Comprehensive health behaviour intervention should be implemented in overweight and obese people with diabetes or those at risk for diabetes to prevent weight gain and to achieve and maintain a reduced body weight. The goals of therapy for overweight and obese people with diabetes are to achieve optimal glycemic and metabolic control initially through health behaviour intervention. The overall goal of health behaviour intervention in people with diabetes who are overweight or obese is to improve health status and quality of life (32,33) . In obese people with impaired glucose tolerance, orlistat also improves glucose tolerance and reduces the progression to type 2 diabetes (51) . Weight loss in the management of type 2 diabetes. Anti-diabetes and anti-obesity medications: effects on weight in people with diabetes. Binge eating and weight loss outcomes in overweight and obese individuals with type 2 diabetes: results from the Look AHEAD trial. Exercise capacity and cardiovascular/metabolic characteristics of overweight and obese individuals with type 2 diabetes: the Look AHEAD clinical trial. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Intentional weight loss and mortality among overweight individuals with diabetes. Role of orlistat in the treatment of obese patients with type 2 diabetes. Sibutramine is effective for weight loss and diabetic control in obesity with type 2 diabetes: a randomised, double-blind, placebo-controlled study. Effects of weight loss with orlistat on glucose tolerance and progression to type 2 diabetes in obese adults. Efficacy and tolerability of the dipeptidylpeptidase-4 inhibitor sitagliptin as monotherapy over 12 weeks in patients with type 2 diabetes. Long-term effects of exenatide therapy over 82 weeks on glycaemic control and weight in over-weight metformin-treated patients with type 2 diabetes mellitus.
Chromium supplements: chromium, diabetes, and weight loss. Chromium and cholesterol. Chromium and heart disease. A new study reports a link between chromium levels and heart attack risk: the lower the levels, the higher the risk. The association of low chromium and heart attacks was unrelated to diabetes or diet. Chromium and diabetes. Chromium and weight loss. Is chromium right for you? Find the best treatments and procedures for you.
The primary dietary goal for overweight type 2 patients is weight loss and maintenance. The American Diabetes Association recommends that people at high risk for type 2 diabetes eat high-fiber (14g fiber for every 1,000 calories) and whole-grain foods. For people who have diabetes, the treatment goals for a diabetes diet are: Overweight patients with type 2 diabetes who are not taking medication should aim for a diet that controls both weight and glucose. The type and amount of carbohydrate are both important. Lean cuts of meat are the best choice for heart health and diabetes control. The FDA warns patients with diabetes not to be duped by bogus and unproven remedies. Even modest weight loss can reduce the risk factors for heart disease and diabetes. The following are precautions for all people with diabetes, both type 1 and type 2: The evidence for medical nutrition therapy for type 1 and type 2 diabetes in adults.
Many people feel that expensive prescription drugs are not the best or only way to deal with diabetes. Increasingly, they are turning to natural diabetes supplements that are available without a prescription to improve their health. Interestingly, not all diabetes supplements are made the same. What ingredients does the diabetes supplement include? If you aren't satisfied with the diabetes supplement, can you return it for a refund? How much does the diabetes supplement cost? How does that compare to the competing diabetes supplement products? Top Consumer Reviews.com has reviewed and ranked the best diabetes supplements available today. You may have diabetes and not know it. Number of adults with diabetes quadrupled since 1980. 442 million adults live with diabetes today, most of whom are in low-income countries. WHO, based in Geneva, Switzerland chose to focus on the rising rates of diabetes in order to prevent type 2 diabetes and provide better treatment for people with . Diabetes risk rising for both children and adults.
Diabetes and Dietary Supplements: In Depth. A healthy diet, physical activity, and blood glucose testing are the basic tools for managing type 2 diabetes. Are dietary supplements for diabetes safe? Are any dietary supplements for diabetes effective? This fact sheet addresses some of the many supplements studied for diabetes, with a focus on those that have undergone clinical trials (studies in people). Studies have examined the effects of alpha-lipoic acid supplements on complications of diabetes. Alpha-lipoic acid and vitamin E supplements taken separately or in combination did not improve cholesterol levels or the body’s response to insulin in a 2011 clinical trial of 102 people with type 2 diabetes. , have found few or no benefits of chromium supplements for controlling diabetes or reducing the risk of developing it. Information on the safety of herbal supplements for people with diabetes is generally inconclusive or unavailable. Reviewed the results of 13 studies that looked at how much magnesium people got in their diets, either through supplements or food, and their risk of diabetes. However, the long-term safety of magnesium supplements for people with diabetes has not been established. Studies (including a 2010 research review and 2009 clinical trial) have found no evidence that taking vitamin C supplements is helpful for diabetes. The research on diabetes and vitamin D and calcium supplements is not conclusive. There is no strong evidence that supplements of the trace mineral vanadium improve blood sugar control in people with type 2 diabetes.
