Do I Need More Calories Now That I Have Kidney Disease
You may need to increase your calories each day for the following reasons:
- A diet for chronic kidney disease limits foods from some food groups. You may eat fewer calories because you have to omit these foods.
- Some days you may not feel like eating your usual meals. This can gradually lead to weight loss.
- You may be underweight or have lost weight recently because of your kidney disease.
- Your body needs more calories if you are on dialysis.
Weekly Check Ins Are Necessary
Last but not the least is to ensure that you keep a weekly check in with yourself to know how much difference you have brought about in your weight gain journey.
If you are simply just going on following some ways to gain weight to cope with the unprecedented weight loss, chances are that you are going to be ending up regretting every last bit of it.
Weight yourself at the end of every week to see if there are any changes and by how much. If you are not happy with the results, try and make adjustments to the diet to ensure that it will promote better results in the next week or the coming weeks after that.
Keeping a track helps in ensuring that you have a clear insight of everything around you and thus helps in successful diabetic weight gain.
Tips To Manage Your Weight
Avoiding weight gain while taking insulin plays an important role in managing type 2 diabetes. Maintaining a healthy weight can help you control blood sugar levels and reduce your risk of other health conditions. According to a study published in April 2013 in Diabetic Medicine, shedding pounds through healthy living can even help some people reverse type 2 diabetes.
The good news: Though managing your weight may seem difficult when youre taking insulin, there are actually many steps you can take to keep the pounds off. Were really in a much better place in terms of things we can do to help our patients avoid gaining weight and still control their blood glucose, says Michael Jensen, MD, an internist, endocrinologist, and obesity researcher at the Mayo Clinic in Rochester, Minnesota.
Try these strategies:
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You Dont Have To Do It Alone
Find family and friends who will support and encourage you in preventing type 2 diabetes. Join with a neighbor or coworker in changing your lifestyle. Talk with your health care team to learn about programs that may help, such as the National Diabetes Prevention Program.
- National Diabetes Prevention ProgramLed by the Centers for Disease Control and Prevention , the National Diabetes Prevention Program offers lifestyle change programs based on the Diabetes Prevention Program research study. Participants work with a lifestyle coach in a live group or online setting to receive a 1-year lifestyle change program that includes 16 core sessions and 6 post-core sessions . Find a program near you.
Eat Foods From Each Food Group
Your eating plan should include a variety of foods from each food group. Use this chart from the U.S. Department of Agriculture to learn more about which foods to eat.
Eating tips for weight loss
- Try to get as close as possible to your daily calorie and fat gram goals.
- Eat meals and snacks at about the same time each day to keep from getting too hungry.
- Eat your meals on smaller plates and put your drinks in smaller glasses to make portions look bigger. Dont worry about cleaning your plate.
- Eat slowly. It takes 20 minutes for your stomach to send a signal to your brain that you are full.
- Limit alcoholic beverages. If you drink alcohol, choose light beer or wine instead of mixed drinks.
Here are more tips on healthy eating.
Tips for eating at home
- Use low-fat, light, or fat-free sour cream, cream cheese, mayonnaise, cheese, and salad dressing.
- Cook with a mix of spices instead of salt.
- Refrigerate extra portions of food right after cooking so that youre less tempted to go back for seconds.
- Freeze extra portions of food to have meals ready on days when youre too busy or too tired to cook.
- Eat fat-free or low-fat frozen yogurt or sherbet instead of ice cream.
Tips for eating at work or on the run
Tips for eating in-between meals
- Eat fruits, vegetables, or a small handful of unsalted nuts instead of chips or candy.
- To reduce calories, drink water instead of regular soda, sports drinks, or juice.
- Chew sugar-free gum between meals to help reduce your urge to snack.
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Healthy Ways To Gain Weight
Gaining weight can come with risks, especially if you treat it like a Vegas buffet.
To keep your blood sugar in check, its essential to follow a healthy diet full of nutrient-dense food thats also higher in calories and includes carbs that are lower on the glycemic index.
Make sure to talk with your doctor or a dietitian before you change your diet and exercise plan to gain weight.
Do You Want To Put On Weight
If you need to gain weight, its best to get individual advice from a dietitian. Below are some things they might suggest. But you might also have to make changes to the way your diabetes is managed, so speaking to your healthcare team is important. They will also help you to understand why you might be losing weight.
- It might be easier to eat smaller meals and snacks this can also help increase your appetite.
- Use full-fat dairy products like milk, cream, cheese and yogurt which can be added to your meals or used a snack. For example you can grate cheese into soups or pasta dishes or add a tbsp of cream to porridge or rice pudding.
- Add unsaturated fats to your food where you can. Vegetable oils like olive, rapeseed or sunflower can be used to cook dishes or in dressings.
