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How to gain weight quickly with diabetes.
General Medicine
Question #9426
50 days ago
2,389

How to gain weight quickly with diabetes. - #9426

Xavier

I'm 26M 47kg 5.6 ft diabetic , and I look skinny as hell. What medicines can I take to gain 10 kg weight in 2 months. Can I take steroids or anything like dexona or practin as it is so embarrassing for me to answer people as I haven't told about being diabetic. My suger levels are good. Usually 110 fasting. I check it once in every 10-12 days. I take metformin for that.

Age: 26
Chronic illnesses: Diabetes
200 INR (~2.35 USD)
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Hello, Since you’re underweight (47 kg, 5’6”) with diabetes, gaining weight safely is crucial. Avoid steroids (Dexona, Practin) as they can increase blood sugar and cause long-term harm. Safe Ways to Gain Weight: 1. High-Calorie, Diabetes-Friendly Diet: • Protein-rich foods – Eggs, paneer, chicken, fish, lentils. • Healthy fats – Nuts, seeds, peanut butter, olive oil. • Complex carbs – Oats, brown rice, whole wheat roti (avoid refined sugar). • Frequent meals – 5-6 small meals daily to increase calorie intake. 2. Supplements (Safe for Diabetes): • Whey Protein Isolate (low-carb, helps muscle gain). • Diabetic-friendly weight gainers (e.g., Ensure Diabetes Care). • Multivitamins (Vitamin D, B12, and Omega-3s). 3. Exercise for Lean Mass: • Strength training (bodyweight, dumbbells, resistance bands). • Avoid excessive cardio (focus on muscle gain). 4. Blood Sugar Monitoring: • Keep checking fasting & post-meal sugar levels while increasing calories. • Adjust metformin dosage (if needed) under medical supervision. Goal: With proper diet & exercise, you can gain 4-5 kg in 2 months safely.
Accepted response

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Thanks for sharing, and I can totally understand how frustrating it feels when people constantly comment on your appearance—especially when you're managing something like diabetes in silence. Here’s a clear, two-paragraph breakdown for you: Weight gain for someone with diabetes (especially if you're on metformin) needs to be strategic, not rushed. Metformin can suppress appetite and contribute to weight loss, so gaining weight might require more effort. While medicines like Practin (cyproheptadine) or Dexona (dexamethasone) can increase appetite and weight temporarily, they come with risks—especially for diabetics. Dexona is a steroid that can worsen blood sugar control, lead to water retention, and harm long-term health. Practin can be safer than steroids, but it’s still not ideal for unsupervised use. Instead, focus on high-calorie, nutrient-dense foods like peanut butter, full-fat milk, paneer, nuts, eggs, and protein shakes made for diabetics. Eating 5-6 times a day and pairing carbs with protein at every meal helps you gain without spiking sugar. If your fasting sugar is stable (around 110) and you’re otherwise healthy, you can still gain 8–10 kg in 2–3 months safely with a well-designed plan. Add strength training (even bodyweight or resistance bands at home), and consider diabetic-safe weight gainers or whey protein isolates. A clinical dietitian can help tailor a plan so you gain muscle, not fat. Don't go the shortcut route with steroids—it’s tempting, but it can cause more damage than good. You’re not alone in this, and with a bit of planning, you can transform your appearance while keeping your sugar in check and avoiding long-term risks.

