Obesity in Type 2 Diabetes

It is believed that obesity and diabetes are interrelated. One disease follows another, and a low carbohydrate diet and physical activity is considered the basis of their treatment. If the process of losing weight is hampered due to endocrine changes, the doctor prescribes medication, and in advanced cases - surgery.

IT IS IMPORTANT TO KNOW! Even "neglected" diabetes can be cured at home, without surgery and hospitals. Just read what Marina Vladimirovna is saying. read recommendation.

Obesity as a cause of diabetes

Diabetes mellitus is a disease of the XXI century, paying for the benefits of a full and comfortable life, fast food and sedentary work. Neither children nor adults are insured against such a diagnosis. The following factors provoke the disease:

Sugar is reduced instantly! Diabetes over time can lead to a whole bunch of diseases, such as problems with eyesight, skin and hair, ulcers, gangrene and even cancer! People taught by bitter experience to normalize the level of sugar use. read more.

  • gene predisposition
  • overweight and obesity,
  • viral infections and chronic diseases,
  • frequent stress
  • elderly age.

If 1 type of diabetes only mom is sick, the probability of the child developing the disease is about 4%, the father is 9%, both parents are up to 70%. The second type of disease is inherited more often: 80% - in the case of one of the parents, 100% - if both are sick.

Why does obesity appear in diabetes?

Great weight loss is a sign of type 1 diabetes. In diabetes mellitus type 2 endocrine and metabolic processes are disturbed, having a negative impact on human weight. There are the following explanations for this phenomenon:

  • Depression and seizure stress food. When overeating accumulates excess fat, the body stops responding to insulin. In cells, normal processes are disturbed and type 2 diabetes develops.
  • Excess hormone resistin. It is produced by fat cells and resists the transport of insulin. This process has developed over the centuries of evolution to conserve energy reserves. In terms of the rhythm of life of a modern person leads to the rapid development of obesity and complicates weight loss in type 2 diabetes.
Back to table of contents

What is dangerous?

Obesity and diabetes in the complex are fraught with the development of such complications:

  • shortness of breath progresses, the patient constantly lacks oxygen,
  • increases the likelihood of myocardial infarction and coronary heart disease,
  • high pressure is stable
  • osteoarthrosis develops - a disease of the pelvic and knee joints,
  • the reproductive system is lost: infertility is formed, impotence develops.
Back to table of contents

How to normalize insulin?

A persistent low-carb diet can normalize insulin production without medication. Diet improves the processes of splitting fat, helping to lose weight effectively and for a long time, while not suffering from constant hunger. Argued that fullness - a consequence of a weak will. However, this is not always true:

  • Both diseases are hereditary diseases.
  • The higher the body weight, the stronger the imbalance of biological metabolism, which entails a failure in the production of insulin. As a result, excess fat accumulates in the abdomen.
  • The process becomes cyclical, and the development of type 2 diabetes with obesity becomes inevitable.
Back to table of contents

Drugs are prescribed to increase insulin sensitivity. This reduces its concentration in the blood, bringing to the amount necessary for normal functioning. "Siofor" - the most famous drug for the treatment of obesity. Treats obesity in children over 10 years old. The main substance is metformin. Tablets do not replace diet and physical activity, but a combination of these measures gives a visible result. Tablets analogs - "Glyukofak". This medicine is somewhat more expensive, but its effectiveness is higher.

Anti-obesity drugs help to lose weight, contributing to the completion of cumulative processes.

Diet and diabetes

The basis of nutrition in diabetes - compliance with the recommendations of the doctor and the exclusion of certain products. You do not need to completely eliminate carbohydrates, but you have to control yourself. Follow these rules:

  • eat in small portions 5-6 times a day,
  • don't skip meals
  • do not chop food too much - it slows down the digestion process,
  • Do not remove bread from the diet, but give preference to unleavened bread,
  • limit the intake of seasoning and fat,
  • remove excess fat and skin from meat products,
  • refuse the production of meat processing plants: sausages, smoked meats, pies,
  • give preference to low-fat products,
  • the portion should be placed in a standard cup,
  • replace sweets with approved fruit,
  • cook food, bake, cook in a double boiler,
  • salads and coarse fiber - the basis of the diet.
Back to table of contents

Obesity in diabetes mellitus type 2: diet, nutrition, photo

Obesity and diabetes in the vast majority of cases are comorbidities. Due to insulin, excess fat accumulates in the human body, and at the same time, this hormone prevents it from splitting.

