This is something you need to be aware of and lower the amount of carbohydrates you consume when you receive
your diagnosis of diabetes. Weight gain is a complaint about many
diabetes medications, both oral and insulin. Sulfonylureas,
thiazolidinediones, and insulin do cause weight gain because they
help the body absorb nutrients and move glucose into the cells for
use and storage, which causes the initial weight gain.
Metformin and incretin mimetics usually
don't cause weight gain and may even cause a little weight loss and
they are considered weight neutral. Many people say they don't want
to start insulin therapy because it causes weight gain. Most people
keep eating the same foods they have been eating and do not reduce
the amount of carbohydrates they consume and this is the main cause
of weight gain.
What many people do not realize, if
your blood glucose levels are consistently high over a period of
time, and your medication is not controlling your blood glucose
levels, your body tries to get rid of the excess glucose through the
kidneys. If this continues for long enough, you will have kidney
damage or one of the diabetes complications. Dialysis can result and
this is not favorable for your health. This is the reason for
lowering the carbohydrates you consume.
Hypoglycemia can also cause weight
gain. If you've ever had low blood sugar, you know that feeling of
anxiety you get that makes you overeat to get your blood sugar back
up. Some pre-mixed or intermediate acting insulins require that you
eat on a schedule. If the dose is too high, you may need to eat
extra snacks to avoid low blood glucose, which then leads to weight
gain. If this happens, work with your doctor or diabetes educator
for assistance.
If you overeat, you gain weight. Just
because you can "take insulin to cover it" doesn't give you
free reign to overindulge. This is what many people unfortunately
continue to do and this is not good. This is when people blame the
insulin and forget that it was what they did that caused the weight
gain. If they would have reduced the amount of carbohydrates they
consumed, the extra insulin would not have been necessary and the
weight gain would have stopped before it became a problem.
What can you do to prevent or minimize
weight gain? Here are a few tips:
- Exercise and maintain a healthy food plan.
- Use glucose products to treat low blood glucose instead of eating junk food.
- Get help from your doctor or diabetes educator if you find you're eating to keep your blood sugar up. You may need a medication change or insulin dose adjustment.
- If weight gain is a concern, ask your doctor for other medication options. However, realize that reducing the amount of carbohydrates will stop weight gain.
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