Byetta, Victoza, Bydureon: Diabetes drugs and weight loss. Tell me about the diabetes drugs Byetta, Victoza and Bydureon. Exenatide (Byetta, Bydureon) and liraglutide (Victoza) are taken by injection, similar to insulin, but they're not insulin. Byetta, Bydureon and Victoza not only improve blood sugar control, but may also lead to weight loss. Byetta is injected twice daily, and Victoza is injected once a day. These drugs do have different effects and side effects to consider. The most common side effects are headache, nausea and diarrhea. These drugs are designed for people who have type 2 diabetes. If you have diabetes and wonder if Byetta, Bydureon or Victoza may be helpful, talk to your doctor.
People With Pre-Diabetes Who Drop Substantial Weight May Ward Off Type 2 Diabetes - 07/16/2013. People With Pre-Diabetes Who Drop Substantial Weight May Ward Off Type 2 Diabetes. People with pre-diabetes who lose roughly 10 percent of their body weight within six months of diagnosis dramatically reduce their risk of developing type 2 diabetes over the next three years, according to results of research led by Johns Hopkins scientists. “We have known for some time that the greater the weight loss , the lower your risk of diabetes,” says study leader Nisa Maruthur, M. The new research suggests that if people with pre-diabetes don’t lose enough weight in those first months, physicians may want to consider more aggressive treatment, such as adding a medication to push blood sugar levels lower. Maruthur and her colleagues searched the study information for links among short-term weight loss, reduction of blood glucose levels and impact on the longer-term risk of developing diabetes. The good news, Maruthur says, is that studies like hers show that the progression from pre-diabetes to type 2 diabetes is not inevitable and lifestyle changes can bring blood sugar levels back to normal. Researchers found that those in the lifestyle intervention arm who lost 10 percent or more of their body weight had an 85 percent reduction in risk of developing diabetes within three years. But those whose blood sugar levels were significantly lowered in six months of taking the medication saw their future risk of developing diabetes fall as well. The lowest risk, Maruthur says, occurred in patients who lost weight and also lowered the amount of glucose in their blood, as measured by a blood test taken after fasting.
Diabetes and Weight Loss. First things first, discuss weight loss and an individual program with your health care team. Diet and weight loss. How does exercise help diabetes and weight loss? Exercise can help you to lose weight, by building muscle and burning calories. Weight loss and exercise. Could alternative weight loss therapies help? Alternative weight loss therapies can be beneficial to help support weight loss. Alternative weight loss therapies. Weight loss surgery is a serious undertaking but for some people it can be particularly beneficial. Weight loss surgery. Support to help you shed the weight.
We often assume weight loss is good and healthy. A slow steady intentional weight loss using nutritional change and exercise is associated with beneficial effects on the heart, blood pressure , and cholesterol levels . In addition, weight loss can reduce "i nsulin resistance" and make muscles and fat tissues more sensitive to circulating insulin levels in the blood. As a result, a vicious cycle occurs, the higher the insulin levels are, the harder it is to lose weight (insulin is anabolic, and is a hormone that likes to store fat). While intentional weight loss in people with diabetes is usually a good thing, unintentional weight loss is not. If blood sugars are very high, patients with diabetes tend to urinate a lot, and this results in dehydration as a possible cause of weight loss. Actually, many patients with diabetes present for the first time to their doctor's office because of unexplained loss of weight. In addition to diabetes, there are other concerning causes of unexpected weight loss which should be explored such as thyroid disease and cancers. This is why all exercise and weight loss programs should be started only after discussion with a physician. Any unexplained weight loss, in patients with or without known diabetes may be a sign of high blood sugars or another serious illness.
An approach to the management of unintentional weight loss in elderly people. Weight loss in elderly people can have a deleterious effect on the ability to function and on quality of life and is associated with an increase in mortality over a 12-month period. We review the incidence and prevalence of weight loss in elderly patients, its impact on morbidity and mortality, the common causes of unintentional weight loss and a clinical approach to diagnosis. Voluntary weight loss among elderly patients is also associated with increased risk of death 17 and of hip fracture, 19 which highlights the importance of maintaining weight with age. 43 , 44 Many elderly patients with unintentional weight loss are experiencing concomitant malnutrition 45 and thereby have cachexia. Unintentional weight loss is common in elderly people and is associated with significant adverse health outcomes, increased mortality and progressive disability. Unexplained weight loss in the ambulatory elderly. Unintentional weight loss: diagnosis and prognosis. Unintentional weight loss in the ambulatory setting: etiologies and outcomes [abstract]. Evaluating and treating unintentional weight loss in the elderly.
