Written on May 23, 2023 by Lori Mulligan, MPH. To give you technically accurate, evidence-based information, content published on the Everlywell blog is reviewed by credentialed professionals with expertise in medical and bioscience fields.
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The worldwide dual epidemic of obesity and type 2 diabetes is an important public health issue. The connection between obesity and diabetes is so strong there is a name for it—“diabesity.”
Obesity is linked to 30% to 53% of new diabetes cases in the United States yearly.
Almost 80% to 90% of type 2 diabetes patients are overweight or obese. This is alarming as type 2 diabetes is a disabling, progressive disease that imposes considerable burdens on individuals, families, communities, and the health system. The total direct medical and indirect expenditures attributable to diabetes in the United States amounted to about $245 billion in 2012.
There are so many benefits to losing extra weight if you’re diabetic—both physically and emotionally.
Extra weight around your waist means it can build up around your organs, like your liver and pancreas. This can cause something called insulin resistance. Losing this weight could help the insulin you produce or the insulin you inject work properly.
And as you start to lose weight and get more active, you and your healthcare team may need to look at your medication, especially if you treat your diabetes with insulin or sulfonylurea. This might mean reducing the dose or making other adjustments, so discuss it with your healthcare team.
For some people, needing fewer diabetes medications is a great motivation for losing weight.
And if you have type 2 diabetes, losing around 5% of your body weight can have real benefits for your health. If you have obesity, you are more likely to put your diabetes into remission if you lose a larger amount of weight, 15 kg, as quickly and safely as possible following your diagnosis.
This could mean coming off your diabetes medication completely—a life-changing possibility. This is even more likely if you lose the weight nearer to your diagnosis and quickly. It’s a myth that losing weight slowly is better for you.
The most important factor in achieving remission from diabetes is weight loss, and two techniques—metabolic or bariatric surgery and lifestyle changes that restrict calories on a daily basis to achieve weight loss—have been shown to induce remission.
Studies of weight loss through restricting calories or metabolic surgery have found that people with type 2 diabetes who start with greater pancreatic function at baseline prior to the intervention are more likely to undergo remission. People who have had shorter diabetes duration are also more likely to undergo remission.
Type 2 diabetes is a progressive disease, and after a long time with diabetes, pancreatic function may decline over time. Thus, observations suggest that after having diabetes for a long period of time, significantly improving pancreatic function and achieving remission may prove to be more difficult compared to achieving remission early in the natural history of the disease.
For example, consider the Diabetes Remission Clinical Trial (DiRECT) conducted in primary care practices in the United Kingdom, where researchers examined type 2 diabetes remission rates in participants who lost weight, starting with a very low-calorie diet and sustaining the weight loss over time. DiRECT found high rates of type 2 diabetes remission among people who lost a significant amount of weight—more than 10 kg (about 22 pounds)—and sustained the weight loss over 12 to 24 months.
Both healthcare professionals and people who have type 2 diabetes should realize that significant weight loss either from lifestyle intervention (i.e., diet and exercise) or from certain procedures can result in blood glucose levels decreasing into the nondiabetic range and that achieving remission can minimize or prevent future complications.
The American Diabetes Association offers the following to lose weight for good.
By losing just a few pounds with healthy eating and exercise, you’ll start to feel better. You’ll have more energy. And it will get easier to manage your diabetes, all while reducing your risk of developing other related problems.
The key to weight loss for most people is simply finding the right combination of exercise, healthy foods, and portion control. No fad diet required.
Emotional eating can quickly sabotage weight loss efforts. If you can pinpoint the emotions that cause you to reach for food, you can stay on track.
The way we frame our weight loss journey can have a big impact on progress—good or bad. Learn some positive self-talk strategies that will keep you in the right frame of mind.
Overall, with significant weight loss through calorie restriction or bariatric procedures, you have a high likelihood of achieving diabetic remission, particularly if you have a greater baseline pancreatic function and have had diabetes for a shorter time.
Everlywell offers the opportunity for you to partner with a clinician through virtual visits for weight loss online. This will allow you and the clinician to discuss your weight goals and determine if GLP-1, an anti-obesity medication, is right for you.
We also offer the home-collection hemoglobin A1c test (HbA1c test), which is an easy way to measure how well you have been maintaining your blood sugar levels for the past 90 days.