Why do some diabetic patients not lose weight but increase it?

In life, it is not difficult for us to find that some diabetic patients are very thin, and some diabetic patients are very fat, and more and more obese diabetic patients.

Didn’t it mean that the typical symptoms of diabetes are “three more and one less”? The “one less” refers to weight loss. Why do some diabetic patients increase their weight instead of losing weight?

This starts with two important reasons that cause blood sugar to rise in our body, both of which are closely related to insulin.

We know that insulin is the only endocrine hormone that can quickly lower blood sugar in our body. Once the amount of insulin secreted by the pancreas is insufficient, the elevated blood sugar cannot be controlled, and hyperglycemia will appear.

Another reason is that our body does not recognize insulin, insulin does not have the effect of lowering blood sugar, and high blood sugar will also appear; at this time, the islets will mistakenly believe that the amount of insulin in our body is insufficient, and will work harder to secrete insulin. This causes an abnormal increase in the concentration of insulin in our blood.

It can be seen that when our blood sugar rises, there will be two situations: some people have a serious shortage of insulin in the blood; while others are just the opposite, and the insulin in the blood is seriously exceeded.

Insulin can not only lower blood sugar, but also has a strong "assimilation effect". In layman's terms, it has the effect of increasing body weight.

When people do not have enough insulin in their blood, they lose weight; when they have too much insulin, they gain weight.

Both of these situations may cause an increase in blood sugar, so some diabetic patients lose weight while others gain weight.

Diabetic patients with the latter condition are called insulin-resistant diabetic patients. Most of the causes of insulin resistance are related to abdominal obesity.

Therefore, for these patients, increasing aerobic exercise, reducing waist circumference and weight can improve the body's sensitivity to insulin, and reduce blood sugar by eliminating the degree of insulin resistance.

In the choice of hypoglycemic drugs, these patients should choose hypoglycemic drugs that can improve insulin sensitivity, rather than those that stimulate insulin secretion. In doing so, it can also play a certain role in reducing weight while lowering blood sugar.