- Other healthy fats come from avocados, nuts and seeds, which make good snacks.
- Serve vegetables with spread or grated cheese.
- Add cream or full-fat milk to foods like mashed potato or soups.
- Have nourishing milky drinks.
- Add powdered milk to cereals.
- You may have heard of nutritional supplements, in the form of food or drink. These can be useful for some people who are finding it hard to gain weight or who have a poor appetite. Get some advice from a dietitian about whether they are right for you.
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Goal : Achieve A Healthy Body Weight
Body mass index uses your height and weight to determine how much body fat you carry. A BMI of 18.5 to 25 is considered to be a healthy weight range with a healthy amount of body fat.
Another measure: waist circumference is considered by many to be a better measure of excess abdominal body fat. A waist circumference greater than 40 inches for men, and above 35 inches in women has been shown to increase the risk of developing health problems such as type 2 diabetes, heart disease, and high blood pressure.
The closer you are to a healthy body weight or at least an acceptable waist circumference, the more likely you will be able to control, prevent, and possibly reverse your risks of diabetes.
Dont get overwhelmed by thinking about how much total weight you have to lose, Arevalo advises. Studies have shown that losing just 5-10% of your body weight will significantly improve your blood sugar levels as well as your cardiovascular health so set short-term goals of losing just 5-10 pounds to start.
Managing Weight Loss With Diabetes
Managing weight loss with diabetes begins with getting blood sugar under control, so it’s critical to involve a healthcare provider to activate a treatment plan.
Some people’s diabetes can be managed through lifestyle changes, such as diet and exercise. People with type 1 diabetesand some with type 2will require supplemental insulin or other drugs to ensure their bodies get back on track.
Typically, once someone is treated for diabetes and their blood sugar normalizes, their weight loss will stabilize. It is critical to continue to monitor diabetes under a healthcare provider’s care at home because it is a lifelong condition.
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Losing Weight With Type 2 Diabetes: 3 Reasons People Struggle
Approximately 90% of people with type 2 diabetes are overweight or obese.Â¹ While obesity often contributes to the development of diabetes, the bigger driver of weight gain is the high insulin levels that are found well before the diagnosis of diabetes.There are some good reasons why the standard advice of âeat less, exercise moreâ doesnât deliver results for people living with type 2 diabetes.
What If I Have High Cholesterol
Select vegetable fats that are low in saturated fat, such as olive oil, canola oil, soft margarine and mayonnaise. Talk with your dietitian about how to choose the best lean cuts of meat. Some examples are chicken, turkey, fish, pork tenderloin and eye of the round beef. It is important to remove all of the visible fat from meat and skin from poultry and to use only vegetable oils and fats in the cooking.
The yolk of the egg contains large amounts of cholesterol, but can be eaten a few times per week. The white of eggs contains no fat and is a very good source of protein. Speak with your dietitian about using these foods in your diet.
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Eat Frequent Small Meals
To keep your body gaining weight and not burning through fat and muscle tissue, it’s important to make sure you’re consuming a steady supply of calories. And this means eating multiple times a dayeven if you’re not hungry.
So if you’re currently eating the standard three meals a day, you should instead up that to six smaller meals so you’re eating approximately every 2 to 3 hours.
While this may seem like a lot of eating, it’s actually the best way to keep your metabolism functioning at its best. In addition, smaller, more frequent meals are a great way to avoid both high and low blood sugar levels.
What If I Have More Questions
If you have other questions, you should speak to your doctor or dietitian. The dietitian can help you with a meal plan that will provide enough calories to help you gain weight or keep from losing weight.
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Gain Weight With Type 2 Diabetes:
There are several steps, which you can follow in order to Weight gain in type 2 diabetes. Here is a quick overview of the process that you need to follow. If you can follow this, you can get the most out of it, and you will be able to end up with securing the best outcomes at the end of the day.
The following are some of the best steps that you need to take in order to Weight gain in type 2 diabetes.
What Is Weight Gain In Type 2 Diabetes
Before you take a look at the methods available to overcome type 2 diabetes, you need to have a clear picture of what it is. Afterwards, you will be able to proceed with making informed decisions. The informed decision you make will be able to deliver all the support and assistance that you need to make your life easy when proceeding into the treatments that are available to consider.
According to healthcare experts, type 2 diabetes is also known as adult-onset diabetes. However, a considerable percentage of children are affected by it as well. This happens mainly due to childhood obesity.
No specific cause has been diagnosed for type 2 diabetes as of now. However, you will be able to take better control over the negative consequences with taking good care of yourself and taking better control over the food that you consume. In addition to that, you can go through insulin therapy and obtain recommended medications as well.
