Bernhan

Q:

My husband is type 1 diabetic, 6'3" and a scrawny, almost cachectic, 170lbs (size 32 waist) especially lately after a recent bad pneumonia. He was diagnosed about 5 years ago at the age of 37 after he had lost about 50 lbs. He is on a sliding scale and lantus. Is there any time of weight gainer shake that is safe for him to drink to help him put weight back on? He is very uncomfortable and self conscious like this. Thank you.

Amy Campbell

A:

There are a number of shakes or supplements on the market, including Ensure, Boost and Glucerna, to name a few. They contain anywhere from 200 to 350 calories, in general, per 8-ounce serving. They do contain carbohydrate and will likely affect blood glucose levels, however. My suggestion is to have your husband ask his doctor for a referral to a dietitian to develop an eating plan that will help him gain weight. Then, your husband should work with his doctor to adjust his insulin doses, as he likely will need to increase his dose if he will be eating more. It’s okay to take more insulin in response to eating more food; it just needs to be done to ensure that his blood glucose levels stay within his target range.

May 28, 2014 at 7:13 pm