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Effective Weight Loss Strategies from a Diabetes Dietitian

Feb 05, 2025

Losing weight can feel like an uphill battle, especially for those living with diabetes.

Whether you have Type 1 diabetes (T1D) or Type 2 diabetes (T2D), shedding unwanted pounds requires a thoughtful, balanced approach to both nutrition and activity. Many people with diabetes can lose weight successfully while also maintaining good blood sugar control. Here’s what a diabetes dietitian would tell you about the key factors to keep in mind when trying to drop pounds.

1. Understand Calorie Balance

One of the most important factors in weight loss, whether you have diabetes or not, is calorie balance. You must be in an energy deficit, meaning you are consuming fewer calories than your body needs to maintain its current weight. This principle applies to everyone, but for those with diabetes, it requires extra care and attention.

A T1D dietitian or T2D dietitian will help you figure out your daily calorie needs and design a plan that fits your personal goals and lifestyle. While it can be tempting to cut calories drastically, it’s important to maintain proper blood sugar levels, so the approach should be gradual and sustainable. In many cases, combining dietary changes with regular activity can create the necessary calorie deficit without compromising blood sugar control.

2. The Power of Strength Training and Cardio

Another important part of weight loss is exercise. A combination of strength training and cardio is essential for maintaining a healthy metabolism and keeping your body strong. Strength training helps preserve muscle mass, which is key for a healthy metabolism and overall well-being. It also improves bone density, which can be especially beneficial for people with diabetes.

Cardio, on the other hand, is a great way to burn calories and improve heart health. For a balanced approach, a Type 1 diabetes dietitian or Type 2 diabetes dietitian might recommend a workout routine that includes both strength training and cardio. For example, you could aim for three strength workouts and two cardio sessions per week. This balanced approach will help you achieve weight loss while also promoting overall health.

3. Avoid Low Blood Sugars

One of the biggest challenges people with diabetes face when trying to lose weight is avoiding low blood sugar (hypoglycemia). Every time you experience low blood sugar, you need to consume carbohydrates to bring your levels back up. Unfortunately, this can add extra calories, which counteracts your calorie deficit.

A diabetes educator or dietitian will work with you to adjust your insulin doses, meal plans, and exercise routine to minimize the risk of lows. By preventing frequent low blood sugars, you can avoid unintentionally increasing your calorie intake and losing momentum in your weight loss journey. Managing blood sugars carefully, with the help of your diabetes care team, will ensure that your hard work toward weight loss isn’t undone by a low blood sugar episode.

Conclusion

Losing weight while living with diabetes may seem challenging, but it’s completely achievable with the right approach. A combination of calorie balance, exercise (both strength training and cardio), and careful management of blood sugars is key. By working closely with a diabetes dietitian or diabetes educator, you can create a personalized plan that helps you reach your weight loss goals while maintaining stable blood sugar levels. So, don’t be discouraged—small, consistent changes will lead to long-term success in both weight loss and diabetes management.

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