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Real members of DiabetesTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A DiabetesTeam Member asked a question 💭
Chenango Bridge, NY
March 26, 2025
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A DiabetesTeam Member

@A DiabetesTeam Member while needing to gain weight is not usually a problem for most diabetics those with that problem "almost always" are primarily Insulin Deficient (most Type 2's are predominantly Insulin Resistant)

To gain weight (body fat) we need two things - leftover carbs (from eating) and leftover insulin (from the pancreas)

If someone is insulin deficient they will never have enough "leftover" to gain weight

The solution can be complex and should be discussed with a doctor who knows entire health history

Simply adding Insulin Therapy would provide some extra insulin to help with weight gain, but if the insulin isn't needed for sugar control (unless it could be used to replace a current medication) then that is a rather drastic step to take (injecting insulin) just to gain a few pounds

There may be other solutions that the Doctor could suggest but they may be reluctant unless his BMI dropped below 18.5 which is still considered a safe weight at the low end

March 26, 2025 (edited)
DiabetesTeam

While many people with diabetes focus on weight loss, gaining weight in a healthy way is also important for some individuals. The key is to work with a registered dietitian who specializes in diabetes to create a meal plan that helps gain weight while keeping blood sugar levels stable.

Focus on nutrient-dense foods that Show Full Answer

While many people with diabetes focus on weight loss, gaining weight in a healthy way is also important for some individuals. The key is to work with a registered dietitian who specializes in diabetes to create a meal plan that helps gain weight while keeping blood sugar levels stable.

Focus on nutrient-dense foods that are rich in healthy fats and proteins, while still monitoring carbohydrate intake. This might include foods like avocados, nuts, lean proteins, and whole grains in appropriate portions. It's important that your husband works closely with his healthcare team since diabetes medications can affect weight management. His doctor may need to adjust his treatment strategy to support healthy weight gain while maintaining good blood sugar control. Regular physical activity should still be maintained as it helps manage blood glucose levels, even during weight gain efforts.

March 26, 2025

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