Insulin Treatment, Type 2 Diabetes and Obesity
CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Elisabeth Govers Introduction Of all patients with type 2 diabetes mellitus an estimated 85% has overweight or obesity. It is well documented that obesity leads to type 2 diabetes after a long period of insulin resistance. For patients weight loss becomes harder when the amount of medication increases. Especially the use of sulfoneum derivates and, or insulin makes weight loss fairly impossible, since medication that promotes the release of insulin creates the opposite effect, which is weight gain. Patients often find it frustrating that they rather gain than lose weight. For these patients we developed a regime of a low carbohydrate diet combined with a reduction of insulin to make weight loss possible. Hereby two patient cases are presented to show results that can be obtained by this therapy. Patient 1 A forty four year old morbidly obese woman was referred by the nurse pract