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PT blog: The doctor weighs in

Complications of obesity (RSS)


It is important to diagnose and treat GDM as it can have serious short and long term health consequences for both you and your baby. Don’t worry needlessly, however, if you have been told you have gestational diabetes. There are a lot of things you and your doctor and/or health team can do to keep you and your baby healthy both during the pregnancy and afterwards. Read More

posted by: Pat, Wednesday, October 11, 2006 3:09 PM   230 Comments
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As we started talking about his health insurance, the conversation naturally drifted to health. He is prediabetic, he told me, and his brother is a type 2 diabetic who has already had some toes amputated. He knows he is facing the same future if he doesn't lose weight, but how can he do it? Read More

posted by: Pat, Friday, September 15, 2006 11:42 AM   201 Comments
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They also found that men’s BMI was an independent risk factor for fertility in both older and younger men. Even after adjustment for other factors that could affect fertility (high BMI of the woman, age, cigarette smoking, alcohol intake, and solvent and pesticide exposure) the researchers found that there was a general increase in infertility with increased BMI, reaching a nearly 2-fold increase among obese men. "The data suggest that a 20-pound increase in men's weight may increase the chance of infertility by about 10 percent," says Markku Sallmen, lead author on the paper who is now at the Finnish Institute of Occupational Health. Read More

posted by: Pat, Saturday, September 02, 2006 7:47 PM   199 Comments
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Instead of continuing to argue that "all obesity is bad" or "obesity is not all that bad," we should look more closely at the data to determine if there are some easily identifiable subsets of the population who will have devastating health consequences when they gain weight. Let's take this debate to the next level so we can get on with the serious business of promoting health in this country. Read More

posted by: Pat, Wednesday, August 23, 2006 10:43 PM   1 Comments
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Here is a summary of some of the findings in studies of overweight and obese adults: Obesity contributes to significantly lower quality of life. This was true even in obese people who did not have chronic diseases (diabetes, heart disease, high blood pressure, stroke, osteoarthritis, sleep apnea). Obesity is associated with decreased health status and a higher incidence of depression. Obese people had a significantly higher number of visits to health care providers. Physicians spent less time educating obese patients about their health and more time discussing exercise. Obesity was not related to discussions about nutrition. Read More

posted by: Pat, Wednesday, August 09, 2006 12:54 AM   1 Comments
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The decision to have bariatric surgery is highly personal. Each individual must weigh the risks and benefits according to their own unique set of preferences. Some folks would never have surgery and refer to losing weight with diet and exercise as “the right way.” Others, like Wendy Hanawalt, suffer from overwhelming complications of obesity and, for a variety of reasons, including insulin related weight gain, turn to gastric by-pass as a last hope life-saver. Wendy has shared what it was like living as a “really, really fat person” in her compelling story, “Memoir of a Fat Broad.” Now, with her permission, she shares what it is like to live with the after effects of gastric by-pass surgery. Read More

posted by: Pat, Monday, July 24, 2006 6:11 PM   2 Comments
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"When you're really, really fat -- and by that I mean what doctors refer to as "morbidly obese," there is one thing that is screamingly clear: people who are not really, really fat have no idea what it's like. As a formerly really, really fat person who's now just fat, I have to say that we have no one to blame for that misunderstanding but ourselves. Our modus operandi is to hide: hide our feelings, even from ourselves, hide who we really are, hide our shame, hide our disabilities. And so, as part of my "coming out" as a person with reorganized intestines (having had gastric bypass surgery), I'm going to "tell on myself," write about what it's like in vivid detail, so that some of you (those who are not RRF) will have a new understanding of the experience and -- at least I hope -- those of you who are RRF will hear someone singing your song. Read More

posted by: Pat, Thursday, July 20, 2006 1:50 AM   24 Comments
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Walk 10,000 steps. Walk for 30 minutes three times a week. Walk 60 minutes most days of the week. Walk farther and walk longer. These are typical exercise prescriptions. But there is another component of your daily walk that is also important. It is how fast you walk. Read More

posted by: Pat, Tuesday, July 18, 2006 1:29 AM   (Comments Off)
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The first presentation at this symposium described how fat deposits in the liver lead to insulin resistance. We have known for years that “central obesity” is a risk factor for Type 2 diabetes. Remember the warnings that fat in an “apple” pattern is worse for us than fat in a “pear” pattern?. But it isn’t that subcutaneous fat (fat deposited below the skin) that’s really bad for us, rather it is fat inside the abdominal cavity, called visceral fat, that increases our risk for heart disease, stroke and type 2 diabetes. Now we know that the worst fat may be the fat that gets deposited in our organs—fat in our liver cells, fat in our muscle cells, and maybe, fat deposited in our heart cells. Read More

posted by: Pat, Saturday, June 10, 2006 2:57 AM   57 Comments
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Remember when the Super Size Me guy gets told he has evidence of liver damage from pigging out at McDonald’s? Well, it turns out that overeating and weight gain are associated with the accumulation of fat in the liver. This shouldn’t really be a surprise -- the folks who help create foie gras by force feeding geese have known this all along. Read More

posted by: Pat, Monday, May 08, 2006 2:00 AM   (Comments Off)
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Remember, PCOS is not just a problem with periods or trouble getting pregnant. It is a medical condition that has implications for your health over your lifetime. If you think you have PCOS, see your doctor and ask to be evaluated for PCOS and insulin resistance. Be sure to ask about her/his experience taking care of PCOS patients. If you need help finding someone in your area, the American Association of Clinical Endocrinologists has a web-based Physician Finder that is easy to use (be sure to click on PCOS when asked to enter the specialty you are seeking). Read More

posted by: Pat, Friday, April 28, 2006 8:02 PM   3 Comments
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I want to share the story of my friend, Dario Wolfish. When I first met Dario, he was an applicant for a job opening that I had. He told me the odyssey of his 205 pound weight loss and the reversal of the obesity-related complications he had been diagnosed with—diabetes and high blood pressure. I was awed. 205 pounds in 13 months. But even more awesome, several years later he has kept it off. He has weathered stress, relocation, and all manner of things that could drive one to eat. But he has kept it off. Meet Dario Wolfish, a most remarkable guy, in his own words: “Up to 2001, I had been severely overweight all of my life. I lost 205 pounds in 13 months, hence I have a personal understanding of the difficulty we all face to lose weight and keeping the weight off. There is no question that proper diet and exercise are necessary to lose weight, but there needs to be a process. This was how I did it: Read More

posted by: Pat, Wednesday, February 22, 2006 8:00 PM   3 Comments
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Since obesity and insulin resistance are both associated with high uric acid levels, it follows that weight loss may be helpful in reducing gout attacks. Indeed, the results of small study suggests that weight reduction may decrease uric acid levels and the risk of gout. So, once again, the medical literature points out that attaining and maintaining a healthy weight has benefits beyond getting into our skinny jeans. For anyone who has lived through a gout attack, the prospect of preventing another is added impetus to shed the pounds. Read More

posted by: Pat, Tuesday, January 31, 2006 9:05 PM   (Comments Off)
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