Very overweight - where can i start?

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  • mmacavity
    mmacavity Posts: 781
    BBC Radio 4 TheReport

    "Salad v Surgery: Treating Type 2 Diabetes
    Once a purely cosmetic procedure, bariatric surgery procedures like this have been described as the greatest advance in the history of treatment of Type 2 diabetes - so why aren't more patients being treated in this way?

    The National Institute of Clinical Excellence (NICE), which provides guidance and advice to the NHS, has said obese patients with diabetes should be rapidly assessed for surgery - but that's yet to happen.

    The treatment has been met with fierce criticism, especially from the tabloid press, which declared it undeserved: fat people should just stop eating instead of using up valuable resources to pay for vanity operations.

    Furthermore, Britain's leading diabetes charity, Diabetes UK, has also warned of the 'serious risks' posed by the procedure - even though the NHS has itself stated it is not more risky than a routine gall bladder operation.

    The irony here is that increasing the number of bariatric procedures could actually save the NHS millions of pounds, as patients are weaned off costly diabetes drugs - the NHS currently spends around £12bn a year treating the disease.

    With round 700 people diagnosed with diabetes in Britain every day, are we letting misguided morality get in the way of an opportunity to save money - and lives?"

    http://www.bbc.co.uk/programmes/b06j5qdf#play
  • No matter how unfit you are, it is never too late to ride a bike. It certainly helped me a lot. The bikes with wide tires should be helpful though.
  • BBC Radio 4
    "A Fat Lot of Good

    Food Programme

    The range of fats and oils available to us is growing but the advice has changed dramatically. Sheila Dillon looks to cut through the latest thinking to help gain clarity of which we should be using when.

    She's joined in the studio by Dr Michael Mosley whose recent investigation looked into how the composition of saturated and polyunsaturated fats changed when heated with food and resulted in the the production of dangerous aldehydes. Sheila finds out what response there has been since the programme and how he's changed his own cooking and buying habits but what questions should we be asking when we eat out?"

    http://www.bbc.co.uk/programmes/b06ltb5d#play

    www.bbc.com/news/magazine-29616418
  • Who can help also me?
  • I've always struggled to lose weight (I'm pretty skinny, but am greedy!) and the only thing which has ever worked for me is cutting out carbs and foods with sugars in them.. do that 6 days a week, with a few cheat meals on the 7th and you should find the weight will fall off..
  • brianbee
    brianbee Posts: 330
    I've always struggled to lose weight (I'm pretty skinny, but am greedy!) and the only thing which has ever worked for me is cutting out carbs and foods with sugars in them.. do that 6 days a week, with a few cheat meals on the 7th and you should find the weight will fall off..

    Yes it will probably cause you to lose weight, but will rob you of an important energy source. Im not sure living in near permanent ketosis is a good thing ?
  • Alex99
    Alex99 Posts: 1,407
    I've always struggled to lose weight (I'm pretty skinny, but am greedy!) and the only thing which has ever worked for me is cutting out carbs and foods with sugars in them.. do that 6 days a week, with a few cheat meals on the 7th and you should find the weight will fall off..

    How do you keep active with no carbs? Isn't that like having the knock all the time?
  • keef66
    keef66 Posts: 13,123
    I've never been massively fat, but from my mid 50s I slowly started to accumulate a bit more around my middle, and almost certainly a lot of visceral fat. At only 5'6" when I got to 11stone 4 lbs I was bordering on overweight.

    I tried calorie counting all the time and trying to reduce fat intake, but I get bored quickly, and often over eat carbs because low fat food is so unsatisfying. And now saturated fat is no longer on the naughty step, and carbs (sugar / fructose in particular) in the spotlight instead, it seems I was doing myself no favours.

    Now I just try to eat as many different things as I can; a balanced diet including fish and vegetables, prepared from fresh ingredients whenever possible, and in sensible portions. I try to get out on the bike 3 times a week, and 2 days a week I fast, eating just 600 calories in the evening.

    This enabled me to shift 18 pounds of excess weight, and more importantly has improved my blood lipid profile so the GP is no longer threatening me with statins / fibrates.

