lorider70

Q:

I would like to know why an in control type 2 (on glimeperide, tramadol, lisinopril, and myotoprolol) would have trouble gaining a little bit of weight, or at least maintaining what I already have? I am 70 yrs old, 5'9", and 138 lbs. I also have dysphagis which causes me to eat slowly to avoid choking. I have the most trouble with thick liquids, mashed potatoes and similar foods. meat, toast, chips, etc are easier.

Amy Campbell

A:

Are there any other health issues that you’re having, aside from the dysphagia? If not, keep in mind that sometimes people do lose a little weight (often, muscle mass) as they get older. Your body mass index (BMI) is 20, which is in the “normal” range. I suspect, however, that your dysphagia is at least part of the reason why you’re having difficulty gaining weight and are even losing some weight. Eating slowly means that you tend to feel full sooner, so that you end up eating less. You’ll need to focus on choosing foods and beverages that are high in calories. Adding fats to your foods (butter, margarine, olive oil, mayonnaise, peanut butter) can help boost calories. Eating smaller amounts of food more often during the day is another way to consume more calories. Be careful what you choose for beverages – consuming a lot of water or diet drinks, for example, will fill you up but won’t give you any calories. I’d suggest that you ask your doctor for a referral to a dietitian. He or she can carefully review your food intake and work out an eating plan with you that can help you maintain your weight and also help you manage your diabetes at the same time.

1 reply

lorider70
lorider70 2013-10-22 10:45:15 -0500 Report

Thank you for the advice. I have repeatedly discussed the weight issue with my Dr. ; but he doesn't see a problem with it and often says my weight is fine. I did not mention earlier; but I did have a heart attack in 1997, and a stent implant in 2002; so he might figure lighter weight will put less strain on anything. At 70 I guess some failings are to be expected, just not ready to admit I'm gettin old and most of the string is out.