I’ve often written about some of the complications that people with Diabetes face on a daily basis. certainly, the list is long and the complications are many. Today I will address one of the more common and misunderstood issues surrounding Diabetes. Weight gain and obesity.
This is a very sensitive topic in modern society, so I’m going to start this post by being very clear: This is not a slight against people with genuine weight issues or intended to body shame in any way, shape or form. Although I am a firm believer that we should all love ourselves for who we are, obesity and heavy weight-gain are serious medical issues and carry many consequences.
According to numbers provided by Statistics Canada, approximately 61.3% of Canadian adults were considered under the category of “obese” as of 2015. This is almost a 25% increase from 2004. Without including the rest of world, this is a small example of how serious an issue it is.
An important misconception is that obesity causes Diabetes. Although there is some evidence linking obesity to Type 2 Diabetes, there is no confirmed evidence of the same being the case for Type 1.
Type 1 Diabetes is an auto-immune deficiency and is NOT caused by obesity. That being said, once a Type 1 Diabetic starts insulin therapy weight gain can occur, usually in the stomach area. This is because insulin helps your body to absorb glucose into the blood stream. And as Diabetes can make you extra hungry once you’re on insulin therapy, well… Glucose absorption + extra hunger = weight gain.
There is a significant difference between being obese and being overweight. Obesity is generally defined as having a Body Mass Index (BMI) of 30 or higher. That being said, BMI is a fairly inaccurate way of measuring obesity. If you factor in my weight of 220 pounds coupled with a height of 5’7″, my BMI is sitting at 32.9, which is considered under the obese category. Anyone who has seen me in person knows that I’m a far cry from obese! Although it is a standardized form of measuring mass in the human body, it doesn’t take into account whether the weight is carried as fat or muscle. BMI is a subjective tool that has to be used in conjunction with all the other factors and assessed by your doctor.
According to a BMI calculator used on the Diabetes Canadawebsite, BMI also can’t be used for pregnant women, weight lifters, long distance runners, elderly or children. If you’re curious, the BMI calculator can be found here: https://www.diabetes.ca/managing-my-diabetes/tools—resources/body-mass-index-(bmi)-calculator
The purpose behind listing all of this is two-fold: to make people understand that being overweight is NOT what causes Type 1 Diabetes, as many television comedies or online jokes may make you believe, and that there are a number of complications that come with being overweight.
Weight gain and obesity have been linked to heart disease, stroke, gallbladder issues, some forms of cancer, osteoarthritis and gout as well as certain breathing issues and sleep apnea. The added weight one gains taxes and stresses most of the systems in the body and can lead to serious health complications. If you add that on top of having Diabetes, life becomes unnecessarily complicated. I mean, Diabetes makes it unnecessarily complicated anyway, but why make it worse?
All of these complications can be lessened and some may even be eliminated by losing some weight. The obvious steps involve a healthier diet and increased physical activity. Try to stick to foods that contain natural sugars as opposed to artificial additives and preservatives. Keep your workouts consistent, but throw in some variety of workouts to ensure you exercise all the areas of your body.
Remember, even though you should be happy with your body, health complications indicate that your body isn’t the way it should be. Consult your doctor and see what you can do to prevent these complications. ☯