Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: What Can A Diabetic Do To Lose Weight

What Can A Diabetic Do To Lose Weight?

By    |   Tuesday, 29 Jun 2010 02:52 PM


Question: I am 57 and have Type 2 diabetes. I am overweight (6-foot-3-inches tall and 268 pounds) and lead a sedentary lifestyle. My cholesterol, HDL, and LDL are good (LDL is 70). I am taking Vytorin for this. My fasting blood sugar varies from 137 to 200. I have started taking Januvia (100 milligrams) for the high blood sugar, but believe I need a supplement to reduce further, and not exacerbate the weight gain. What can you recommend?

Dr. Hibberd's Answer:

Your weight is no doubt a major obstacle to your ideal diabetic management. Get a dietician consultation and arrange for a suitable exercise program under your doctor's supervision.

While other oral medications are available, and yes probably necessary given your high fasting glucose readings, many endocrinologists will provide nighttime insulin dosing to supplement control in patients with difficult to manage Type 2 diabetes. When your diabetes is under better control, your weight management is going to be easier also.

Use your hemoglobin AIC readings to monitor your diabetic management in the long term, and aim for fasting glucose readings under 126 mg/dl. Hyperglycemia seen in poorly controlled diabetes mellitus is directly associated with an increased incidence of diabetic complications, premature disability, and death.

I recommend you go to the American Diabetes Association Web site for assistance with diet and guidelines.

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Question: I am 57 and have Type 2 diabetes. I am overweight (6-foot-3-inches tall and 268 pounds) and lead a sedentary lifestyle. My cholesterol, HDL, and LDL are good (LDL is 70). I am taking Vytorin for this. My fasting blood sugar varies from 137 to 200. I have started...
What Can A Diabetic Do To Lose Weight
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2010-52-29
Tuesday, 29 Jun 2010 02:52 PM
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