Diabesity: When Obesity and Diabetes Collide

September 11, 2024

Diabesity isn’t just a buzzword—it’s a serious health issue affecting many people. Simply put, diabesity combines two common conditions: diabetes and obesity. When someone has diabesity, they’re dealing with both of these challenges at once, and they often go hand-in-hand.

Insulin resistance and hyperinsulinemia are at the heart of diabesity. Insulin resistance happens when your body doesn’t respond well to insulin, a hormone that helps regulate your blood sugar levels. To compensate, your pancreas produces more insulin, leading to higher levels in your bloodstream (hyperinsulinemia). This cycle not only makes it harder for your body to manage blood sugar but also contributes to weight gain

How it Works

Obesity means having too much body fat, and it’s a key part of diabesity. When you carry excess weight, especially around your belly, it can trigger chronic inflammation and release harmful chemicals in your body. These chemicals can mess with how insulin works, making your cells resistant to its effects. As a result, your blood sugar levels can rise, increasing the risk of developing type 2 diabetes.

Diabesity isn’t just about numbers on a scale—it’s about your overall health. People with diabesity are not only at higher risk for diabetes but also for heart disease and other serious health problems. That’s why understanding and managing diabesity is crucial.

How Diabesity Relates to Being Overweight

Diagnosing diabesity involves looking at a person’s weight, blood sugar levels, and sometimes checking insulin levels too. Treatment focuses on lifestyle changes like eating a balanced diet, exercising regularly, and sometimes taking medications to help control blood sugar and insulin levels.

The good news is, with the right approach, diabesity can be managed and even prevented. Small changes like eating more fruits and vegetables, staying active, and maintaining a healthy weight can make a big difference. Bigger changes, such as having bariatric surgery, can help a person lose weight and also improve or eliminate diabetes symptoms. If you’re concerned about diabesity or your risk factors, Anchorage Bariatrics is here to help you take steps towards a healthier future. Schedule an appointment today by calling us at 907-644-8446 or visit our website at  anchoragebariatrics.com. We’re here to help you achieve a healthier, happier you!


Diagnosis and Treatment

  • Diabesity greatly increases the risk of developing serious health conditions like heart disease, stroke, high blood pressure, and certain types of cancer.
  • People with diabesity often require more frequent medical visits, medications, and even surgeries, leading to higher healthcare costs.
  • Diabesity can create a vicious cycle, where obesity leads to diabetes, and diabetes makes it harder to manage weight, making both conditions worse over time.
  • Diabesity can lead to chronic pain, mobility issues, and fatigue, which can significantly reduce a person’s quality of life.
  • Diabesity is not just an issue for adults. Increasing rates of obesity in children are leading to more cases of type 2 diabetes at younger ages, which can result in lifelong health problems.

Do You Have Aetna or Blue Cross Blue Shield Insurance?

If you’ve been contemplating bariatric surgery but aren’t sure what your insurance will cover, you may be in for a surprise! If your health insurance is through Blue Cross Blue Shield or Aetna, there’s a good chance that bariatric surgery may be covered. The process to undergo surgery will take several months, but you can begin even before your consultation with Anchorage Bariatrics. Your insurance stipulates that you fulfill specific requirements in order to be approved for surgery.

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In many cases, there’s more to weight gain than just overeating. Obesity can result from underlying psychological issues that, if left untreated, can spiral to the point of seriously impacting quality of life. At over 500 pounds, Dennis R. was not able to enjoy life to the fullest. He isolated himself, despite having a supportive network and a job he is passionate about. Dennis shares his story of redemption, overcoming addiction and how his obesity was brought on by mental stress a lifetime in the making, in hopes of inspiring others. Dennis’s story is not an overnight success and his journey proves one’s discipline and persistence gives great results. Dennis’s family moved around a lot when he was a child. He was born in New Mexico, moved to Alaska as a toddler, and landed in Arkansas during high school. “I felt like a fish out of water,” describes Dennis. “Talk about culture shock, going from Alaska to the deep South. It was hard to make friends and I coped with that by eating an entire pizza daily after school. I gained over 100 pounds during my junior and senior year. My favorite sport was basketball, but the coaches said I was too heavy to play. I turned to football and played on the offensive line, earning a spot on my college team and eventually playing semi-pro ball.” Dennis traces his weight gain back to 1990. “The stress of moving from Alaska to Arkansas was really what kick-started the gaining for me, but I continued to make poor life choices in other areas as well as my diet. I eventually failed out of college, which only added to the emotional stress,” laments Dennis. “My weight was getting really out of control, so I tried diets like NutriSystem but as soon as I stopped them, the weight would come back and then some. I would lose up to 70 pounds and then gain it all right back.” Dennis was dealing with life-threatening medical conditions as his weight crept past 500 pounds. “I could hardly walk. I was constantly going to the hospital with swelling in my legs, chest pains, and cellulitis. I was taking multiple medications for diabetes and blood pressure,” Dennis says. “My coping mechanisms were consumption. I dealt with alcoholism and drug addiction by getting sober in 2006, but I never dealt with my food addiction and it was slowly killing me.” Dennis reached his breaking point in 2018. “I was sick and tired of being sick and tired. If I left the house, strangers would come up to me out of the blue and recommend weight loss surgery. It was embarrassing having to buy two seats on an airplane and buy size 7X shirts,” Dennis says. “I knew I needed surgery and as was the case with overcoming my addictions, I knew I had to be persistent and just do it. I looked at two bariatric practices in Alaska, and Anchorage Bariatrics really struck me as the place I needed to go. They have a great website and everything I read about them made me feel comfortable. I booked an appointment and was so glad I took that first step! The Anchorage Bariatrics staff are so friendly. Erika, Kristi and Tim are so supportive and understanding. Erika walked me through the whole process, the diet I would follow pre- and post-surgery, and answered all my questions. I love Anchorage Bariatrics. They feel like family.” In his first consultation with Anchorage Bariatrics, Dr. Clark told Dennis that he had to lose weight before surgery. A determined Dennis lost 43 pounds before his next appointment and Dr. Clark was impressed and approved surgery. Today, Dennis exercises daily. He walks during his lunch breaks and walks his dogs more, sometimes racking up six miles on a weekend. He says he thinks about his meal plan and makes sure he has everything he needs to prepare healthy meals. At only five months into his journey, Dennis has lost over 100 pounds; gone from a 56” elastic waistband to a 48; dropped three shirt sizes; doesn’t have to get a seatbelt extension on an airplane any more; and went canoeing for the first time since 1990! He is also weaning off his other medications and feels blessed not having to go to the ER all the time. “I used to isolate, I never wanted to go out of the house and be seen, I never wanted to talk to anyone, and I had very low self-esteem. Now, I go out to restaurants and go out in public and I don’t mind it. I have more energy now than I ever had,” shares Dennis. “The new stomach pouch created by my sleeve gastrectomy is a tool, not a cure all. I’ve learned that food is not everything. It used to be such a big deal for me, but now it isn’t all-consuming. I’m learning how to live and eat sensibly and it feels amazing,” Dennis says. “I’m grateful for all of the support from Anchorage Bariatrics, especially the psychological team, and I look forward to losing the next 100 pounds. You’ll hear from me again next year and you bet I’ll be at my goal weight. Nothing can stop me now!”
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