    Fasting on 2 non consecutive days (many people choose Mondays and Thursdays) makes it easier because you know you can eat normally the next day, and Fri / Sat / Sun are unaffected too.
  • Alex99
    Alex99 Posts: 1,407
    I've never been massively fat, but from my mid 50s I slowly started to accumulate a bit more around my middle, and almost certainly a lot of visceral fat. At only 5'6" when I got to 11stone 4 lbs I was bordering on overweight.

    I tried calorie counting all the time and trying to reduce fat intake, but I get bored quickly, and often over eat carbs because low fat food is so unsatisfying. And now saturated fat is no longer on the naughty step, and carbs (sugar / fructose in particular) in the spotlight instead, it seems I was doing myself no favours.

    Now I just try to eat as many different things as I can; a balanced diet including fish and vegetables, prepared from fresh ingredients whenever possible, and in sensible portions. I try to get out on the bike 3 times a week, and 2 days a week I fast, eating just 600 calories in the evening.

    This enabled me to shift 18 pounds of excess weight, and more importantly has improved my blood lipid profile so the GP is no longer threatening me with statins / fibrates.

    Fasting on 2 non consecutive days (many people choose Mondays and Thursdays) makes it easier because you know you can eat normally the next day, and Fri / Sat / Sun are unaffected too.

    Glad you've found a way that works for you. Just wondering about the fast days... why don't you distribute the calories evenly across 7 days?
  • keef66
    keef66 Posts: 13,123
    Tried that; just can't do it. I'm a bit of a glutton if food's available, and I just cannot watch / restrict what I eat 24/7. This way I can give in to the odd temptation during the other 5 days, and I have just enough willpower to see me through each fast day. Weighing myself every day also helps; I can see the downward trend, so I don't worry about the day to day fluctuations. Weekly weigh-ins can be deflating if they happen to be on a day when your weight just happens to be up a bit.

    I'm not just doing the intermittent fasting for weight control; I'm persuaded by the arguments about the effect of fasting on insulin sensitivity, blood lipids, cell repair etc

    Michael Mosely first started his dabbling with fasting to see if it might be a way of living longer. The weight loss was just a bonus, but it must have made him a shedload of money since it spawned the 5:2 diet
  • Alex99
    Alex99 Posts: 1,407
    Tried that; just can't do it. I'm a bit of a glutton if food's available, and I just cannot watch / restrict what I eat 24/7. This way I can give in to the odd temptation during the other 5 days, and I have just enough willpower to see me through each fast day. Weighing myself every day also helps; I can see the downward trend, so I don't worry about the day to day fluctuations. Weekly weigh-ins can be deflating if they happen to be on a day when your weight just happens to be up a bit.

    I'm not just doing the intermittent fasting for weight control; I'm persuaded by the arguments about the effect of fasting on insulin sensitivity, blood lipids, cell repair etc

    Michael Mosely first started his dabbling with fasting to see if it might be a way of living longer. The weight loss was just a bonus, but it must have made him a shedload of money since it spawned the 5:2 diet

    I'm not up on the technical details of the 5:2, but that is intereting.

    I think there is a lot of varyation. Some people find weight control difficult, and some don't. Lots of factors at play.
  • My Fitness pal worked for me, I shifted about 3.5-4 stone in total, now just maintaining, its free and worth a try!

    http://www.myfitnesspal.com
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  • chrisdouglas
    chrisdouglas Posts: 114
    BigMitch41 wrote:
    My Fitness pal worked for me, I shifted about 3.5-4 stone in total, now just maintaining, its free and worth a try!

    http://www.myfitnesspal.com

    Not very overweight myself but I am carrying a bit too much, just wanted to say I agree with Big Mitch. My best results have come from using this app on my phone. Plan the days food and stick to it and thats it. Very simple to use and intuitive. Couldnt agree more with him on this.
    2013 Kona HeiHei - 29 Life

    http://www.lakesrider.weebly.com
  • You can start with the treadmill. It is very effective exercise equipment for burning calories.
    But, first of all, you should check up your body that is your body fit for doing exercise or not?
    Thanks.......
  • I agree to all comments in helping you to be back on shape. I am thinking you might need also to monitor your weight every now and then. To be honest, my wife almost go through being an overweight, yet still love her. I helped her all through out. Diet, exercise and everything. I also made sure she can monitor her weight. I bought her Weight Gurus Bluetooth Smart Connected Body Fat Scale to help her in monitoring her weight. Maybe this could help you too. :D