The more adipose tissue in the patient's body, the higher his insulin resistance, and the more hormone in the blood, the more obesity is observed. That is, it turns out a vicious circle, which leads to such a pathology as diabetes mellitus (the second type).

To bring glucose to the required level, you need to follow a low-carbohydrate diet, of no small importance is moderate physical activity, as well as medications (prescribed exclusively by a doctor).

We need to consider how to treat obesity and diabetes, and which pills for obesity will help to lose weight. What treatment can be prescribed by a doctor, and what will additionally help to overcome the disease?

Obesity as a risk factor for diabetes

Numerous studies show that insulin resistance and obesity are hereditary. This circumstance is based on genes that are inherited by children from their parents. Some scientists call them genes "promoting fat accumulation."

The human body, which has a tendency to overweight, is stored up in large amounts of carbohydrates at a time when they come in large quantities. At the same time, the concentration of sugar in the blood rises. That is why diabetes and obesity are tightly interconnected.

In addition, the more severe the degree of obesity, the more stable the cells become to the hormone insulin. The result is that the pancreas begins to produce it in an even greater amount, and this amount of hormone leads to a large accumulation of fat.

It is worth noting that the genes that contribute to the accumulation of fat in the body, provoke a shortage of such a hormone as serotonin. Its deficiency leads to a chronic feeling of depression, apathy and constant hunger.

Exclusively the use of carbohydrate foods allows you to temporarily relieve such symptoms, respectively, a large number of them leads to a decrease in insulin, which leads to diabetes.

The following factors can lead to obesity and diabetes mellitus:

  • Sedentary lifestyle.
  • Wrong diet.
  • Abuse of sweet foods and sugar.
  • Endocrine disorders.
  • Irregular nutrition, chronic fatigue.
  • Some psychotropic drugs can lead to weight gain.

I would like scientists to find a cure for diabetes and obesity, but today this has not happened. Nevertheless, there is a certain drug treatment that helps to reduce the weight of the patient, and does not inhibit his general condition.

Many patients are interested in how to treat obesity in diabetes, and which medicine will help in the fight against obesity?

Treatment with antidepressants for diabetes helps slow the natural breakdown of serotonin, resulting in an increase in its content in the body. However, this method has its own side reactions. Therefore, in the overwhelming majority of cases, a medicine that provides intensive production of serotonin is recommended.

5-hydroxytryptophan and Tryptophan help speed up the production of serotonin. The drug 5-hydroxytryptophan contributes to the production of a "soothing hormone", which positively affects the emotional state.

First of all, this medicine has a calming effect, so it is acceptable to take it during depression, with neurosis and panic attacks.

Features of the use of 5-hydroxytryptophan:

  1. In diabetes, the dosage ranges from 100 to 300 mg. Begin with a small amount, and with insufficient therapeutic effect, the dose increases.
  2. The daily rate of medication is divided into two times, for example, taken in the morning and evening.
  3. Take on an empty stomach before eating.

The biologically active additive reviews are positive, however, the development of adverse reactions from its use is not excluded: increased gas formation, disruption of the digestive and gastrointestinal tract, pain in the abdomen.

Tryptophan - a drug that promotes the production of the hormone serotonin, melatonin, kinurenin. For a better metabolism, you need to take immediately before a meal, you can drink water (you can not milk drinks).

If we compare these drugs that accelerate the process of hormone synthesis, then 5-hydroxytryptophan has a longer effect and is better tolerated by patients.

For the treatment of type 2 diabetes, Siofor (the main active substance metformin) and Glucophage are prescribed.

These two drugs provide an increase in the sensitivity of cells to insulin, as a result of which its content in the body decreases, which leads to the normalization of blood sugar.

Undoubtedly, drugs alone can not overcome diseases such as diabetes, obesity (photo). Any world leading doctor will say that diabetes treatment is not only the recommended drugs, but also physical activity, adherence to a low carbohydrate diet and diet.

With obesity, physical activity is an important component, and they necessarily complement the treatment of the underlying pathology. It will also be important massage for diabetes.

