Why do some people with diabetes gain weight instead of losing weight?

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

Isn't it said that the typical symptoms of diabetes are "three more and one less"? The "one less" refers to weight loss. Why do some diabetic patients not lose weight but increase?

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

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

Another reason is that our body does not recognize insulin. Insulin does not have the effect of lowering blood sugar, and hyperglycemia will also occur. At this time, the islets will mistakenly believe that the amount of insulin in our body is insufficient, and will secrete insulin more vigorously. This results in abnormally high levels of insulin in our blood.

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

In addition to lowering blood sugar, insulin also has a strong "assimilation effect", which in layman's terms has the effect of increasing weight.

Weight loss occurs when people have insufficient insulin in their blood, and weight gain occurs when people have excess insulin in their blood.

Both of these conditions can cause an increase in blood sugar, so some people with diabetes lose weight, while others gain weight.

Diabetics with the latter condition are called insulin-resistant diabetics. 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.