advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Rhode Island, USA:

I've had type 1 diabetes for 22 years in good control (my last hemoglobin A1c was 7.1%), and I was not overweight when I found out I had diabetes, but now I am about 150 pounds overweight, and I have a hard time exercising because I also have spinal stenosis. Whenever I stand or walk for a very short amount of time, my back hurts really bad, and I need to find a place to sit down right away. I also get out of breath very easily.

My doctor told me that maybe I should try a liquid diet. There is a hospital here that offers that treatment, but I'm not sure that is a good way to lose weight for someone who has type 1 diabetes. I've heard that some commercial programs will not accept people who have type 1 diabetes because diabetes is such a complex disease, and I'm not sure if having my stomach stapled is such a good idea either.

Answer:

Sounds like you can't exercise your way out of this. You will have to work on your diet. Get on a minimum of insulin. If you have any hypoglycemia, decrease your insulin dose. You need a physician to talk to in order to receive appropriate guidance regarding your treatment options.

Besides surgery, you might be a candidate for long-term obesity medication, either Meridia or Xenical. You need to speak with your physician about these medications. Trials involving patients with diabetes have demonstrated an ability to lose weight and decrease insulin requirements. There are no easy answers. You require an in-depth discussion of risks and benefits of the various interventions -- diet alone, diet plus medication for weight loss, surgery plus diet, and avoidance of too much insulin.

JTL

DTQ-20020304204517
Original posting 27 Mar 2002
Posted to Weight and Weight Loss

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:32
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.