How to lose weight for overweight people with low blood sugar

Fat people with low blood sugar can lose weight by adjusting their diet structure, increasing exercise, monitoring blood sugar, medication intervention, psychological counseling, and other methods. Hypoglycemia may be related to factors such as insulin resistance, irregular diet, and medication side effects, and is usually manifested as symptoms such as dizziness, palpitations, and sweating.

1. Adjusting dietary structure

Low glycemic and obese individuals should choose low glycemic index foods, such as whole grains like oats and brown rice, and pair them with high-quality proteins like chicken breast and fish to avoid refined sugars and rapidly absorbed carbohydrates. It is recommended to adopt a small quantity multi meal mode, eating once every 3-4 hours to maintain blood sugar stability. Eating nuts in moderation as an extra meal can provide sustained energy.

2. Increase physical activity

Start with low-intensity aerobic exercise, such as brisk walking, swimming, etc., for 30-45 minutes each time, 4-5 times a week. Blood sugar should be monitored before and after exercise, and candy should be carried with you to prevent hypoglycemic episodes. As physical fitness improves, resistance training can be gradually added to enhance muscle glucose uptake ability. Avoid exercising on an empty stomach, and it is recommended to exercise 1-2 hours after meals.

3. Monitor blood glucose

Measure fasting and postprandial blood glucose at regular intervals every day, and record the fluctuation pattern. Using a dynamic blood glucose monitor can provide a more comprehensive understanding of the trend of blood glucose changes. When frequent episodes of hypoglycemia are detected, timely adjustments to diet and exercise plans should be made. If the blood glucose level remains below 3.9mmol/L, medical evaluation is required to rule out organic diseases such as insulinoma.

4. Drug intervention

Metformin enteric coated tablets can improve insulin sensitivity, acarbose tablets can delay carbohydrate absorption, and glimepiride tablets should be used with caution to prevent worsening hypoglycemia. All medications must be used under the guidance of a doctor and the dosage cannot be adjusted by oneself. Patients with concomitant hypertension may need to discontinue certain antihypertensive medications.

5. Psychological counseling

Long term hypoglycemia may lead to anxiety and eating disorders, and it is necessary to establish a healthy eating concept through cognitive-behavioral therapy. Joining a weight loss support group can help maintain lifestyle changes. Lack of sleep can exacerbate metabolic disorders, ensuring 7-8 hours of high-quality sleep every day. If necessary, seek professional nutritionists to develop personalized plans. During weight loss, individuals with low blood sugar and obesity should carry glucose tablets or candies with them to avoid accidents while driving or working at heights. Regularly review liver and kidney function and glycated hemoglobin, and adjust treatment plans based on the test results. Use olive oil instead of animal oil when cooking, and drink 1500-2000 milliliters of water daily. Maintaining a regular schedule, avoiding staying up late and overexertion, and gradually reducing weight are safer and more effective.