Saturday, August 10, 2013
morbidly obese and everyone says im loosing too fast
Tuesday, July 9, 2013
Even Mild Weight Loss May Lower Diabetes Risk in Obese Teens
By Robert Preidt
HealthDay ReporterFRIDAY, June 7 (HealthDay News) -- Obese teens don't need to lose large amounts of weight to lower their risk of developing diabetes, according to a new study.
Researchers found that obese teens who reduced their body-mass index (BMI) by 8 percent or more had improvements in insulin sensitivity, a measure of how well the body processes insulin and an important risk factor for developing type 2 diabetes. BMI is a measurement of body fat based on height and weight.
"This threshold effect that occurs at 8 percent suggests that obese adolescents don't need to lose enormous amounts of weight to achieve improvements," study co-author Dr. Lorraine Levitt Katz, a pediatric endocrinologist at the Diabetes Center for Children at the Children's Hospital of Philadelphia, said in a hospital news release.
"The improvements in insulin sensitivity occurred after four months of participating in a lifestyle-modification program," Katz said.
The study included 113 teens, aged 13 to 17, whose average BMI at the start of the study was 37.1. People with a BMI of 35 to 40 are classified as severely obese. None of the teens had type 2 diabetes at the start of the study, but their obesity placed them at high risk to develop the disease in the future.
The teens were put on a weight-loss program that used family-based lifestyle changes. They and their parents were taught about healthy eating habits and encouraged to increase their levels of physical activity. The teens and their parents attended weekly group counseling sessions and the parents were encouraged to support their children's lifestyle changes and to be healthy-lifestyle role models.
The study, published online May 24 in the Journal of Pediatrics, reinforces the importance of lifestyle changes in helping teens lose weight, the researchers said.
They also noted that the 8 percent reduction in BMI needed to improve insulin sensitivity is "achievable" and easy for doctors to track.
Wednesday, July 3, 2013
Weight-Loss Surgery May Help Moderately Obese, Too

By Serena Gordon
HealthDay ReporterTUESDAY, June 4 (HealthDay News) -- For the extremely obese, the benefits of weight-loss surgery generally outweigh the risks of the procedure. Now, new research suggests that the same might be true for less-obese people as well.
For those who are mildly or moderately obese, weight-loss surgery can improve type 2 diabetes, high blood pressure and high cholesterol more effectively than conventional diabetes management and lifestyle changes, new research suggests.
"We're seeing a pattern in these studies. There's a definite impact on the diabetes after surgery. Some people don't respond so well, but most do," said Dr. Bruce Wolfe, a professor of surgery and co-director of bariatric surgery at Oregon Health & Science University, in Portland.
But, he added, "We need longer-term studies to identify who's the right candidate for surgery, and we need a number of years of follow-up and a fairly large study population to see if the diabetes improvements after surgery prevent the heart disease, blindness and kidney disease associated with type 2 diabetes."
Results of the two new studies, as well as an accompanying editorial written by Wolfe and colleagues, are in the June 5 issue of the Journal of the American Medical Association.
Body mass index (BMI) is a measurement calculated with height and weight that's used to estimate the amount of body fat someone has. A BMI of 18 to 24.9 is considered normal weight while 25 to 29.9 is overweight, according to the U.S. Centers for Disease Control and Prevention. Mild to moderate obesity is between 30 and 39.9, and 40 and above is morbidly (or extremely) obese.
Normally, weight-loss surgeries are done on people who have a BMI of 40 or above. The surgery is also done on people who have a BMI of 35 or more if they have heart disease risk factors, such as type 2 diabetes, high blood pressure, high cholesterol or sleep apnea, according to Wolfe.
The first study was a review of previous research on non-morbidly obese people with type 2 diabetes. The authors searched the medical literature and among other related studies, found three randomized controlled clinical trials that compared weight-loss surgery (also known as bariatric surgery) to nonsurgical treatments, such as diabetes medications and lifestyle changes.
Weight-loss surgeries -- including gastric bypass and gastric banding -- were associated with a greater weight loss than nonsurgical treatments. Weight-loss surgeries led to as much as 32 to 53 pounds more weight loss and also to greater improvements in blood sugar levels.
"I think we found some promising results for the lower BMI patients with diabetes. There were better results in terms of controlling glucose [blood sugar] and weight loss over one to two years. That we have a way to provide some sort of successful treatment is exciting. But, we don't yet know how sustainable these changes are. We need longer and larger studies," said Dr. Melinda Maggard-Gibbons, lead review author, and an associate professor with RAND Health in Santa Monica, Calif.
Tuesday, April 9, 2013
Obese Black Women at Higher Risk for Having Very Large Babies
Category: Health News
Created: 2/14/2013 2:36:00 PM
Last Editorial Review: 2/15/2013 12:00:00 AM