Due to the fact that during workouts muscle activity increases, the sensitivity of cells to insulin also increases, transport to the cells of sugar is facilitated, and the overall need of the body for the hormone is reduced. All this together leads to the fact that glucose is normalized, the state of health improves.

The main thing is to find the kind of sport that helps to get rid of excess weight, while it does not lead to constant fatigue and physical tension. Features of weight loss in diabetes:

  • Weight loss should be smooth, not more than 5 kilograms per month.
  • Sharp loss of a kilogram is a dangerous process that can lead to serious complications.
  • The best sports are running and swimming. They do not contribute to the growth of muscle mass, with a positive effect on the functionality of the cardiovascular system.

For a patient who has not previously played sports, it is generally recommended to evaluate your health, to consult with your doctor about the type of load. With grade 2 obesity, there is a serious load on the heart, so you can begin your physical activity with short walks of 10 minutes a day.

Over time, the time interval increases to half an hour, the pace of training accelerates, that is, the patient moves to a quick step. So you need to do at least two or three times a week.

If physical activity, diets and medications do not help to lose weight, then the only way to help is surgery. That operation helps diabetics deal with the problem of overeating.

It should be noted that there are various methods of surgical interventions, and only a doctor can choose a radical method of treatment.

Many patients repeatedly tried to get rid of extra pounds, consumed only low-calorie food. Nevertheless, practice shows that it is not always possible to do this, and those extra pounds either stand still or return soon.

Diet is a definite restriction in nutrition, and the patient does not always comply with all her requirements and recommendations, which leads to breakdowns, overeating, the situation is aggravated, and the problem is not solved.

As a rule, the increased accumulation of fats by the body and diabetes mellitus of the second type are the result of food addiction, as a result of which a person consumed a huge amount of carbohydrates for a long period of time.

In fact, this is a serious problem, it can be compared with smoking, when a person is doing everything possible to give up cigarettes. But the slightest failure, and everything returns to normal.

To get rid of addiction, the perfect combination will be dieting, taking special medications that reduce appetite and the desire to live a full life. Basic rules for a low carb diet:

  1. Eat small meals.
  2. Do not make long breaks between meals.
  3. Food should be chewed thoroughly.
  4. Always control your sugar after a meal (this will help a special device for measuring sugar, called blood glucose meter).

For the treatment of carbohydrate dependence will need a huge amount of power. And the patient should understand that if you do not follow all the rules of nutrition, do not control the sugar content in the blood, he will never lose weight, and soon the clinical picture will be complemented by various complications.

Obsessive desire to eat carbohydrates is not just a whim, a disease that requires special attention, and such a person’s condition cannot be ignored. Statistics show that more and more people die each year from excessive overeating and obesity.

Overweight and diabetes mellitus always require an individual and integrated approach. And only a combination of drug treatment, strict diet and physical activity can correct the situation. In the video in this article, Elena Malysheva will review a diet for diabetes.

Obesity in type 2 diabetes: what is dangerous and how to lose weight

Losing weight is one of the first recommendations that a patient receives after finding 2 types of diabetes. Obesity and diabetes are two sides of the same pathological condition. It has been established that in countries with an increased standard of living, the percentage of full people and diabetics simultaneously increases. The latest WHO report on this topic says: “With an increase in wealth, people from the poor become sick.”

In developed countries, the incidence of diabetes among wealthy people, on the contrary, is falling. This is due to the fashion on a slim body, sports, natural food. Rebuilding your lifestyle is not easy, at first you have to fight with your own body, trying to get out of the vicious circle. These efforts will be generously rewarded: when the normal weight is reached, the risk of diabetes is reduced several times, and the existing disease is much easier, in some cases it is possible to achieve compensation for type 2 diabetes solely by changing dietary habits and physical culture.

Fat is present in the body of anyone, even the most slender person.Adipose tissue located under the skin helps to regulate body temperature, performs the function of mechanical protection. Fat is the reserves of our body, with a lack of food thanks to them we get energy for life. Fat is an important endocrine organ that produces estrogen and leptin.

For the normal performance of these functions, it is enough that the fat is up to 20% of body weight in men and up to 25% in women. All that is higher is already an excess that negatively affects our health.

