Type 2 diabetes is a weight-related health condition that develops when the body becomes insulin resistant and the body’s blood sugar level becomes totally uncontrollable by the insulin produced by the body (also refer to the “Obesity and Insulin-Resistance” section). This means that the body either does not produce enough  insulin, or the body does not properly use the insulin it produces.  Insulin is necessary to regulate the body’s blood sugar. When the body is unable to control the amount of sugar (glucose) that we consume, glucose builds up in the blood stream, which can cause damage to the kidneys (nephropathy), eyes (diabetic retinopathy), nerves (neuropathy), heart (heart disease), the brain (stroke) and possibly death.

Diabetes

How Can Weight Loss Help improve Insulin Resistance (Pre-Diabetes) and Diabetes?

The long-term control of Insulin Resistance and Obesity is best accomplished by following a comprehensive treatment protocol that your bariatrician can create for you including:

  • Proper Nutrition: A healthy eating plan is a long-term plan geared towards helping you control your sugar and carbohydrates cravings, lose weight and maintain your weight
  • Exercising: Exercise has a direct blood sugar-lowering effect. It decreases the need for over production of insulin.
  • Medications: FDA approved medications such as Metformin (Glucophage), Victoza, Bydureon, Byetta, Trulicity, Januvia, Janumet, Tradjenta, Jentadueto Jardiance and Farxiga (amongst others) are highly effective at positively controlling your body’s production, or usage of the insulin hormone, and at improving Insulin Resistance (Pre-diabetes) and Diabetes; when combined with a comprehensive weight loss plan that includes proper nutrition, exercise and behavior modification.

At Worthy Weight Loss, we design a comprehensive weight management plan that includes a healthy eating plan, exercise, behavior control and medications geared towards helping you lose weight, prevent (or treat) both Insulin Resistance and Diabetes.

FAQs

What is the connection between obesity and diabetes?

Obesity and diabetes share a strong link. Excess body fat, especially around the abdomen, can make cells resistant to insulin. This resistance leads to higher blood sugar levels and increases the risk of developing Type 2 diabetes. Over time, the pancreas works harder to produce more insulin, which can eventually wear it the pancreas out, leading to worsening blood sugar control.

How does obesity cause insulin resistance?

When fat accumulates around organs such as the liver and muscles, it disrupts how these tissues use insulin. This makes it harder for insulin to move glucose from the bloodstream into cells. As a result, blood sugar levels rise, and insulin resistance develops. The more body fat a person has, the greater the strain on insulin function.

Can losing weight help manage or reverse Type 2 diabetes?

Yes, weight loss can make a significant difference. Even a modest reduction of 5 to 10 percent of body weight can improve blood sugar control. Weight loss helps cells respond better to insulin, reduces inflammation, and supports healthy metabolism. In some cases, individuals who lose substantial weight can experience remission of Type 2 diabetes.

Does everyone with obesity develop diabetes?

No, not everyone with obesity will develop diabetes. Genetics, diet, activity level, and other factors influence risk. Some people with obesity can produce enough insulin to compensate for insulin resistance, while others may not. Maintaining a balanced diet, staying active, and managing stress can reduce the likelihood of developing diabetes even with excess weight.

What is diabesity?

Diabesity is a term used when obesity and Type 2 diabetes occur together. It reflects how closely the two conditions are linked. People with diabesity face higher risks of heart disease, kidney damage, and nerve problems. The condition often improves through weight loss, medication, and healthy lifestyle changes.

How does diet affect obesity and diabetes?

A diet high in processed foods, refined carbohydrates, and added sugars increases the risk of both obesity and diabetes. On the other hand, a balanced diet with lean proteins, whole grains, healthy fats, and fiber helps stabilize blood sugar levels. Limiting sugary beverages and eating smaller, balanced meals throughout the day supports weight and glucose management.

What role does exercise play in controlling obesity and diabetes?

Regular physical activity helps the body use insulin more effectively and supports weight management. It also improves heart health, muscle strength, and overall energy. Activities like walking, swimming, or cycling can help lower blood sugar levels and reduce body fat over time. Even small increases in daily movement make a difference.

Can medication help people with obesity and diabetes?

Yes, certain medications can assist with both conditions. Some help regulate blood sugar, while others target appetite and fat absorption. These treatments work best when combined with nutrition counseling and lifestyle changes. 

How does untreated obesity affect diabetes progression?

If obesity is not managed, insulin resistance worsens, leading to higher blood sugar levels. Over time, this can damage blood vessels, nerves, and organs. The risk of complications such as heart disease, kidney failure, and vision loss increases. Early management through lifestyle changes can slow or prevent this progression. Early management of prediabetes, before an individual becomes diabetic, is even more important- as doing so can help prevent diabetes from developing.

Can diabetes cause weight gain?

Yes, diabetes and its treatment can sometimes lead to weight gain. Insulin therapy or certain medications may increase fat storage. However, this can be managed through balanced eating, portion control, and regular exercise. Working closely with a healthcare team helps maintain a healthy weight while keeping blood sugar under control.

Start your weight loss journey with Worthy Weight Loss today.