Our expert says:
Have you had your insulin levels checked to see if you suffer from insulin resistance? The symptoms you describe could be caused by insulin resistance (IR), esp feeling tired and cold. If you do suffer from insulin resistance then it is essential to consult a clinical dietitian, 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 low-fat 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) for 30 min a day. This may sound like a contradiction when you are feeling so tired, but if you start gently and go for a 10 min walk every day and gradually increase how long, far and fast you walk, this will promote weightloss, improve your mood and your circulation and any insulin problems you may have. Most low-GI carbohydrates, fruits and vegetables are good sources of dietary fibre which should help for the constipation. If you are not suffering from IR, then one other factor that could be playing a role is depression. If this is the case then you need to consult a clinical psychologist for assistance.
I hope you can pinpoint what is causing these symptoms and feel more energetic and healthy soon.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.