How to find out if there is excess fat in the body? You can get tested in a fitness center or a nutritionist. A simpler option is to calculate the body mass index. Its result fairly accurately reflects the reality of all people, except for actively practicing athletes.

To find out BMI, you need to divide your weight by height in a square. For example, with a height of 1.6 m and a weight of 63 kg BMI = 63 / 1.6 x 1.6 = 24.6.

In healthy men, adipose tissue is evenly distributed, in women, sediment predominates in the chest, thighs and buttocks. In obesity, the main reserves are often located in the abdomen, in the form of so-called visceral fat. It easily releases fatty acids into the blood and has low insulin sensitivity, so the visceral type of obesity is considered the most dangerous.

Excessive high carbohydrate nutrition is the main cause of obesity, insulin resistance and further diabetes.

What happens in the body with excess food:

  1. All calories that have not been spent on vital activity are deposited in fat.
  2. With an excess of adipose tissue, the content of lipids in the blood increases, which means that the risk of vascular disease. To avoid this, insulin begins to be synthesized in an increased amount in the body, one of its functions is to inhibit the breakdown of fats.
  3. An excess of carbohydrates leads to increased blood glucose. It must be removed from the bloodstream in a short time, and this is once again helped by enhanced insulin production. The main consumers of glucose are muscles. With a sedentary lifestyle, their energy requirements are much lower than they come from food. Therefore, the body's cells refuse to take glucose, ignoring insulin. This condition is called insulin resistance. The higher the level of sugar and insulin in the blood, the stronger the resistance of the cells.
  4. At the same time, a person increases obesity, hormones are disturbed, and problems with blood vessels appear. The complex of these disorders is called metabolic syndrome.
  5. Ultimately, insulin resistance leads to a paradoxical situation - there is always high sugar in the blood, and tissues starve. At this time, we can already say that a person developed type 2 diabetes.

Harm of overweight with diabetes mellitus:

  • constantly elevated blood levels of cholesterol, which leads to atherosclerotic changes in the vessels,
  • during vasoconstriction, the heart is forced to work under constant pressure, which is fraught with heart attack and other disorders,
  • poor vascular permeability aggravates all chronic complications of diabetes: the risk of retinal detachment, kidney failure, gangrene in diabetic foot increases,
  • with obesity, the risk of hypertension is 3 times higher,
  • increased weight creates an unbearable load on the joints and the spine. Obese people often experience constant knee pain and osteochondrosis,
  • overweight in women 3 times increases the likelihood of breast cancer,
  • In men, testosterone production decreases, therefore sexual function is weakened, the body is formed according to the female type: wide hips, narrow shoulders,
  • obesity is harmful to the gallbladder: its motility is disturbed, inflammation and gallstone disease are frequent,
  • life expectancy decreases, the combination of type 2 diabetes with obesity increases the risk of death by 1.5 times.

All people need to fight obesity, regardless of whether they have diabetes. Slimming allows you to achieve better control over the type 2 disease. In addition, diabetes mellitus is well prevented: with timely weight loss, it is possible to prevent, and even reverse, the initial metabolic disorders.

Despite the fact that the search for medical methods of treatment of obesity is constantly being conducted, at present they can only slightly support the patient in the fight against obesity. The main role in the treatment is still played by diet and sport.

How to break the chain "fat - more insulin - more fat - even more insulin"? The only way to do this in diabetes and metabolic syndrome is a low carbohydrate diet.

Power Rules:

  1. Food with high GI (fast carbohydrates) is completely excluded and food with a high content of slow carbohydrates is greatly reduced. The basis of the diet for diabetics with obesity - protein foods and vegetables with excess fiber.
  2. At the same time, the total caloric content of food decreases. Daily deficit should be around 500, maximum 1000 kcal. With this condition, a weight loss of 2-4 kg per month is achieved. Do not think that it is not enough. Even at this rate, sugar levels in diabetes will significantly decrease after 2 months. But rapid weight loss is dangerous, because the body does not have time to adapt, muscle atrophy occurs, a serious shortage of vitamins and minerals.
  3. To reduce the risk of thrombosis and improve the excretion of fat decomposition products, it is necessary to ensure adequate intake of water. Standard for a slim person 1.5 liters of patients with obesity is not enough. The daily rate of fluid (taking into account contained in the products) is calculated as 30 g per 1 kg of weight.