15 Popular Weight Loss Supplements. Although drinking green tea may not help you with weight loss on its own, there is some evidence that drinking green tea may support your weight loss efforts. Green Tea for Weight Loss and Theanine: What You Need to Know . CLA for Weight Loss . Although there is currently little scientific research regarding the use of chitosan for weight loss, proponents claim that it can fight fat absorption. Chitosan and Weight Loss . Vitamin D for Weight Loss . A human hormone produced by the placenta during pregnancy, h CG is said to promote weight loss by suppressing appetite, increasing metabolism and reducing body fat. Resveratrol for Weight Loss . Capsaicin for Weight Loss. Chia for Weight Loss . Apple Cider Vinegar for Weight Loss .
Diabetes and supplements. Can taking dietary and other supplements help people with diabetes ? It says there is no clinical evidence supporting most people with diabetes taking vitamin or mineral supplements . How food supplements may help control diabetes. A 1997 study of 180 people with type 2 diabetes was published by the American Diabetes Association. The US National Center for Complementary and Alternative Medicine says that chromium supplementation has been researched for its effect on glucose control in people with diabetes. Magnesium levels are often low in people who have problems with insulin secretion and in people with complications of diabetes . The study found people who consumed the most magnesium in foods and from vitamin supplements were about half as likely to develop diabetes over the next 20 years as people who took in the least magnesium. The study found that taking a daily magnesium supplement could help overweight people who are also insulin resistant to improve their condition and prevent the onset of type 2 diabetes. Overall, Diabetes UK says there is no clear evidence of benefits from vitamin or mineral supplements for people with diabetes who do not have diagnosed deficiencies.
Evaluating and Treating Unintentional Weight Loss in the Elderly. Elderly patients with unintentional weight loss are at higher risk for infection, depression and death. Food and Drug Administration has labeled no appetite stimulants for the treatment of weight loss in the elderly. Unintentional weight loss in the elderly patient can be difficult to evaluate. Selected Medications Associated with Unintentional Weight Loss in the Elderly. The use of formal screening instruments for depression, such as the Geriatric Depression Scale, 25 may be necessary in the elderly patient with unintentional weight loss. However, none are specifically indicated for the treatment of weight loss in elderly patients, and few have been studied in this population. Food and Drug Administration has not labeled any of these drugs for use in elderly patients with weight loss. Although medications may help promote appetite and weight gain in an elderly patient with unintentional weight loss, drugs should not be considered first-line treatment. Low body weight and weight loss in the aged. Unexplained weight loss in the ambulatory elderly. Diagnosis and management of weight loss in the elderly.
However, scientists are hard at work growing a generally small, but interesting, body of evidence about the effectiveness of several herbs and dietary supplements in the management of diabetes. Ads keep d Life free. Sign up for FREE d Life Newsletters. Get weekly breaking diabetes news, polls, profiles, and more. D Life Membership is FREE! Get exclusive access, free recipes, newsletters, savings, and much more! Today, I saw both the Certified Diabetes Educator and the maternal/fetal specialist. My numbers are still good though and the CDE gave me kudos for staying on top of things.
Most people with type 2 diabetes are overweight at the time of diagnosis. The goal of diabetes treatment is to achieve and maintain healthy blood glucose levels. A major study called the Diabetes Control and Complications Trial (DCCT) found that people with diabetes who kept their blood glucose levels close to normal reduced their risk of developing major complications from the condition. People with diabetes can use the following therapies to help manage their blood glucose levels and to prevent complications: Medications, particularly insulin for individuals with type 1 diabetes and some people with type 2 diabetes. People with type 2 diabetes may even eliminate the need for medications when they make appropriate lifestyle changes. The ADA recommends that people with diabetes consume a healthy, low-fat diet, rich in grains, fruits, and vegetables. Medications for diabetes must always be used in combination with lifestyle changes, particularly diet and exercise, to improve the symptoms of diabetes. While some studies show no beneficial effects of chromium use for people with diabetes, other studies have shown that chromium supplements may reduce blood glucose levels in individuals with type 2 diabetes and reduce the need for insulin in those with type 1 diabetes. Magnesium - Several clinical studies have demonstrated a strong association between low levels of magnesium in the blood and type 2 diabetes. Lower average glucose and insulin levels in people who already have type 2 diabetes. Animal studies and some small human studies also suggest that vanadium may lower blood glucose to normal levels (reducing the need for insulin) in people with diabetes. Preliminary clinical studies show that the following antioxidants may improve diabetes (by returning blood glucose levels to the normal range) and reduce the risk of associated complications: In addition, the following antioxidants have been shown to improve cholesterol levels in people with type 2 diabetes. Clinical studies have reported that people with diabetes who participate in biofeedback sessions (a technique that increases awareness and control of the body's response to stress) are more likely to reach target blood glucose levels than those who do not receive biofeedback.
