Friday, March 30, 2012

Solutions to drugs that keep you fat 4....

Today's Post: Friday, 3-30-2012


Friday, 3-9-2012, our post “Some drugs can keep you fat” listed several kinds of general strategies to drugs that tend to fatten you or keep you fat. For most of them, there is a better drug or a way to improve your condition that avoids using that drug.

Friday, 3-16, we covered anti-depressants since some of those can keep you fat. Some don’t including Zyban aka Wellbutrin that helps some people quit smoking.

Last Friday, we covered blood pressure lowering drugs.

Today, we are covering drugs for type 2 diabetes.

(Some of this post may cover type 1 diabetes. But type 1 diabetes is enough different some of it may not. The information on exercise is one area where I know the two diseases differ. And, most type 1 diabetics must take insulin.)

The best news is that for type 2 diabetes, the better you do with the things that produce permanent fat loss, the less you will have type 2 diabetes & the more desirable your blood levels and tests will be.

Not only that, when you succeed in losing over 10% of your initial body weight as fat and keep it off, you may be in the group who stops having type 2 diabetes. Many people do.

Since you have to maintain the lifestyle upgrades to keep the fat off, it’s a kind of forced remission rather than a cure. But if you achieve it, you can completely avoid taking insulin and/or the diabetes drugs that are fattening.

The drug, Metformin, aka Glucophage, is the best diabetes drug for most people for several reasons. It actually helps LOSE fat slightly! It’s one of the few diabetes drugs that won’t cause you other health problems as a side effect. And you can take smaller doses with meals to minimize the few side effects AND make a very strong effort on all the lifestyle upgrades and often get decent blood sugar control.

Metformin’s one side effect is a bit dangerous but may be easily turned off. If you take Metformin every day, it’s been found to somewhat deplete your B12 levels. However, I suspect you can compensate for this by taking 1,000 mcg a day of B12 in a sublingual supplement. You can also have your doctor test your B12 levels regularly and have his or her office nurse or nurse practitioner give you periodic B12 shots.

Since many of the other type 2 diabetes drugs do fatten you or can harm you with other health problems they cause and taking insulin is likely to fatten you, it is critical if you want to avoid health problems and avoid staying fat to see if you can use a very strong effort on lifestyle upgrades and only taking Metformin to keep your blood sugar readings at 6.9 or lower on your HBA1C test.

The better you do with NOT eating fattening foods or drinking soft drinks, eating a diet high in health Ok protein foods and nonstarchy vegetables with some health OK oils and fats such as extra virgin olive oil and nuts, getting extra activity such as walking each week, and doing both strength training and interval cardio for vigorous exercise most days, the better your fat loss will be.

And, each and every one of those steps lowers high blood sugar.

At this time, you can still get some supplements that also help. And, though they are effective for most people, it’s critical to add them to the lifestyle upgrades! People who imagine that just taking supplements or just taking the drugs will solve the problem by themselves will wind up taking the less safe drugs and having dreadful health.

Those supplements include taking 200 to 400 mcg a day of chromium polynicotinate and taking 200 to 600 mg a day of alpha lipoic acid or R-alpha lipoic acid if you can afford its higher price. Metformin is stronger; but it started as a supplement.

When my own blood sugar tested as 115 on a test of fasting glucose, I was already eating relatively well and getting regular vigorous exercise. Then when my doctor let me know this was NOT good (99 or less on this test is the desirable and safe range.), I cut half the remaining sugar from my diet and added 200 mcg a day of chromium polynicotinate and began taking 200 mg a day of alpha lipoic acid daily. Mercifully adding those things to my already good lifestyle dropped my fasting glucose to the 89 to 96 level on my later blood tests.

The bad news is that if you do NOT make that special effort on these lifestyle upgrades and do the best you can with Metformin and vitamin B12, you will likely be forced to take the drugs that have a problematic track record for safety. And, since your HBA1C is likely to often be over 7.0, you are more likely to be harmed by the type 2 diabetes besides.

The other really good news about doing the lifestyle upgrades that cause fat loss and keep it off is that each of these lifestyle upgrades also do a fabulous job by protecting you from the harms type 2 diabetes tends to cause.

Your LDL will be lower, so there will be less to carry excess sugar and cause damage. Your circulation will be better. Your heart risk blood tests will be better. And your protection for your heart and brain from harm will be much better!

So this is one area where doing a great job on your lifestyle upgrades for fat loss is actually the number one solution!

Labels: , ,

0 Comments:

Post a Comment

<< Home