. Lifestyle modifications can lead to weight
loss that can last long-term. By making practical food
choices there is no need to eliminate a particular
macronutrient. As a matter of fact, it is not
recommended to eliminate foods in order to have a
balanced diet full of variety and nutrients. A healthy
rate to lose weight is 1 pound per week and in some
cases up to 2 pounds per week.
Having a balance of calorie intake will contribute ~80%
to weight loss.
Eating the right amount of food but not eating more than
our body needs is key. Intake of excess calories leads
to storage of these extra calories in the form of fat
cells and leads to weight gain. For those with type 1
diabetes, portion control is a little more complicated.
Because insulin is typically taken prior to eating, the
person with diabetes cannot simply stop eating when they
are full. Portion control must come as a choice prior to
dosing insulin.
Physical activity impacts weight loss by about 20%.
However, it plays one of the most important roles in
chronic disease prevention and management. Physical
activity increases insulin sensitivity helping to
decrease the amount of insulin required. Insulin is a
hormone that facilitates the transport of glucose from
the bloodstream to the cells to be used for energy. It
also stimulates fat cells to take in glucose where stays
for long-term storage. By controlling insulin intake,
weight loss is accelerated.
Benefits of Weight Loss
There are many benefits to weight loss for those with
diabetes. With decreased weight, insulin needs decrease
(for those with insulin dependent diabetes) and insulin
sensitivity is improved. It also improves energy levels
and mobility. Most often you will see a lower total
cholesterol, triglyceride and LDL cholesterol levels.
Because the person is usually more physically active,
this also contributes to more positive outcomes. If done
moderately, weight loss can be maintained and the person
can enjoy a healthier life with lower risk for
diabetes-related complications.
Increased insulin sensitivity
Lower total cholesterol,
triglycerides and LDL cholesterol levels
Lower risk for
diabetes-related complications.
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