And finally, there are herbal supplements for weight loss that you'll find in many vitamin shops and drug stores. The best resource for information regarding the use of any supplement or weight loss pill is your healthcare provider. The diet pill is prescribed along with a reduced-calorie diet and exercise program to help people lose weight. Non-Prescription Weight Loss Pills and Supplements. This is the only over-the-counter weight loss pill approved by the FDA. Lipozene for weight loss is the most popular product that contains glucomannan. Unfortunately, the studies have been inconclusive and have not been able to confirm that the fiber substance can help you lose weight. However, the NIH found that chromium has no significant benefits for weight loss. There is little evidence to support the use of bee pollen for weight loss. If the weight loss pill that you are interested in is not listed above, visit the National Institutes of Health Dietary Supplement Fact Sheets website. And remember to talk to your doctor about any diet pill or weight loss supplement that you are considering.
Insulin and weight gain: Keep the pounds off. Insulin and weight gain often go hand in hand, but weight control is possible. If you need insulin therapy, here's how to minimize — or avoid — weight gain. Weight gain is a common side effect for people who take insulin — a hormone that regulates the absorption of sugar (glucose) by cells. The link between insulin and weight gain. When you take insulin, glucose is able to enter your cells, and glucose levels in your blood drop. But if you take in more calories than you need to maintain a healthy weight — given your level of activity — your cells will get more glucose than they need. What I need to know about diabetes medicines. National Institute of Diabetes and Digestive and Kidney Diseases. Department of Health and Human Services. Centers for Disease Control and Prevention. What I need to know about eating and diabetes.
You are most likely to be successful in losing weight and keeping it off when you believe that your body weight can be controlled. This article discusses how to get started with a weight loss plan, including changes in your behavior, what you eat, and weight loss medications. (See "Patient information: Weight loss surgery and procedures (Beyond the Basics)" .) The BMI is calculated from your height and weight ( calculator 1 and calculator 2 ). Eating — You can change your eating habits by breaking the chain of events between the trigger for eating and eating itself. — You can estimate the number of calories you need per day based upon your current (or target) weight, gender, and activity level for women and for men [ 4 ]. Any diet will help you to lose weight if you stick with the diet. Weight loss medicines may be recommended for people who have not been able to lose weight with diet and exercise who have a: If you do not lose at least 5 percent of your initial body weight within 12 weeks, the medicine should be stopped. Liraglutide — Liraglutide at 3.0 mg/day is approved by the US Food and Drug Administration (FDA) for weight loss. ●Chitosan and wheat dextrin are ineffective for weight loss and their use is not recommended. Bariatric (stomach) procedures for weight loss are discussed separately (see "Patient information: Weight loss surgery and procedures (Beyond the Basics)" ).
After 5 years, more patients in surgery group had lower blood sugar than in medication-only group. MONDAY, April 4, 2016 (Health Day News) - New research adds to growing evidence that weight-loss surgery helps patients with type 2 diabetes lower their blood sugar levels for at least five years. But British researchers reported in The Lancet medical journal last September that weight-loss surgery helped type 2 diabetes patients fight their disease. Five years after surgery, half of 38 patients who had surgery saw their diabetes go into remission, compared to none of the 15 patients in the medication-only group. The second group received medications and also had gastric bypass surgery. The final group had medications and had a different weight-loss surgery, called sleeve gastrectomy. After five years, the rates of reaching and maintaining blood sugar levels of 6 percent or less were significantly higher among those who had weight-loss surgery. The findings showed that 29 percent of those who had gastric bypass surgery and 23 percent of those who had a sleeve gastrectomy reached the target level, while only 5 percent of the medication-only group did. The use of heart medications, insulin or other drugs to treat diabetes was also much lower among patients who had either weight-loss surgery, the investigators found. And, more than 88 percent of those who had surgery were able to keep their blood sugar levels in check without insulin, according to the report. However, the researchers noted that weight-loss surgery is associated with some risk for certain complications. The study authors also suggested that gastric bypass may have greater benefits than other forms of weight-loss surgery. The researchers suggested the findings could increase the number of people with poor blood sugar control who could be considered candidates for weight-loss surgery.
