Our expert says:
Wishing you all the best for 2009. When you see the doctor discuss your inability to lose weight with him/her and ask for tests to determine if you suffer from hormone imbalances (thyroid, blood sugar and insulin levels (in case you suffer from insulin resistance IR) and female hormones (in case you have polycystic ovarian syndrome PCOS). Depending on what the blood tests show, the dr will prescribe the necessary treatment (for example thyroid replacement therapy or Glucophage if you have IR). If you do suffer from IR or PCOS then it is essential to consult a clinical dietitian again, because the correct diet is one of the most important factors in treatment. Visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area. The dietitian will take your IR, medications and other conditions such as overweight, into account when working out a diet for you, which will be based on foods with a low glycaemic index (GI). Click on 'Diet' and 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. Also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes’. Regular daily aerobic exercise for at least 30 min per day can also help you to improve your insulin and glucose levels, so start doing an aerobic exercise (running, jogging, skipping, cycling, swimming, join a gym or Walk for Life) as soon as possible.
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