Recently, I visited a relative and friend and found that he was getting thinner and thinner. I asked the reason, and it turned out that he had diabetes . As we all know, the typical symptoms of diabetes are three more and one less - urine, drinking more, eating more and weight loss. Some diabetics may experience sharp weight loss and sudden weight loss during the course of the disease. Excessive weight loss can lead to many health problems such as fatigue, malnutrition, anemia, and decreased body immunity. diabetics must pay enough attention to it.
The reason why diabetics lose weight
1. Poor blood sugar control
Normally, glucose is the main energy source of the body. Due to insufficient insulin secretion and/or insulin resistance, glucose cannot be fully absorbed and utilized by the body. The body often provides energy by decomposing fat and protein , causing excessive fat and protein consumption, so diabetics will become thinner and thinner.
In addition, long-term hyperglycemia leads to increased excretion of urine sugar , and a large amount of nutrients are lost with the urine. Therefore, the worse the blood sugar control, the more obvious the patient's weight loss.
2. Too strict diet control
Too little food, too monotonous eating, mainly vegetarian food, and insufficient protein intake are all important reasons for diabetics to lose weight.
In order to control blood sugar, some icy friends over-diet, and they dare not eat this or touch it. They only eat coarse grains and vegetables every meal. Eating too little every day cannot meet the body's metabolism needs, and the energy incurred, resulting in weight loss.
3. Exercise intensity is too large
Exercise exercise excessively, the intensity is too large, far exceeding the maximum appropriate exercise heart rate (maximum exercise heart rate = 170-diabetics age), or the exercise time is too long, and exercise will last for several hours.
These exercises that exceed your own load will greatly increase the consumption of diabetics. In addition, diabetics control their diet and if they are not replenished, they may lose weight.
4. Effects of hypoglycemic drugs
Some hypoglycemic drugs, such as metformin, SGLT-2 inhibitors (dazliflozin, etc.), GLP-1 receptor agonists (exenatide, etc.), and α-glucosidase inhibitors (acarbose, etc.), have different degrees of weight loss effects. When taking these hypoglycemia drugs, your blood sugar may be controlled well, but your weight will continue to drop.
5. Complications or complications of diabetes
Diabetes combined with gastroparesis can cause upper abdominal distension and hiccups . In severe cases, gastric retention (refers to food not being empty in the stomach) and stubborn vomiting. In the long run, it will lead to malnutrition.
In addition, diabetics combined with some chronic wastating diseases, such as tumors, tuberculosis , hyperthyroidism, etc., can all lead to weight loss.
Everything has a problem of degree. For diabetics, obesity must be paid attention to and intervened. However, excessive weight loss may not be a good thing, especially for weight loss due to unknown reasons. Other diseases may be lurking behind it, such as hyperthyroidism, tumors, etc.
Therefore, diabetics should pay more attention to their weight changes. When their weight loss cannot be explained, they should go to the hospital for consultation and examination in time.
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