Unintentional weight loss. Weight loss, or wasting, is one of the most common symptoms of untreated HIV infection, and can occur at any stage of infection. Weight loss occurs when the body is using up more nutrients than it is absorbing from food. You may eat less than you used to (and need to) because of loss of appetite during ill health. The most important ways to prevent weight loss are to treat HIV-related infections promptly, and to ensure that your nutritional intake is adequate. A dietician can help you look at your diet to ensure you have an adequate intake of all the main types of nutrients, and recommend any changes to fit in with any drugs you are taking and to help you cope with problems such as nausea. You can help by taking symptoms such as loss of appetite, persistent nausea and diarrhoea seriously and seeking prompt medical advice. However, weight loss can still occur in people taking anti-HIV drugs and needs to be taken very seriously as some research suggests that unintentionally losing 5% of your body weight in a six-month period is an indicator that you could become seriously ill because of HIV. If you have been unwell and have lost weight as a result, then taking HIV treatment is likely to help you to increase your weight and lean muscle mass. If you have lost weight after an HIV-related infection, a dietitian may recommend increasing your calorie and protein intake to try to regain it.
Unexplained Weight Loss With Diabetes. She writes on nutrition, obesity, diabetes and weight control for a project of the National Institutes of Health. Unexplained Weight Loss With Diabetes Photo Credit Creatas Images/Creatas/Getty Images. You might be aware that as a metabolic disorder, some forms of diabetes come with excessive weight. Weight loss can occur as a consequence of high blood sugar, dehydration, muscle breakdown and problems with your thyroid. Although both type 1 and type 2 diabetes can involve fairly dramatic weight loss over several days at the onset of the disease, it tends to be more common among people with type 1. This causes weight loss, but it could also damage your organs if you don't receive treatment. Another symptom of diabetes associated with weight loss is frequent urination. Poorly controlled diabetes can cause weight loss through muscle wasting, according to a report published in the “British Medical Journal.” Scientists in this study found that the insulin deficiency found in diabetes both decreases muscle synthesis and increases its breakdown. However, as muscle makes up up to 36 percent of an average woman’s weight and up to 45 percent of a man’s weight, muscle wasting can lead to weight loss through diabetes. With hyperthyroidism, the glands makes too much hormone and causes weight loss. Your health care provider will advise you on how to monitor your blood sugar to understand the effects of hyperthyroidism and blood sugar fluctuations.
Weight loss.       Poor nutrient utilization can lead to weight loss, and can be caused by fistulae in the gastrointestinal tract, diarrhea, drug-nutrient interaction, enzyme depletion and muscle atrophy. Unintentional weight loss can be the characteristic leading to diagnosis of diseases such as cancer  and type 1 diabetes .  Around 25% experience moderate to severe weight loss, and most others have some weight loss.  Greater weight loss is associated with poorer prognosis. People with HIV often experience weight loss, and it is associated with poorer outcomes. Medical treatment can directly or indirectly cause weight loss, impairing treatment effectiveness and recovery that can lead to further weight loss in a vicious cycle. Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. Weight loss in individuals who are overweight or obese can reduce health risks,  increase fitness,  and may delay the onset of diabetes . Weight loss occurs when the body is expending more energy in work and metabolism than it is absorbing from food or other nutrients. The healthiest weight loss regimen, therefore, is one that consists of a balanced diet and moderate physical activity.[ citation needed ] The least intrusive weight loss methods, and those most often recommended, are adjustments to eating patterns and increased physical activity, generally in the form of exercise. In order for weight loss to be permanent, changes in diet and lifestyle must be permanent as well.
Best and Worst Dietary Supplements for a Diabetic Diet. Are your favorite natural remedies for treating diabetes effective, or even safe? Read our guide on the best dietary supplements for a diabetic diet before you head to the vitamin aisle. From cinnamon and magnesium to herbal formulas claiming to smack down high blood sugar, “diabetes-friendly” supplements are popping up in health food stores and drugstores and in the medicine cabinets of more and more people with diabetes. “People with diabetes may be looking for something that seems less potent than a medication or something that will treat other health issues beyond blood sugar control, such as high cholesterol,” notes Laura Shane-Mc Whorter, Pharm D, a University of Utah professor of pharmacotherapy and author of The American Diabetes Association Guide to Herbs & Nutritional Supplements: What You Need to Know from Aloe to Zinc. But experts are reluctant to recommend supplements to people with diabetes for two important health reasons. Second, no supplement controls blood sugar as effectively as diabetes drugs (in combination with a healthy lifestyle). “The most important thing to know if you have diabetes is that no supplement will take care of it for you. In consulting the latest research as well as supplement experts for this report on the best-studied and most widely used supplements, we found that some popular pills—chromium, we’re talking about you—aren’t living up to their reputations. However, used safely, certain supplements might help you step up your blood sugar control a notch or two or help control risk for heart disease, the most common and life-threatening diabetes complication. Here, the supplements you should consider adding to (and dropping from) your diabetes treatment plan.