To lose weight in diabetes, fit any type of load, ranging from walks in the park, ending with strength training. In any case, the need of muscles for glucose increases and insulin resistance decreases. Insulin in the blood becomes less, which means that the fat begins to break down faster.

Are you suffering from high blood pressure? Did you know that hypertension causes heart attacks and strokes? Normalize your pressure with. Read the opinion and feedback on the method here >>

The best results are given by aerobic training - jogging, team sports, aerobics. With obesity, most of them are not available for health reasons, so you can start with any type of motor activity, gradually complicating and increasing the pace of training.

In people far from sport, after the start of classes, the muscles are actively restored and strengthened. With the growth of muscle mass, the daily calorie consumption increases, so weight loss is accelerated.

The following drugs can help get rid of obesity:

  • If the increased weight is caused by irresistible sweets, the cause may be chromium deficiency. Chromium picolinate, 200 mcg per day, will help to cope with it. You can not drink it during pregnancy and severe diabetes, renal and hepatic failure.
  • To reduce insulin resistance, an endocrinologist may prescribe Metformin for patients with type 2 diabetes and pre-diabetes.
  • During weight loss, the content of fatty acids in the blood will temporarily increase, which is fraught with thrombosis. Ascorbic acid or drugs with it, for example, Cardiomagnyl can be prescribed to thin the blood.
  • Fish oil capsules will help lower blood cholesterol.

In the case of morbid obesity grade 3, surgical methods can be applied, for example, bypass surgery or gastric banding.

The first weeks of losing weight can be difficult: there will be weakness, headache, a desire to quit. Acetone can be detected in the urine. This is a common phenomenon associated with the splitting of fats. If you drink plenty of water and keep sugar normal, ketoacidosis does not threaten a patient with diabetes.

Be sure to learn! Think pills and insulin are the only way to keep sugar under control? Not true! You can make sure of this yourself by starting. read more >>

Type II diabetes and obesity are two interrelated pathological processes. Most patients diagnosed with diabetes and having a high weight, there is a violation of resistance to carbohydrates. Conversely, most patients with diabetes suffer from obesity. Consider the main aspects of the relationship of diabetes and obesity.

Studies show that obesity and type 2 diabetes mellitus have hereditary causes. This is due to the fact that such people inherited from their parents genes that contribute to the accumulation of fat.

The body of people prone to obesity, stores large amounts of carbohydrates in the period when they are abundant. So simultaneously increases the amount of glucose in the blood. That is why type II diabetes and obesity are interrelated.

In addition, the higher the degree of obesity, the higher the resistance of the body's cells to insulin. Thus, the pancreas produces more of it. A large amount of insulin leads to the fact that the body accumulates even more fat.

In addition, unfavorable genes also cause a deficiency of the hormone serotonin in the blood. This condition leads to a chronic feeling of depression, depression and hunger. Only the use of carbohydrates temporarily relieves this condition. Insulin sensitivity decreases, which further increases the risk of developing type 2 diabetes.

In addition to unfavorable genetics, the following factors are to blame for the formation of obesity:

  • passive lifestyle,
  • incorrect diet,
  • consumption of large amounts of sugar (including sugary drinks),
  • disruption of thyroid,
  • food irregularity
  • chronic sleep deprivation,
  • propensity to stress and unstable behavior during any stressful situation,
  • taking some psychotropic drugs.

Often there is the so-called alimentary obesity. In this case, the caloric content of the daily diet is much higher than the body's energy consumption. Such a diet is especially dangerous for all categories of patients. They are most susceptible to persons of middle and older age. Body weight increases gradually, and fat is distributed fairly evenly throughout the body. The thyroid gland and adrenal glands are not affected.

When the pathology of the hypothalamus develops the so-called hypothalamic obesity. Weight while growing rapidly. The patient notes that the most fat is stored in the abdomen and hips. Disturbed sweating, dry skin, headaches, often sleep disturbance. Treatment of this condition is especially difficult.

