Diabetes Meds for Weight Loss: Are They Worth The Hype | Lindsey Elmore & Shawn Barnes

The Lindsey Elmore Show

Lindsey Elmore

Health & Fitness, Nutrition, Alternative Health, Medicine

5.0 • 529 Ratings

🗓️ 19 November 2024

⏱️ 47 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this week's episode: we dive into essential considerations for managing diabetes and weight in older adults, focusing on the impact of medications, muscle mass, and strength training. Discover key insights on balancing benefits and risks, preventing frailty, and maintaining independence through fitness and nutrition. Listen to this episode if you're interested in strategies for healthier aging and supporting loved ones with diabetes.

Topics covered in this episode:

Miralax and Mental Status Changes
GI Effects in Older Adults
GLP-1 Agonists and Kidney Injury
Kidney Monitoring on Discharge
Muscle Loss with GLP-1 Agonists
Frailty and Rapid Weight Loss
Sarcopenia and Daily Living Challenges
Risk of Nursing Home Transition
Weightlifting with GLP-1 Agonists
Benefits of Muscle Building
Obesity Complications: Heart, Liver, Kidney
BMI Criteria for GLP-1 Agonists
Appetite Reduction and Alcohol Cravings
GLP-1 Agonists and Sleep Apnea
Muscle, Bone Loss in Older Adults
Bisphosphonates and Esophageal Erosion
Nutrient Deficiencies in Older Adults
Protein Needs for Older Adults
Medication Costs and Accessibility
Inflation Reduction Act Coverage
Beers Criteria for Older Adults

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Transcript

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0:00.0	Welcome to the Lindsay Elmore Show, a podcast for people who deserve to be healthy with honest, open, and enlightening conversations with doctors, thought leaders, creatives, and spiritual gurus.
0:13.6	You'll walk away with simple and tangible tips and tricks that allow you to live your healthiest life so you can pursue your dreams,
0:23.9	overcome obstacles, and leave your mark.
0:27.4	I wanted to start out today just by going through an overview of considerations of body weight, because there are certain diabetes meds that can cause weight gain,
0:43.4	and there are other diabetes meds that can cause weight loss.
0:47.7	The most quintessential medication that's going to cause weight gain is going to be insulin.
0:53.1	Now, that said, it is very important if people have type 1 diabetes, obviously they are going to be on
1:01.8	insulin for life.
1:03.6	We also know that people who have really high A1Cs at diagnosis will also be on insulins for life. But similarly, the
1:17.8	medications that are insulin, what are called secretagogues, they cause insulin to be secreted.
1:24.8	These are your sulfonylureas are also very, very likely to cause some weight gain.
1:33.5	And then our TZDs, our thiazolidine diones, are also likely to cause some weight gain.
1:41.2	So if you're working with one of your patients, you see that they are overweight and that they
1:47.7	are on a TZD, a sulfanelioria, or insulin, it may bode well to have a conversation with their
1:57.6	prescriber about whether or not these are the appropriate medications for them.
2:05.3	Additionally, similar to insulin, sulfonylureas also have a very high risk of hypoglycemia.
2:12.9	And we know that in our older population, hypoglycemia is a risk for falls.
2:19.4	And as we know, as nurses and as care providers, falls and older adults can lead to very
2:27.7	significant morbidity and actually lead to mortality as well. People, women over the age of 65 who fall and break a hip are 50% likely to be
2:43.8	dead within two years. So half of the women over age 65 that fall down are very highly at risk for both the morbidity and the mortality
2:54.2	that can come along with a fall. So as you are working with your prescribers and working
3:03.4	with your patients really, if they have hypoglycemia unaware where they just don't realize
	...

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