Do you need to lose weight? Diets and programs that promise to help you lose weight are advertised everywhere—through magazines and newspapers, radio, TV, and websites. This fact sheet provides tips on how to identify a weight-loss program that may help you lose weight safely and keep the weight off over time. He or she may be able to help you control your weight by making changes to your eating and physical activity habits. About your weight. How much weight should I lose? About ways to lose weight. Talk to your doctor about safe and effective ways to control your weight. He or she can review any medical problems that you have and any drugs that you take to help you set goals for controlling your weight. You may want to ask your doctor to recommend a weight-loss program or specialist. Effective weight-loss programs include ways to keep the weight off for good. These programs promote healthy behaviors that help you lose weight and that you can stick with every day.
Type 2 Diabetes: How to Lose Weight. Weight loss is a common recommendation for treatment for type 2 diabetes. By losing weight, people with type 2 diabetes can become less insulin resistant, and they’re able to use insulin better. If you’ve recently been diagnosed with type 2 diabetes and you're overweight, you should get started as soon as possible on a weight loss plan. It is important to work with a registered dietitian to help you figure out a plan that will work for you—a healthy meal plan , physical activity , and realistic goals will help you reach a healthy weight. Lower your cholesterol levels (especially important for people with type 2 diabetes) Physical activity can help with weight loss, and in the article on exercising when you have type 2 diabetes , you can learn about how to start an exercise plan. Losing weight can help lower your body’s insulin resistance, but if it doesn’t help you achieve better blood glucose control, that doesn’t mean you’ve failed—or that you should give up. Losing weight and then maintaining a healthy weight are healthy choices for life—whether you have type 2 diabetes or not. Type 2 Diabetes: An Essential Guide for the newly Diagnosed.
Diabetes and Dietary Supplements. 1 It is important for health care practitioners not only to be aware of what dietary supplements their patients are taking, but also to understand how these supplements work and their possible side effects. Patients and practitioners should be aware that because of DSHEA, supplements are not subject to the same Food and Drug Administration (FDA) regulatory standards as drugs. There are independent laboratories and consumer organizations that reinforce GMPs and test dietary supplements for quality and safety, including Consumer Lab.com , the U. Many supplements are used in the treatment of diabetes and its complications. Chromium, usually in the form of chromium picolinate, is a popular supplement among people with diabetes and those who are interested in losing weight. Cassia cinnamon (the kind people use for cooking and baking) is the type used in the purported treatment of diabetes, as well as for the treatment of gastrointestinal distress. The seeds may also lower cholesterol and triglycerides. Fenugreek may interact with blood-thinning medications and can enhance the effect of insulin and insulin secretagogues; therefore, hypoglycemia is another possible side effect. Despite insufficient data on supplement safety and effectiveness, the fact remains that people with diabetes do and will continue to use dietary supplements. Health care providers have a responsibility to ask their patients about any and all dietary supplements that they take, just as they ask about medications; provide information, if available, about the safety and effectiveness of those supplements; be familiar with common supplements used for the treatment of diabetes or know of resources from which to obtain this information; and also be familiar with possible side effects of and drug interactions with supplements.
I regularly receive emails, Tweets , and Facebook posts/messages from thyroid patients who have the same frustrating concern: I'm a thyroid patient on thyroid hormone replacement medication, and my doctor says I'm fine, but I just can not lose weight. Some thyroid patients - and practitioners - believe that if a thyroid patient has gained weight, or can't lose weight, simply getting on thyroid medication will be the solution. Unfortunately, this seems to be less common that patients who, despite being treated, continue to gain weight despite eating well and exercising, or who can't lose weight no matter what diet or exercise approach they try. Many practitioners believe that for thyroid patients who want to lose weight, the first step is to optimize - not just normalize - your thyroid treatment . What is considered "optimal?" Not only are TSH, Free T 4 and Free T 3 levels considered important, but Reverse T 3, ferritin, leptin, and other issues come into play in terms of optimal thyroid treatment. Take a look at what some of the nation's top integrative thyroid experts have to say about optimal hypothyroidism treatment . Frequently, T 3 and natural thyroid drugs are part of the treatment approach. Some practitioners believe that hormone resistance problems - including leptin resistance , insulin resistance , and thyroid resistance - contribute to the difficult some thyroid patients face in losing weight . Because hypothyroidism lowers metabolism, one of the most important things you can do is to focus on is diet, foods, and exercise that can help raise your metabolism . Some practitioners have even said it's better to skip a morning workout and use the time to sleep! There are hundreds of diet and weight loss supplements on the market, and very few of them are proven to be effective. Many practitioners recommend regular exercise for thyroid patients who want to lose weight, but not excessive exercise - the kind that leaves you exhausted or recuperating for days. Keep learning about the link between thyroid disease, weight gain, diet, and hormones.
