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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.

Caloric balance

Plan portions

Physical activity

Limited foods

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

Decreased insulin needs

Increases energy

Improved mobility

Lower total cholesterol, triglycerides and LDL cholesterol levels

Lower risk for diabetes-related complications.

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