Weight Loss After Diabetes Diagnosis Offers Big Benefits: Study
in [Diabetes Management]
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From: Sanjay on 13 Aug 2008 07:05 http://www.washingtonpost.com/wp-dyn/content/article/2008/08/12/AR200808120 0962.html Weight Loss After Diabetes Diagnosis Offers Big Benefits: Study By Amanda Gardner HealthDay Reporter Tuesday, August 12, 2008; 12:00 AM TUESDAY, Aug. 12 (HealthDay News) -- Newly diagnosed type 2 diabetics who lose weight soon after their diagnosis gain better control of their blood pressure and blood sugar, a benefit that lasts even if they regain that weight. "If you lose weight after diagnosis, you can achieve some long-term benefits in terms of blood pressure and glycemic control that extend even beyond the point at which you regain weight," said Gregory A. Nichols, co-author of new research published online Aug. 12 in the journalDiabetes Care. Added Dr. Spyros Mezitis, an endocrinologist with Lenox Hill Hospital in New York City: "We haven't had results like this before. This is telling us that with a significant mean weight loss of 10.7 kilograms [23.5 pounds] in 18 months, there's an improvement despite weight regain after 36 months." More than 20 million Americans now have type 2 diabetes, and the majority are either overweight or obese. Studies have shown that weight loss is important to maintain blood-sugar and blood-pressure control, as well as to keep cholesterol levels in check. These parameters, in turn, are critical for avoiding the long-term complications of diabetes, such as heart disease, blindness, kidney damage, amputations and even death. Nichols, an investigator with the Kaiser Permanente Center for Health Research in Portland, Ore., and his team looked at electronic medical records, spanning 1997 to 2002, for 2,574 patients aged 21 through 75 who had been recently diagnosed with type 2 diabetes. The participants were grouped into weight loss categories and followed for four years. Just over 12 percent of the participants were in the "weight loss" group, with a mean weight loss of more than 25 pounds. Almost all of those pounds were regained by 36 months. The other groups were labeled as "higher stable weight," "lower stable weight" or "weight gain." Patients who lost weight were more likely to reach blood pressure and blood sugar targets during the fourth year, although, by then, they had regained the weight. The researchers acknowledged, however, that they don't know what happens after the four-year mark, and they don't know why the benefit was sustained. "It's entirely possible that one of the explanations here is that if we looked at 15 years, we wouldn't find that benefit continuing," Nichols said. Nichols and his colleagues hope to explore a number of other questions, including whether there was a difference in benefit between people who regained weight and those who kept it off. Whatever the final answers, "losing weight is a good idea, even if you regain it," Nichols said. Said Mezitis: "We do ask that those diabetics who are overweight lose weight, and that, in general, improves all the factors that affect vascular disease, and that's blood pressure, blood sugar and cholesterol."
From: Robert Miles on 13 Aug 2008 07:35 "Sanjay" <sanjay(a)yourhealth.com> wrote in message news:20080813110552.340094E5F4(a)outpost.zedz.net... > http://www.washingtonpost.com/wp-dyn/content/article/2008/08/12/AR200808120 > 0962.html > > Weight Loss After Diabetes Diagnosis Offers Big Benefits: Study > > By Amanda Gardner > HealthDay Reporter > Tuesday, August 12, 2008; 12:00 AM > [snip] True for those who also need to lose weight, which doesn't include all type 2 diabetics. Type 1 diabetics are likely to have lost too much weight before diagnosis. Your URL was split, so I put it back together: <http://www.washingtonpost.com/wp-dyn/content/article/2008/08/12/AR2008081200962.html> A web page for the alt.support.diabetes newsgroup, where a number of type 2 diabetics have found that a low carb diet has the side effect of helping them lose weight: http://www.alt-support-diabetes.org/NewlyDiagnosed.htm
From: Mxsmanic on 13 Aug 2008 15:24 Sanjay writes: > Weight Loss After Diabetes Diagnosis Offers Big Benefits: Study For people who are significantly obese, you can shorten that to "Weight Loss Offers Big Benefifts." There's a lot of individuality in body reactions to obesity. Some people can weigh 400 pounds and not suffer any significant health problems; others may start moving towards diabetes and hypertension and joint problems and other things just from being 30-40 pounds overweight--their bodies don't like obesity and can't handle it safely.
From: Chris Malcolm on 14 Aug 2008 02:43 In alt.support.diabetes Sanjay <sanjay(a)yourhealth.com> wrote: > http://www.washingtonpost.com/wp-dyn/content/article/2008/08/12/AR200808120 > 0962.html > Weight Loss After Diabetes Diagnosis Offers Big Benefits: Study > By Amanda Gardner > HealthDay Reporter > Tuesday, August 12, 2008; 12:00 AM > TUESDAY, Aug. 12 (HealthDay News) -- Newly diagnosed type 2 diabetics who > lose weight soon after their diagnosis gain better control of their blood > pressure and blood sugar, a benefit that lasts even if they regain that > weight. > "If you lose weight after diagnosis, you can achieve some long-term > benefits in terms of blood pressure and glycemic control that extend even > beyond the point at which you regain weight," said Gregory A. Nichols, > co-author of new research published online Aug. 12 in the journalDiabetes > Care. [snip] > Patients who lost weight were more likely to reach blood pressure and blood > sugar targets during the fourth year, although, by then, they had regained > the weight. > The researchers acknowledged, however, that they don't know what happens > after the four-year mark, and they don't know why the benefit was > sustained. "It's entirely possible that one of the explanations here is > that if we looked at 15 years, we wouldn't find that benefit continuing," > Nichols said. They seem puzzled by this effect. Yet it is well known that when you lose weight you don't just lose fat, you also lose some muscle tissue, some liver, and in general a little of everything inessential because the triggers for apoptosis (cell death) become more sensitive during weight loss. The effect of that is that in all those places where cell death occurs, there will be a preferential bias towards loss of those cells which weren't feeling too well, i.e., were no longer working in an entirely efficient and healthy fashion. That's why when you lose weight you not only lose fat but also improve general health more than just as a simple consequence of not being so heavy. Then later when you put the weight back on you put it on in terms of partly extra fat and also regeneration of some of the other losses, such as liver and muscle tissue. So after you have lost weight and then regained it you will also have replaced some of your old slightly diseased cells with some new fresh ones. So although you're now back at the same old weight, the body is nevertheless a bit fresher and tuned up. One of the reasons why regular episodes of fasting and weight loss, such as the annual fasts advised by some religions, are good for your health. -- Chris Malcolm cam(a)infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
From: Alan S on 14 Aug 2008 05:56
On Wed, 13 Aug 2008 21:24:39 +0200, Mxsmanic <mxsmanic(a)gmail.com> wrote: >Sanjay writes: > >> Weight Loss After Diabetes Diagnosis Offers Big Benefits: Study > >For people who are significantly obese, you can shorten that to "Weight Loss >Offers Big Benefifts." > >There's a lot of individuality in body reactions to obesity. Some people can >weigh 400 pounds and not suffer any significant health problems; others may >start moving towards diabetes and hypertension and joint problems and other >things just from being 30-40 pounds overweight--their bodies don't like >obesity and can't handle it safely. What are you doing here mixi? Are you a diabetic? I've only seen you in the travel groups before. Cheers, Alan, T2, Australia. -- Everything in Moderation - Except Laughter. Blog http://loraldiabetes.blogspot.com DLife column http://tinyurl.com/5v74xr http://loraltravel.blogspot.com (Food, Glorious Food in India) |