Losing weight has many benefits for people with type 2 diabetes, including better control over blood sugar levels. But for those with type 2 diabetes , weight control is especially important. “Carrying excess weight makes managing blood sugars more difficult, and 80 percent of people with type 2 diabetes are overweight,” says dietitian Sue Mc Laughlin, RD, CDE, diabetes educator and president of health care and education for the American Diabetic Association. But it is possible, and the benefits for those with diabetes are great. Experts say the right way to lose weight is to incorporate a healthful diet into your overall diabetes management plan. Exercise keeps off the weight. For confirmation, look at the National Weight Control Registry (NWCR), a database of 4,000 men and women who have lost 30 or more pounds and kept it off. The most effective diabetes diet includes breakfast. The exact number of calories that people on a diabetes diet should consume depends on a number of factors, including age, gender, current weight, activity level, and body type. A reasonable goal for people with type 2 diabetes is between 1,200 and 1,800 calories per day for women and between 1,400 and 2,000 calories per day for men. Your diabetes educator can help you fine-tune the ideal calorie range to achieve weight loss while managing your blood sugar levels. Plus, a diabetes diet consisting of mini-meals spread through the day will help control hunger and calorie intake, leading to faster weight loss. “Start every meal with the foods on your plate that are lowest in calories,” suggests Mc Laughlin.
Prescription Weight Loss / Diet Pills: What Are the Options? Prescription weight loss pills, also called anti-obesity drugs or “diet pills”, are sometimes prescribed to a patient as an additional tool in the treatment for weight loss . Weight loss drugs should not be used as a substitute for healthful eating and a regular exercise program. Most weight loss drugs that suppress the appetite are known as anorexiants . Common "Diet Pills" or Weight Loss Drugs. How Effective are Weight Loss Drugs? Weight loss drugs may not work for everyone. Who are Candidates for Weight Loss Drugs? However, prescription weight loss drugs should be used in addition to diet and exercise. Weight loss drugs should not be used during pregnancy. All weight loss drugs fall under pregnancy category X and are contraindicated in pregnancy.
Weight Loss in Type 2 Diabetic Patients. A guiding principle in the treatment of type 2 diabetic patients has been the recommendation to lose weight ( 1 , 2 ). This is because the health benefits of weight loss have long been recognized ( 3 ). ( 6 ) report in this issue of Diabetes Care the 2-year outcome of a combination of weight loss therapies in type 2 diabetic patients. Why is weight loss in obese diabetic patients so modest? Therapeutic weight loss in type 2 diabetic patients has been very difficult to achieve. Diabetic patients who are not in good control tend to have an energy expenditure that is more elevated than would be predicted for their weight and age. In addition, there is the direct effect of weight loss. Weight loss trials in diabetic patients are quite consistent. As a result, the patient is not appropriately aware of the changes required to achieve and maintain weight loss. The approach with regard to weight loss in diabetic patients will need to be more aggressive. This was successful in the Diabetes Prevention Program ( 18 ) in prediabetic patients and is now being tried in the Look Ahead trial with diabetic patients ( 19 ).
MONDAY, April 4, 2016 (Health Day News) - New research adds to growing evidence that weight-loss surgery helps patients with type 2 diabetes lower their blood sugar levels for at least five years. But British researchers reported in The Lancet medical journal last September that weight-loss surgery helped type 2 diabetes patients fight their disease. Five years after surgery, half of 38 patients who had surgery saw their diabetes go into remission, compared to none of the 15 patients in the medication-only group. The second group received medications and also had gastric bypass surgery. The final group had medications and had a different weight-loss surgery, called sleeve gastrectomy. After five years, the rates of reaching and maintaining blood sugar levels of 6 percent or less were significantly higher among those who had weight-loss surgery. The findings showed that 29 percent of those who had gastric bypass surgery and 23 percent of those who had a sleeve gastrectomy reached the target level, while only 5 percent of the medication-only group did. The use of heart medications, insulin or other drugs to treat diabetes was also much lower among patients who had either weight-loss surgery, the investigators found. And, more than 88 percent of those who had surgery were able to keep their blood sugar levels in check without insulin, according to the report. However, the researchers noted that weight-loss surgery is associated with some risk for certain complications. The study authors also suggested that gastric bypass may have greater benefits than other forms of weight-loss surgery. The researchers suggested the findings could increase the number of people with poor blood sugar control who could be considered candidates for weight-loss surgery.