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Play Your Carbs Right
If you’re following the standard low-carb recommendations of under 130 grams per day, you still have some carbs to use. Aim to get these from nutrient-dense sources such as fruits and vegetables, whole-wheat bread and pasta, brown rice and potatoes. Spread your carbs evenly throughout the day so you eat roughly the same amount at every meal.
Pay Attention To Portion Sizes
Using the plate method can help you manage your portion sizes. Fill half of your plate with fruits and vegetables. Fill one quarter with a lean protein, such as chicken or turkey without the skin, or beans. Fill one quarter with a whole grain, such as brown rice or whole-wheat pasta.
You can use everyday objects or your hand to judge the size of a portion. For example:
- 1 serving of meat or poultry is about the size of the palm of your hand or a deck of cards
- 1 3-ounce serving of fish is the size of a checkbook
- 1 serving of cheese is like six dice
- 1/2 cup of cooked rice or pasta is like a rounded handful or a tennis ball
- 2 tablespoons of peanut butter is like a ping-pong ball
Resources to learn more about portion sizes
- ChooseMyPlate.govlearn about portion sizes at meals
- Just Enough for You: About Food Portionslearn how much you need to eat and how to control food portions
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Treatment Of Overweight And Obesity
The goals of therapy for people with diabetes and overweight or obesity are to achieve optimal glycemic and metabolic control and, ultimately, improve quality of life, morbidity and mortality. Attaining and maintaining a healthy body weight, and preventing weight regain, are key components of optimizing glycemic control in people with diabetes. Often people with obesity and diabetes have greater difficulty with achieving weight loss compared to people with obesity but without diabetes . Health-care providers should attempt to minimize use of weight-inducing agents without compromising glycemic control, or switch the person with diabetes to agents not associated with weight gain .
The National Institutes of Health -sponsored multicentre Look AHEAD trial, investigated the effects of lifestyle intervention on changes in weight, fitness and cardiovascular risk factors and events in people with type 2 diabetes . The 8-year data revealed a 4.7% decrease in weight in the intensive lifestyle arm . This provided evidence that lifestyle changes can have a positive impact on weight change, fitness level and a decrease in medications, along with a small decrease in glycated hemoglobin and other health benefits .
Up The Ante On Diet + Exercise
The most basic answers are adjusting your diet and exercise. Talk to your doctor and to a nutrition specialist about a food plan that takes the insulin effects into account. Work a bit more activity or exercise into each day. Sometimes, your insulin dosage should be adjusted when exercising.
Dont self-adjust the dosage or timing of your insulin to accommodate eating more calories. You can end up gaining more weight. However, its good to self-adjust insulin for the purpose of fine tuning the dosage. Of course, you want to keep your doctor informed and continually work on good diet and exercise habits.
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Diabetes Meal Plan: What Are The Key Components
According to the ADA, a Mediterranean-style diet, a plant-based diet, and a diet known as Dietary Approaches to Stop Hypertension are all good starting points for a type 2 diabetes meal plan that can be modified to accommodate your personal eating preferences.
These diet approaches have two important factors in common: mostly whole foods, and meals built around vegetables rather than carbohydrates .
However, contrary to popular belief, a type 2 diabetes meal plan is not necessarily a low-carb diet, nor should it be a high-protein or very low-fat meal plan.
In fact, ADA recommends less emphasis on specific requirements for proteins, carbs, and fats, and more emphasis on following a whole foods approach that focuses on the quality of your diet the less processed, refined, prepared, and fast foods focused, the better.
Making a move towards eating more home-cooked meals may seem daunting, but just takes a little planning, especially with resources like the ADA’s Diabetes Food Hub.
Diabetic-friendly recipes sourced from the ADA’s Diabetes Food Hub. Infographic by Lauren Hunter.
An RD or CDE can look at your usual diet and help you identify where theres room for improvement, Ms. Arevalo suggests. These diet experts can also help you create a diabetes diet plan tailored to your personal needs and food preferences.
What You Can Do
Diabetes food plans are often geared toward helping people lose, rather than gain, weight. This can make it harder to figure out how to gain weight in a healthy way.
Before trying the tips below, talk with your doctor or dietician. They can help you set the right diet and exercise goals for you, as well as answer any questions you may have.
There are many apps available to help you manage your condition and make the right food choices. Look for apps that help you track blood sugar and BMI.
Some options include:
GlucOracle: This glucose forecasting app uses crowdsourcing to analyze the estimated amount of carbohydrates, protein, fat, calories, and fiber in each meal. It also predicts what your glucose level will be after eating.
SuperTracker: This app helps you gain weight by providing comprehensive nutritional information on over 8,000 food items. It also tracks your nutritional targets, diet, and activity levels against your goals.
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