HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Elasy, T. Search for Related Content PubMed Articles by Elasy, T. Related Collections Related Article Social Bookmarking                What's this?

Diabetes, Weight Loss, and Sisyphus

The first 20% of the full text of this article appears below.

"Ifeel like Sisyphus," she said with an exasperated smile. A university professor in her mid 50s, she had come to see me after years of frustration with weight loss efforts. Her diabetes, to her, was an afterthought, although it was listed as the reason for referral.

She reminded me of how Zeus had condemned Sisyphus, a king, to an eternity of pushing a boulder up a hill, only to have the boulder fall before reaching the top. She complained that our medical establishment had likewise punished her by weight loss recommendations that were either inconsistent or ineffective.

First, there are the macronutrient inconsistencies. She weighs > 330 lb with a BMI of nearly 52 kg/m². She has had diabetes for 15 years. She first saw a dietitian near the time of her diabetes diagnosis and was "warned" about the percentage of carbohydrates in her diet. In preparation for an intensive workout program, she had an exercise stress test and was counseled by a cardiologist to eat a low-fat diet. Three . . . [Full Text of this Article]

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

Related Article:

Bariatric Surgery for Patients With Diabetes

Aaron W. Eckhauser, William O. Richards, and Michael J. Fowler
Clin. Diabetes 2007 25: 83-89. [Abstract] [Full Text] [PDF]