Medical questions & health advice by board certified doctors
"i have diabetes why can i not lose weight?"
i have had diabetes for 5 years. i take 20 mg glimipride and 1000 mg of metformin every day. i try to eat healthy and not over eat. i eat only lean meats with no visable fat and have cut of the fried foods. i eat complex carbs like dry beans and fresh fruits and vegitables. i limit the amount of white starches like bread, potatoes, and rice and i still can not lose weight and some times this causes my blood sugar to drop.
There are many reasons that you may be having a difficult time losing weight based on the description you have provided. For one thing, it is important to remember that every person is different and so it may take longer for you to experience the benefits of a healthy diet (i.e. weight loss) when compared to someone else. Another really important point is that having a lot of episodes where you experience low blood sugars can lead to weight gain in and of itself, because when your body experiences low blood sugar, this can cause a severe stress response that leads to excess fat storage. The reason for this is that low blood sugars (also known as hypoglycemia) trick your body into thinking there is a limited amount of food available, and this leads to excess fat storage. If you are having a difficult time controlling your blood sugars, it is recommended that you go to your primary care doctor who can evaluate your diabetic medications and diet, and recommend changes that may help you with these episodes of hypoglycemia and weight issues. Another important factor is exercise, and your primary care doctor will be able to discuss a healthy and safe exercise regimen catered to you.