Often, diabetes mellitus type II causes obesity of the second, third and fourth degree. It is complicated by such pathological phenomena

  • cardiovascular changes
  • lung diseases
  • digestive disorders
  • the development of a "pulmonary heart" due to the high position of the diaphragm,
  • increased tendency to constipation
  • symptoms of chronic pancreatitis,
  • symptoms of liver damage (in particular, fatty degeneration),
  • lumbar pain,
  • arthrosis (most often affects the knees),
  • in women - a violation of the regularity of menstruation, often - amenorrhea,
  • in men - a violation of potency,
  • complication of hypertension.

In children, obesity occurs mainly due to hereditary disorders against the background of metabolic pathologies. However, increased body weight may be acquired and appear against the background of poor nutrition, insufficient motor activity, as well as increased sugar intake.

Most often, increased body weight is recorded in children who have not yet reached a year, as well as during puberty. Children up to one year old fall ill as a result of overeating, overfeeding. And obesity in the pubertal period is associated with impaired activity of the hypothalamus.

Please note that the appearance of stretch marks in children (multiple stretch bands on the skin of the thighs, breasts, buttocks, shoulders) indicates a tendency to obesity and type II diabetes. These children are shown nutritional correction.

With type 2 diabetes, people cannot live with high blood glucose levels all the time. However, a diet with a simple decrease in the number of calories for such patients does not make sense. After all, obesity and diabetes are combined because a person for many years abuses carbohydrate foods.

In the case of constant overeating carbohydrates formed dependence on them. This means that it is difficult for such people to follow a low sugar diet. They will be irresistibly drawn to sweets. There is a kind of vicious circle:

  • craving for sweets
  • binge eating,
  • increased blood glucose,
  • insulin jump,
  • processing of carbohydrates into body fat with the participation of insulin,
  • a drop in blood glucose (hypoglycemia),
  • because of the need for carbohydrates, there is again a craving for sweets.

In addition, the constant abuse of sweet leads to the fact that the beta cells of the pancreas begin to degrade. At some point, they may not produce the right amount of insulin. This leads to the fact that diabetes in such a patient becomes an insulin-dependent type.

Clinical studies show that an unstoppable craving for carbohydrates develops as a result of a lack of chromium in the body. Therefore, doctors recommend their patients treatment with chromium picolinate.

It is an effective and affordable treatment for every person, which helps to overcome the strong craving for carbohydrates. Regularly taking chromium picolinate, you can easily refrain from high-carb foods. Take this drug should be at least 3-4 weeks.

For the treatment of obesity in diabetes mellitus, a low-carb diet would be the best option. It can radically change the lives of people suffering from diabetes and obesity. Such a diet is the optimal treatment for diabetes. No other diet can achieve the goal - a drop in blood sugar levels.

The so-called carbohydrate-rich balanced diet is an ineffective treatment for diabetes. She is unable to quickly reduce sugar levels. Moreover, it continues to remain steadily high. The person continues to consume large amounts of sugar, and from this fuller even more.

A low carb diet is the real way to correct sugar levels. In order to monitor its quantity, it is necessary to constantly measure this indicator with a glucometer. So, you can know which food is good for you and which is bad for you. After all, diabetes does not like forbidden food. Then the treatment of the disease will be much more effective.

Treatment with diet allows these foods:

  • meat,
  • bird,
  • eggs,
  • all fish dishes
  • all seafood,
  • all green vegetables (cabbage, greens, zucchini, eggplants, cucumbers, green beans, etc.),
  • tomato juice, mushrooms and red pepper,
  • cheese,
  • nuts (only a little).

Food should be chewed thoroughly. So you can control the amount of food eaten and prevent sugar jump.

Thus, the treatment of obesity and diabetes involves primarily low-carbohydrate diet.


  1. Zakharov, Yu. A. Treatment of diabetes mellitus of the first type / Yu.A. Zakharov. - M .: Phoenix, 2013. - 192 c.

  2. Natalya Alexandrovna Lyubavina Immunity in obstructive pulmonary diseases and type 2 diabetes mellitus / Natalya Alexandrovna Lyubavina, Galina Nikolaevna Varvarina und Viktor Vladimirovich Novikov. - M .: LAP Lambert Academic Publishing, 2014. - 132 p.

