11 Responses

  1. Amy Solomon
    Amy Solomon January 19, 2011 at 7:08 am | | Reply

    Hi Allison,

    Great post! I just wanted to point out that the checklist you have cited as being from HealthCentral is actually from Everyday Health. (I’m the diabetes editor).


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  3. Jenny
    Jenny January 19, 2011 at 12:31 pm | | Reply

    This is excellent info for diabetics trying to lose weight

  4. tmana
    tmana January 19, 2011 at 5:38 pm | | Reply

    What works with T2 is to forget eating meals. The thing to do is to graze — eat snacks of about 200 calories every 2.5 – 3 hours, with an emphasis on fresh fruits and vegetables, and fill in with high-quality proteins (legumes, low-fat/fat-free dairy, low-fat meats and fishes, hard-boiled eggs, egg whites). This regime has you stocking up (to raise blood glucose) before you crash, and having little enough at any given time to stop you from going too high.

  5. Michael
    Michael January 20, 2011 at 2:11 am | | Reply

    This is very interesting since I have a few friends who were diagnosed with type 2 diabetes and then lost a lot of weight. The result was an extreme drop in use of medication and even not taking any at all.
    To say that losing weight does not affect BS management in any type of diabetes sound questionable.

  6. tmana
    tmana January 20, 2011 at 7:26 am | | Reply

    Michael, the effect of weight loss on medication requirements depends at least to a degree on where in the T2 progression one is diagnosed and on what the underlying causes are.

    If obesity is an underlying cause (fat tissues release hormone-like chemicals that interfere with insulin metabolism), then dropping weight will reduce insulin resistance; however, if diagnosis did not occur until more beta-cell function was destroyed than we normally expect, that person will still need a low-carb diet, oral medications, and/or insulin.

    If, however, the Type 2 diabetes is caused by errors in protein folding, issues with the insulin receptor sites, or issues with other chemicals that affect insulin metabolism (but which are not produced by adipose cells), then weight loss will not affect insulin sensitivity or the need for medications and/or insulin.

  7. Hope Warshaw
    Hope Warshaw January 24, 2011 at 7:55 am | | Reply

    All –
    Nice job on this piece Allison! This is a very confusing area which is filled with outdated information and numerous misconceptions. Tmana – thanks for good clarifications. Today, I think it’s incredibly important for people with T2 to understand the expected progression of disease. It is simply the reality of T2. I try to frame this in a positive manner in that the earlier in the progression people act aggressively to manage glucose, lipids and blood pressure (and this often, unfortunately, requires medications for all), the healthier they will be over the long haul. And yes, eating healthy and being physically active will assist all medication regimens and will likely slow down the progression of disease and need for medications.
    Let’s keep dialoging!
    Hope Warshaw

  8. Exercise is Best
    Exercise is Best January 24, 2011 at 8:41 am | | Reply

    Read the Victoza warning. . . . .yeah, this stuff is safe:
    In animal studies, Victoza® caused thyroid tumors—including thyroid cancer—in some rats and mice. It is not known whether Victoza® causes thyroid tumors or a type of thyroid cancer called medullary thyroid cancer (MTC) in people which may be fatal if not detected and treated early. Do not use Victoza® if you or any of your family members have a history of MTC or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). While taking Victoza®, tell your doctor if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer.

    Inflammation of the pancreas (pancreatitis) may be severe and lead to death. Before taking Victoza®, tell your doctor if you have had pancreatitis, gallstones, a history of alcoholism, or high blood triglyceride levels since these medical conditions make you more likely to get pancreatitis.

  9. sandra kimble
    sandra kimble May 22, 2011 at 12:59 pm | | Reply

    I have t2 and have had it for over 25yrs. I have gone through weight loss surgery and have lost 100lbs plus now iam struggling with the last 20lbs and am having trouble keeping metformin down also iam on byetta which works wonderfully.My a1c is 6.7 so iam looking for a sampler pill that wont make gain weight. I have admit that i dont exersice as much as i should but iam trying to do better.

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