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Increased waist line in a diabetic - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello - I know that women with extra fat at their waists are prone to type 2 diabetes. I happen to have a very large waist compared to the rest of my measurements, and I have had diabetes now for about 13 years. I very much want to get a tummy tuck so that it will be easier for me to find clothes that fit. But I am also wondering if a smaller tummy will help my diabetes to become less of a problem.
Doctor :   Hi
Doctor :   Iam.Dr.XXX
User :   Hi there
Doctor :   Let me read the query
User :   OK
Doctor :   May i know your age?
User :   I am 57.
Doctor :   Ok
Doctor :   Increased waist line is associated with insulin resistance
Doctor :   Leading to diabetes
User :   Yes.
Doctor :   Are you on medicines?
Doctor :   Is your diabetes controlled?
User :   Yes, I take Metformin. But sometimes I need insulin too.
Doctor :   Ok
User :   Sometimes it is hard to control, but I check my insulin 5-6 times a day
Doctor :   Ok
Doctor :   Are you doing exercises?
Doctor :   Did you measure your waist?
User :   I walk, and I lift weights to keep my arms toned. But I do need to exercise more.
Doctor :   Ok
User :   Oh, I haven't measured my waist. Do you want me to do that?
Doctor :   The normal waist circumference in males should be less than 102
Doctor :   and in females less than 88
User :   Is that centimeters?
Doctor :   Yes
Doctor :   What is your weight and height(cm) ?
User :   I weight around 139 and I am 5 feet 1/4 tall. I used to weigh a lot more.
Doctor :   oK
User :   That should say 5 feet and 1/4 inch tall.
Doctor :   OK
Doctor :   Your body mass index is 27
User :   OK, and I think it is supposed to be less than that, right?
Doctor :   Which is slightly high
User :   Yes.
Doctor :   And falls in over weight cateogry
Doctor :   The normal BMI is less than 25
User :   Yes.
Doctor :   And the ideal weight for you is less than 125 pounds
Doctor :   The tummy tuck is indicated if your
User :   I have tried for a very long time to lose more weight, but I get so excessively hungry that I can't stand it.
Doctor :   waist circumference is more than 100 cm or two cardiac risk factors
User :   Oh, I'm sorry. I interrupted.
Doctor :   ok
User :   So you think a tummy tuck is indicated for me?
Doctor :   I donot think so
Doctor :   But a bariatric surgeon will be able to answer better
Doctor :   with correct reasons
User :   What are your concerns about my getting a tummy tuck?
Doctor :   WWW.WWWW.WW
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