  3. Ametov, A. S. Diabetes mellitus type 2. Problems and solutions. Tutorial. Volume 1 / A.S. Ametov. - M .: GEOTAR-Media, 2015. - 370 p.
  4. VA Opel Lectures on clinical surgery and clinical endocrinology for surgeons. Notebook 1st / V.A. Oppel. - M .: Practical medicine, 1987. - 264 p.
  5. Medical nutrition. Diabetes, Ripol Classic -, 2013. - 729 p.

Let me introduce myself. My name is Yelena. I have been working as an endocrinologist for over 10 years. I think that at present I am a professional in my field and I want to help all site visitors solve complex and not very difficult tasks.All materials for the site are collected and thoroughly processed in order to deliver as much as possible all the necessary information. Before using the described on the site, a mandatory consultation with experts is always necessary.

How are diabetes and obesity related

Fat is present in the body of anyone, even the most slender person. Adipose tissue located under the skin helps to regulate body temperature, performs the function of mechanical protection. Fat is the reserves of our body, with a lack of food thanks to them we get energy for life. Fat is an important endocrine organ that produces estrogen and leptin.

For the normal performance of these functions, it is enough that the fat is up to 20% of body weight in men and up to 25% in women. All that is higher is already an excess that negatively affects our health.

How to find out if there is excess fat in the body? You can get tested in a fitness center or a nutritionist. A simpler option is to calculate the body mass index. Its result fairly accurately reflects the reality of all people, except for actively practicing athletes.

To find out BMI, you need to divide your weight by height in a square. For example, with a height of 1.6 m and a weight of 63 kg BMI = 63 / 1.6 x 1.6 = 24.6.

BMICharacteristic
> 25Overweight or pre-obesity. Already at this stage, the risk of diabetes is more than 5 times. As body weight increases, the likelihood of type 2 diabetes is higher.
> 30Obesity 1 degree.
> 35Obesity 2 degrees.
> 40Obesity grade 3, accompanied by weakness, shortness of breath, constipation, pain in the joints, impaired carbohydrate metabolism - metabolic syndrome or diabetes.

In healthy men, adipose tissue is evenly distributed, in women, sediment predominates in the chest, thighs and buttocks. In obesity, the main reserves are often located in the abdomen, in the form of so-called visceral fat. It easily releases fatty acids into the blood and has low insulin sensitivity, so the visceral type of obesity is considered the most dangerous.

Excessive high carbohydrate nutrition is the main cause of obesity, insulin resistance and further diabetes.

What happens in the body with excess food:

  1. All calories that have not been spent on vital activity are deposited in fat.
  2. With an excess of adipose tissue, the content of lipids in the blood increases, which means that the risk of vascular disease. To avoid this, insulin begins to be synthesized in an increased amount in the body, one of its functions is to inhibit the breakdown of fats.
  3. An excess of carbohydrates leads to increased blood glucose. It must be removed from the bloodstream in a short time, and this is once again helped by enhanced insulin production. The main consumers of glucose are muscles. With a sedentary lifestyle, their energy requirements are much lower than they come from food. Therefore, the body's cells refuse to take glucose, ignoring insulin. This condition is called insulin resistance. The higher the level of sugar and insulin in the blood, the stronger the resistance of the cells.
  4. At the same time, a person increases obesity, hormones are disturbed, and problems with blood vessels appear. The complex of these disorders is called metabolic syndrome.
  5. Ultimately, insulin resistance leads to a paradoxical situation - there is always high sugar in the blood, and tissues starve. At this time, we can already say that a person developed type 2 diabetes.

What is dangerous overweight for diabetics?

Harm of overweight with diabetes mellitus:

  • constantly elevated blood levels of cholesterol, which leads to atherosclerotic changes in the vessels,
  • during vasoconstriction, the heart is forced to work under constant pressure, which is fraught with heart attack and other disorders,
  • poor vascular permeability aggravates all chronic complications of diabetes: the risk of retinal detachment, kidney failure, gangrene in diabetic foot increases,
  • with obesity, the risk of hypertension is 3 times higher,
  • increased weight creates an unbearable load on the joints and the spine. Obese people often experience constant knee pain and osteochondrosis,
  • overweight in women 3 times increases the likelihood of breast cancer,
  • In men, testosterone production decreases, therefore sexual function is weakened, the body is formed according to the female type: wide hips, narrow shoulders - see the article on impaired potency in diabetes,
  • obesity is harmful to the gallbladder: its motility is disturbed, inflammation and gallstone disease are frequent,
  • life expectancy decreases, the combination of type 2 diabetes with obesity increases the risk of death by 1.5 times.

