Обзорная статья

Weight Management in Patients with Type 1 Diabetes and Obesity

Adham MottalibJoslin Diabetes Center, Harvard Medical School, Boston, MA, 02215, USAMegan KasettyJoslin Diabetes Center, Harvard Medical School, Boston, MA, 02215, USAJessica MarJoslin Diabetes Center, Harvard Medical School, Boston, MA, 02215, USATaha ElseaidyJoslin Diabetes Center, Harvard Medical School, Boston, MA, 02215, USASahar AshrafzadehJoslin Diabetes Center, Harvard Medical School, Boston, MA, 02215, USAOsama HamdyJoslin Diabetes Center, Harvard Medical School, Boston, MA, 02215, USA. [email protected]

2017en

ABI

Аннотация

PURPOSE OF REVIEW: Patients with type 1 diabetes (T1D) are typically viewed as lean individuals. However, recent reports showed that their obesity rate surpassed that of the general population. Patients with T1D who show clinical signs of type 2 diabetes such as obesity and insulin resistance are considered to have "double diabetes." This review explains the mechanisms of weight gain in patients with T1D and how to manage it. RECENT FINDINGS: Weight management in T1D can be successfully achieved in real-world clinical practice. Nutrition therapy includes reducing energy intake and providing a structured nutrition plan that is lower in carbohydrates and glycemic index and higher in fiber and lean protein. The exercise plan should include combination stretching as well as aerobic and resistance exercises to maintain muscle mass. Dynamic adjustment of insulin doses is necessary during weight management. Addition of anti-obesity medications may be considered. If medical weight reduction is not achieved, bariatric surgery may also be considered.

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Идентификаторы

DOI: 10.1007/s11892-017-0918-8

Цитирования и источники

Цитирований: 2Использованных источников: 0

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