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Diabetic willing to increase weight - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2009
Answered : 581 Questions
User :   Hi
Doctor :   Hi
Doctor :   I am
User :   Can i know your specialization please?
Doctor :   I am a General Physician
User :   i am looking for a diabetic doctro
Doctor :   I can answer you within my expertise
Doctor :   You can proceed
User :   ok..
User :   i am type 2 diabetic age 27. iam insluin for past 2 years . I am unable to gain weight
User :   for the past 2 weeks my sugars are well in control
User :   fasting below 110
User :   i am on lantus and humalog as of now
Doctor :   Ok
User :   can you please suggest me
User :   i too have joint pains history
User :   i am on sazo 500 mg and hcqs
User :   all my tests are normal
Doctor :   It is good that your blood sugars are under control
Doctor :   Did the doctor say that you have rheumatoid arthritis
Doctor :   about the cause of joint pains
User :   no
User :   my ra factor is negative
User :   hlab27 is postive
Doctor :   Ok
User :   pains are moderate as of now
Doctor :   If you have pains the best way right now to reduce it to go for cold or hot compresses
Doctor :   over the joints
Doctor :   after application of MYOLAXIN D
User :   ok..
User :   my main concern is weight
User :   i am under weight
Doctor :   Ok coming to your weight, I want to know what is your current weight and height
User :   i am 5.10
User :   weight is 57
Doctor :   Ok, usually the common side effect of insulin is weight gain
Doctor :   However since this has not taken place in you
User :   yes
Doctor :   I am not worried about your weight right now as your BMI is within normal limits
User :   ok..
Doctor :   Your BMI is 18.7
Doctor :   If you gain weight now, you need more dose of insulin
User :   what i did not get you?
Doctor :   If you gain weight the need for insulin also increases (dose)
User :   okay i meant weight gain in the sense of muscle
Doctor :   Did you lose weight after you started insulin
Doctor :   Did you lose weight in the recent 6 months
User :   yeah i can say like that. but over 4 years from 64 kgs i came to 57 kgs
User :   i went for colonscopy test too to check whether there is any problem
User :   but it turned out to be normal
Doctor :   Did the doctor find anything abnormal for you to lose weight?
User :   no he prescribed for colonscopy
Doctor :   attempting to balance your needs as a diabetic with your need to put on a few kgs can result in a bit of a struggle.
Doctor :   Actually you have to concentrate both on the high carbohydrate diet and exercise at the gym especially weight training
Doctor :   Adjusting the dose of insulin according by checking the blood sugars regularly
User :   i am unable to go to gym because of my pains
Doctor :   Hence concentrate only on diet
Doctor :   recommend using a combination of carb counting and consumption of low-glycemic index foods like fruits, veggies and whole grains to counteract diabetes,
Doctor :   so do not unbalance this basic formula at first.
Doctor :   Increase the calorie consumption slowly
Doctor :   by 200 Calories
Doctor :   per day
Doctor :   and look how your blood sugar is reacting to it
Doctor :   Hence an opinion from a dietitian is more crucial at this stage
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