How to lose weight sick diabetes

All people need to fight obesity, regardless of whether they have diabetes. Slimming allows you to achieve better control over the type 2 disease. In addition, diabetes mellitus is well prevented: with timely weight loss, it is possible to prevent, and even reverse, the initial metabolic disorders.

Despite the fact that the search for medical methods of treatment of obesity is constantly being conducted, at present they can only slightly support the patient in the fight against obesity. The main role in the treatment is still played by diet and sport.

How to break the chain "fat - more insulin - more fat - even more insulin"? The only way to do this in diabetes and metabolic syndrome is a low carbohydrate diet.

Power Rules:

Doctor of Medical Sciences, Head of the Institute of Diabetology - Tatiana Yakovleva

For many years I have been studying the problem of diabetes. It is terrible when so many people die, and even more become disabled due to diabetes.

I hasten to inform the good news - the Endocrinological Research Center of the Russian Academy of Medical Sciences managed to develop a medicine that completely cures diabetes mellitus. At the moment, the effectiveness of this drug is close to 98%.

Another good news: the Ministry of Health has achieved the adoption of a special program, which compensates for the high cost of the drug. In Russia, diabetics until May 18 (inclusive) can get it - Only for 147 rubles!

  1. Food with high GI (fast carbohydrates) is completely excluded and food with a high content of slow carbohydrates is greatly reduced. The basis of the diet for diabetics with obesity - protein foods and vegetables with excess fiber.
  2. At the same time, the total caloric content of food decreases. Daily deficit should be around 500, maximum 1000 kcal. With this condition, a weight loss of 2-4 kg per month is achieved. Do not think that it is not enough. Even at this rate, sugar levels in diabetes will significantly decrease after 2 months. But rapid weight loss is dangerous, because the body does not have time to adapt, muscle atrophy occurs, a serious shortage of vitamins and minerals - see the article fasting with diabetes.
  3. To reduce the risk of thrombosis and improve the excretion of fat decomposition products, it is necessary to ensure adequate intake of water. Standard for a slim person 1.5 liters of patients with obesity is not enough. The daily rate of fluid (taking into account contained in the products) is calculated as 30 g per 1 kg of weight.

Physical exercise

To lose weight in diabetes, fit any type of load, ranging from walks in the park, ending with strength training. In any case, the need of muscles for glucose increases and insulin resistance decreases. Insulin in the blood becomes less, which means that the fat begins to break down faster.

The best results are given by aerobic training - jogging, team sports, aerobics. With obesity, most of them are not available for health reasons, so you can start with any type of motor activity, gradually complicating and increasing the pace of training.

In people far from sport, after the start of classes, the muscles are actively restored and strengthened. With the growth of muscle mass, the daily calorie consumption increases, so weight loss is accelerated.

Drug support

The following drugs can help get rid of obesity:

  1. If the increased weight is caused by irresistible sweets, the cause may be chromium deficiency. Chromium picolinate, 200 mcg per day, will help to cope with it. You can not drink it during pregnancy and severe diabetes, renal and hepatic failure.
  2. To reduce insulin resistance, an endocrinologist may prescribe Metformin for patients with type 2 diabetes and pre-diabetes.
  3. During weight loss, the content of fatty acids in the blood will temporarily increase, which is fraught with thrombosis. Ascorbic acid or drugs with it, for example, Cardiomagnyl can be prescribed to thin the blood.
  4. Fish oil capsules will help lower blood cholesterol.

In the case of morbid obesity grade 3, surgical methods can be applied, for example, bypass surgery or gastric banding.

The first weeks of losing weight can be difficult: there will be weakness, headache, a desire to quit. Acetone can be detected in the urine. This is a common phenomenon associated with the splitting of fats. If you drink plenty of water and keep sugar normal, ketoacidosis does not threaten a patient with diabetes.

Be sure to learn! Do you think life-time pills and insulin are the only way to keep sugar under control? Not true! You can make sure of this yourself by starting. read more >>

What is allowed and prohibited for obesity?

Смотрите видео: Fatty Acids and Disease in Type 2 Diabetes (February 2020).