Ask The Expert
Eating Well

As you can imagine, weight loss is a very challenging topic, and there is no easy answer. I always say that if I had the answer to weight control, I’d be rich, famous—and thin.

The Problem:

I’m sure you are well aware that many factors contribute to the current rise in obesity in our country:

• Portion sizes: US research has shown that in the past 20 years, the size of a standard hamburger has increased by 112% and bagels by 19%. Pasta servings are 480% bigger and biscuits and cookies are 700% larger than they were 20 years ago.
• Poor diet and inactivity are literally killing us, as the CDC reported that these issues will soon overtake tobacco as the leading cause of preventable deaths.
• Obesity is increasing in our youth, every week there is a major story in the media about the epidemic of obesity.
• Heredity: Research indicates that while obesity is mostly related to environmental causes, there can be a genetic and perhaps hormonal component as well, which is still being explored.

Regardless, the point is that obesity is a complex and ever growing problem, and must be managed by a multiple approach. While I will provide you with resources and various internet links, I’m sure you can appreciate that it takes more than reading internet information to successfully lose weight and keep it off. So I hope you will read this information, and then make an appointment with your diabetes team to obtain a plan that will work for you.

1st Step: Obtain a referral to a dietitian

I have written frequently about how important it is to obtain an individualized assessment and recommendation for a healthy meal plan tailored to your particular needs. I cannot emphasize enough that there is no “one size fits all” diet. Be sure to keep a record of your food intake for at least a week so the dietitian can see what your usual eating patterns are. Be honest! That is the only way the dietitian can truly help you.

2nd Step: Talk to your healthcare team about getting active

3rd Step: Enlist your family and friends for support

Managing diabetes and maintaining a healthy lifestyle is challenging, and you shouldn’t have to do it alone. Your family and friends do want what is best for you, but sometimes they need you to tell them what you want and need. Additionally, many people also choose to join a support group, whether it is a diabetes support group or weight loss group.

Conclusion:

I know this can seem overwhelming. Just remember:

• You are not alone.
• There are many resources available to help you.
• Take it one day at a time.
• Even small steps can yield big rewards.