Diabetes Foot Lose Weight
Almost three-quarters of adults 20 years or older in the United States are overweight, with 42.5% of adults meeting the C.D.C.’s definition for obese.
For people with type 1 diabetes, the incidence may be even higher according to studies over the past ten years, partially due to the increase in weight gain when on intensive insulin therapy.
One of the biggest barriers to losing weight for people with diabetes is fear of hypoglycemia that goes along with exercise, weight loss and dietary changes.
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Losing weight with type 1 diabetes can be really challenging, but there are a lot of new tools available to help make it easier. In this article, we’ll summarize what the latest science says about T1D and weight loss.
Sometimes it feels really defeating to start a new exercise routine with diabetes because you often have to eat food to prevent the lows associated with exercise, especially with aerobic exercise.
When your goal is to increase the calories burned and decrease the calories taken in, eating in order to exercise seems maddening. Here are some tips to reducing hypos with exercise:
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Having a CGM can not only help reduce the amount of hypoglycemia someone experiences, but also helps reduce the fear associated with lows. Being able to personalize alerts and alarms, having access to data sharing features, and using systems that automatically suspend or reduce insulin can really help when working towards a goal of weight loss.
However, sometimes using hybrid closed-loop systems can result in weight gain. This does not mean that the system is not beneficial for increasing time in range and reducing lows, though.
Additionally, wearing a CGM can help show people with diabetes in real-time how different foods affect their blood sugars. For example, when eating larger meals or meals with higher carbohydrate or fat content, the rise on the CGM will correlate with what was consumed. For meals high in fast-acting carbohydrates, such as white rice or breakfast cereals, you will likely see a large post-meal spike unless you time the insulin perfectly and count the carbs perfectly (good luck!). This can be motivation to eat meals that are more balanced nutritionally with higher fiber or protein, which can help with weight loss.
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Nutrition for Weight Loss There are many suggestions about what the “best” nutrition is, and there are many resources for people with and without diabetes. Talking to a dietitian or diabetes educator who has knowledge about diabetes and healthy eating is probably the best way to create a plan that is right for you and your family. The overall goal with nutrition for weight loss is reducing the energy intake and increasing glycemic index in foods to help maintain satiety (fullness).
Many people swear by low carb diets, but such diets are not always right for everyone. As with most things, everything has its own benefits and challenges. Dietitian and Diabetes Educator Constance Brown-Riggs has a recorded session on carbohydrate controversies, which can help give insight into lower carb diets as well.
Given that many people living in the U.S. are overweight or obese, the market for medications to help people lose weight has been growing steadily over the last decade. There are two newer medication classes that have been helpful for reducing blood glucose levels as well as promoting weight loss: GLP-1 Agonists and SGLT-2 Inhibitors.
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They were developed for people with type 2 diabetes and are typically considered “off-label” when used by people with type 1 diabetes, especially youth with type 1 diabetes. These medications also reduce the risk of cardiovascular complications, and SGLT-2 inhibitors are protective of the kidneys as well.
Metformin has been used for many years by people with type 1 diabetes who have challenges with insulin resistance, and can help with weight loss in the way of reducing the amount of insulin needed.
Pramlintide, which is a synthetic hormone that has similar effects of the GLP-1 agonists, can also help. The challenge with this medication is it has to be injected before each meal, making it less likely that people will continue using it. There are other anti-obesity medications that have not been studied in people with type 1 diabetes, but some health care teams may recommend them depending on your circumstances.
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The common theme for these recommendations is that people with diabetes need individualized education and support to help meet their weight-loss needs. Additionally, there can be many other factors that contribute to increased weight such as depression, anxiety, other metabolic conditions, thyroid imbalances, genetic factors, and social determinants of health (SDOH).
Figuring out what works best for you may take some time and will definitely require motivated efforts. There are many resources available online and through your healthcare team. There also could be groups in your community that could help you with sustaining exercise routines. Making SMART goals can help ensure your goals are achievable and sustainable.
Losing weight should not be about wanting to “look better, ” and all these recommendations are not just to help with losing weight, but to help improve health and reduce risks. There are times where your healthcare team may tell you that losing weight is important for your health, in which case, hopefully these tips will come in handy. Otherwise, they’re tips that can help you stay and feel healthier.
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NID cookie, set by Google, is used for advertising purposes; to limit the number of times the user sees an ad, to mute unwanted ads, and to measure the effectiveness of ads.If you have diabetes, here’s a way to keep standing on your own two feet: check them every day—even if they feel fine—and see your doctor if you have a cut or blister that won’t heal.
There’s a lot to manage if you have diabetes: checking your blood sugar, making healthy food, finding time to be active, taking medicines, going to doctor’s appointments. With all that, your feet might be the last thing on your mind. But daily care is one of the best ways to prevent foot complications.
About half of all people with diabetes have some kind of nerve damage. You can have nerve damage in any part of your body, but nerves in your feet and legs are most often affected. Nerve damage can cause you to lose feeling in your feet.
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Some people with nerve damage have numbness, tingling, or pain, but others have no symptoms. Nerve damage can also lower your ability to feel pain, heat, or cold.
Living without pain sounds pretty good, but it comes at a high cost. Pain is the body’s way of telling you something’s wrong so you can take care of yourself. If you don’t feel pain in your feet, you may not notice a cut, blister, sore, or other problem. Small problems can become serious if they aren’t treated early.
Nerve damage, along with poor blood flow—another diabetes complication—puts you at risk for developing a foot ulcer (a sore or wound) that could get infected and not heal well. If an infection doesn’t get better with treatment, your toe, foot, or part
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