The Best Supplements for Diabetes. Research has shown that taking a potent daily multivitamin dramatically reduces the incidence of infection and the number of sick days taken by patients with type 2 diabetes. Vitamin C lowers levels of sorbitol, the sugar that can collect in and damage cells in the eyes, kidneys and nerves. I recommend at least 1,000 mg of vitamin C daily. I recommend at least 2,000 IU of supplemental vitamin D (as cholecalciferol or D 3) daily. It improves glucose control and protects blood vessels and nerves from free radical damage, which is accelerated by the diabetes. Vanadyl sulfate mimics insulin in the body and helps maintain normal blood sugar levels. Chromium is a trace mineral that improves the action of insulin and helps move glucose and other nutrients into the cells. At least 15 well-controlled clinical trials examining the effects of supplemental chromium on patients with diabetes, insulin resistance and other blood sugar abnormalities have shown that this mineral improves glucose metabolism. AMPK stimulates the uptake of glucose into the cells, improves insulin sensitivity and reduces glucose production in the liver, which is in overdrive in diabetic patients. A patented purslane extract (Portusana) has been shown to increase insulin sensitivity, enhance glucose uptake into the cells and slow the transport of glucose from the intestines into the blood. It contains flavonoids (epicatechin and pterostilbene) that promote insulin sensitivity, improve the body’s ability to transport sugar from the bloodstream into the cells, and help maintain normal blood sugar levels. One of the easiest and most effective ways to do that is with a mini-fast.
And then, when you go back to using your normal amount of insulin, are you dismayed to discover that you gain the weight back — and perhaps more — in equally rapid fashion? "When you don't take the right amount of insulin and your blood glucose run high, you can become dehydrated — which makes you think you've lost weight, but you've only lost water," Chalmers says. Then, when you've lost the weight you wanted to lose, you start taking the right amount of insulin again — and continue to eat the same amount of food. Only this time, because your body has enough insulin to process the food you're eating, you gain weight. But once your blood glucose is in a more normal range, you're just using the food properly — and you gain weight." It's these other metabolic processes that are causing the weight loss, and the weight gain." The specific way men and women gain weight is different too. So once you lower the set point, you can eat a normal low-fat meal and maintain the set point weight." The test will help you determine whether you may be too concerned about food and your weight and need some additional help because you have an eating disorder. Have you been on five or more weight loss diets in the past five years?
Weight and Diabetes: Lose Pounds to Lower Your Risk. “If I suddenly take a bunch of gravel and throw it in the back of your car, you can still probably make 70 mph on the interstate. I can probably put enough weight in so, eventually, your car no longer can perform like it needs to,” says David Marrero, Ph D, president of health care and education for the American Diabetes Association. Read the Are You in Diabetes Denial? It sounds harsh, but the truth is, that extra weight in your trunk? “You lose 7% of your body weight , you cut your risk [of developing diabetes] by 60%. If you’re overweight and have diabetes, or are at risk of getting it, you have to exercise. “You have what they call receptor sites, and the more you exercise, the more active your receptor sites are. And the less you exercise, the less active and responsive they are,” Marrero says.
The Best Herbs and Supplements for Diabetes. These 10 have shown some promise in lowering blood sugar, boosting insulin sensitivity, reducing high blood pressure and cholesterol, and more. You may need to check your blood sugar more often and possibly have your doctor adjust your medication dosage. Magnesium deficiency is not uncommon in people with diabetes, and it can worsen high blood sugar and insulin resistance. Some studies suggest that supplementing with magnesium may improve insulin function and lower blood sugar levels, but other studies have shown no benefit. The ripe fruit of this cactus has been shown in some small studies to lower blood sugar levels. Researchers speculate that the fruit may possibly lower blood sugar because it contains components that work similarly to insulin. Some research suggests that people with diabetes have lower than optimal levels of GLA, and studies have found that the supplement can reduce and prevent nerve pain associated with diabetes. Animal studies have also suggested that bilberry may lower blood sugar. These seeds, used in Indian cooking, have been found to lower blood sugar, increase insulin sensitivity, and reduce high cholesterol, according to several animal and human studies. In one of the largest studies on fenugreek, 60 people who took 25 grams daily showed significant improvements in blood sugar control and post-meal spikes.