Doctor insights on:
Gynoid Type Obesity
The definition started with Louis Israel Dublin, chief statistician of the Metropolitan life insurance company, in the early 1940s, as a BMI >25 (definitely >30) for people in their 20's based on retrospective observational life insurance data of the age at which people died later in life. This was subsequently adopted by the medical disease industry. However, BMI is ...Read more
Depends: We all face social problems and there are no particular social problems associated with being obese. However people may face social problems based on a lot of factors like being obese or too thin, too tall or too short, white, black, yellow or red and on and on. Any of these can become a problem or not depending on how we view ourselves and cope with these factors relative to those around us. ...Read more
Weight loss diet: If you are on a weight loss diet, you may be at risk for vitamin deficiencies, especially if you are avoiding fruits, which you should, if you want to lose efficiently. A good multivitamin may be your best friend in this situation. I have my weight loss patients take multivitamins, calcium, potassium, and fish oil. They are on a very low carb, medically supervised diet and they lose quickly. ...Read moreSee 1 more doctor answer
Insulin Insensitivty: Obesity(fat) requires massive amounts of Insulin from the pancreas to store "the product". Additionally, the pancreas becomes depleted of Insulin or "the product" acts as its' own "production facility" decreasing its' sensitivity for Insulin to act. Either way diabetes then becomes more difficult to treat leading to the term a "brittle" diabetic with all the compiications thereof including death. ...Read more
Many in addition: In addition, it is well known that obese people earn less money at their job, also are less likely to get a job.Obesity is often judged by others as a sign that a person could be lazy or not work as hard at their job. In todays world, where jobs are not as plentiful, obesity could stand in a person's way when he/she applies for a job. Please note that I do not agree with these negative perceptions. ...Read moreSee 1 more doctor answer
Age 40. Never been diabetic or fat. I thought Type 2 only afflicts fat/obese people. So if I've been diagnosed as pre-diabetic is it Type 1?
Could be type 1: Hi. Yes, type 1 is certainly possible. Easiest way to tell would be to check type 1 autoantibodies (antibodies against GAD, IA-2, and insulin). There are, however, non-obese type 2's. Whatever type it is, control it well, eat a healthy diet, exercise regularly, control blood pressure and lipids, and don't smoke. Good luck! ...Read moreSee 1 more doctor answer
Depends: Bypass is ideal for patients with severe gastric reflux or severe obesity or bad diabetes. Sleeve is great for moderate diabetes and mild reflux. Band is ok for thinner patients ( bmi < 40) who have minimal reflux, no diabetes, and good eating habits. Duodenal switch still too much malabsorption. ...Read moreSee 1 more doctor answer
Lots of reasons: Our and others research has emphasized the development of Insulin resistance, caused by fat entering cells and making it difficult for muscle and liver to respond to the body's own insulin. This leads to increased blood glucose, partially compensated by increased pancreatic Insulin production. Eventually the pancreas cannot make enough Insulin and the glucose rises high enough to cause diabetes. ...Read more
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