5- Weight loss has to do with burning more calories than you take in. You could theoretically eat junk food that totals 1200 calories a day and loose weight. The problem comes in when you are hungry shortly after eating that junk food. The trick is to eat foods that help you feel full for a longer amount of time and use portion control. I would rather eat foods that keep me from feeling hungry. With bariatric surgery, your stomach is shrunk down so you should only ingest teaspoons of broth at a time. If you have psychological need to eat foods, you will stretch your stomach out again and regain all the weight you lost. Eating for most people in this country is not a survival thing….it is an emotional thing. You tie your emotions to food. People in Africa or India do not have the luxury of eating due to stress. Until you recognize food as fuel, you will not likely keep off the weight you lost.
I think it is important to teach our children a different way of looking at food. It should be gas for your body and we should be putting in unleaded. We should teach them to not overfill the tank; stop associating food with love or other emotions.
6- I would say most of the people in this class already understand the difference between type 1 and type 2 diabetes. Type 1 being an autoimmune disease that attacks individuals who are genetic carriers of HLA type genes. Type 2 has a genetic component however, it is an acquired disorder that becomes active due to obesity and lack of exercise causing insulin resistance.
There is a very long and detailed explanation regarding your question about obesity and type 1 diabetes. In the past, type 1 diabetes was only diagnosed in childhood and these children were diagnosed after a significant weight loss. Children in general were already thin, active and healthy eaters because this was the lifestyle. In recent times, the increase in technology and junk food has caused a rise in obesity in all populations but especially children. Type 1 diabetics do not escape this trend. One article even says that there is a higher incidence of obesity in type 1 diabetics than any other people group (Mottalib et al., 2017). This article goes further into detail about insulin and the growth hormone along with how they affect the basal metabolic rate. You can read the details for yourself, but to sum it up, type 1 diabetes does not make your body immune to fat accumulation anymore than anyone else. If you left type 1 diabetes untreated with insulin for a long period of time, you would have weight loss from cell starvation. Of course, you would go into significant keto acidosis and could die.
Treating the type 1 diabetes with insulin reverses the effects of weight loss. In fact, hyperinsulinemia causes obesity and increases the growth hormone. This is seen particularly in mothers with gestational diabetes. The mother has increased glucose levels that increases her need for insulin. Her body cannot meet the demand, but the fetus has no problem with insulin production. Glucose crosses the placenta, but insulin does not. The baby produces the correct amounts of insulin to cover the increased glucose that crossed the placenta. This hyperinsulinemia causes the baby to grow to an alarming size. This causes macrosomia.; a baby that is too large for the gestational age. As a side note, this increases the baby’s risk of developing type 2 diabetes later in life.
A trend that has been seen in recent years is to have double diabetes. Now that we are able to do extensive diagnostic testing, we can see that a patient could have the antibodies present with type 1 diabetes and the insulin resistance seen with type 2 diabetes. Incidentally, obesity in a person with the antibodies that are seen with the type 1 diabetes causes that person to become an actual diabetic sooner. I would think in layman’s terms it is from placing undue stress on the pancreas to produce higher levels of insulin and the islet cells run out of juice.
I could go on, but I am guessing this answers your question.
Mottalib, A., Kasetty, M., Mar, J. Y., Elseaidy, T., Ashrafadeh, S., & Hamdy, O. (2017, August 23). Weight management in patients with type 1 diabetes and obesity. Current Diabetes Reports, 17(10). https://doi.org/10.1007/s11892-017-0918-8