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It sounds like you're dealing with a few different issues related to both your diabetes and your desire to gain weight, so I want to help you approach this carefully, as gaining weight in a healthy way is important, especially with diabetes. Let's break it down: *1. Diabetes and Weight Gain** Since you’re diabetic and managing it with **metformin**, it's important to approach weight gain carefully. Diabetes can affect how your body processes nutrients and stores fat, so any plan for gaining weight should be done in a controlled manner to avoid negatively affecting your blood sugar levels. **2. Medications Like Steroids (Dexona, Practin)** You asked about taking medications like **Dexona** (a steroid) or **Practin** (an antihistamine often used to increase appetite). While these may help with weight gain temporarily by stimulating appetite or causing fluid retention, they **are not ideal** for long-term use for the following reasons: - **Steroids (e.g., Dexona)**: Long-term steroid use can lead to **side effects** such as **high blood sugar**, **fluid retention**, **high blood pressure**, and **fat distribution changes** that could worsen your diabetes. Steroids can also impact bone health and overall metabolism. - **Practin (Cyproheptadine)**: While this medication can increase appetite and help some individuals gain weight, it also comes with potential side effects like **sedation**, **drowsiness**, and **dizziness**, which could impact your daily life. Moreover, it doesn't promote healthy weight gain but rather just increases caloric intake. *3. Healthy Weight Gain Strategies** Given your situation, it’s best to focus on a **nutrient-dense** approach to weight gain rather than relying on medications like steroids or appetite stimulants. Here are some **healthier strategies** to help you gain weight: *1. High-Calorie, Nutrient-Dense Foods** - **Healthy Fats**: Include foods high in healthy fats, like **avocados**, **nuts**, **seeds**, **olive oil**, and **full-fat dairy**. These foods are calorie-dense and can help you gain weight without spiking blood sugar levels. - **Protein-Rich Foods**: Incorporate plenty of protein into your meals. Foods like **chicken**, **fish**, **eggs**, **lentils**, and **tofu** are great sources. Protein is essential for muscle building, which can help you gain lean mass instead of just fat. - **Whole Grains and Starches**: Include **whole grains** (like **brown rice**, **quinoa**, **oats**) and **starchy vegetables** (like **sweet potatoes**, **corn**, and **peas**) in your diet. These foods provide sustained energy and help build muscle mass. - **Smoothies and Shakes**: Consider drinking **homemade smoothies** that combine healthy fats (avocado or nut butter), protein (Greek yogurt or protein powder), and complex carbs (oats, bananas). This is an easy way to consume more calories without feeling overly full. **2. Strength Training and Exercise** To gain healthy weight, focus on **strength training exercises** (like weightlifting or bodyweight exercises) 3-4 times a week. This can help you build muscle, which will contribute to healthy weight gain. - **Resistance training** stimulates muscle growth, and muscles weigh more than fat, so as you gain muscle, your weight will naturally increase. - Additionally, exercise improves your overall metabolism, helps you manage blood sugar levels, and can help you feel better overall. **3. Monitor Your Blood Sugar** Since you're diabetic, it’s crucial to continue monitoring your blood sugar regularly. As you increase your calorie intake, be mindful of how your body responds and adjust your **metformin dosage** if necessary (under the guidance of your doctor). If you're gaining weight through eating calorie-dense foods, your doctor might also check for any changes in your insulin needs. *4. Consult a Dietitian** It would be wise to consult a **registered dietitian** or a healthcare provider specializing in diabetes management to help you create a meal plan tailored to your specific needs. They can ensure that you're gaining weight in a healthy way without compromising your blood sugar control. **5. Key Points** - **Avoid steroids** like Dexona or Practin for weight gain, especially as someone with diabetes. These can interfere with blood sugar control and lead to unhealthy side effects. - Focus on **nutrient-dense foods** and **calorie-dense meals** that are healthy and support muscle gain (healthy fats, lean proteins, and complex carbs). - Incorporate **strength training** to help build muscle mass and support healthy weight gain. - **Monitor blood sugar** closely as you adjust your eating habits, and consult with your doctor for advice on your diabetes and weight gain goals. **Conclusion** Rather than relying on steroids or appetite stimulants, it's best to take a holistic and healthy approach to gaining weight. Proper nutrition, strength training, and professional guidance will help you build healthy weight and muscle mass. If you're feeling uncomfortable with your body image or weight, remember that this process will take time, and with consistency, you can reach your goals. If you need more personalized advice, feel free to ask, and best of luck with your health journey!

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