Miami Weight Loss Center

Diabetologist & Endocrinologist : Helping Individuals with Diabetes, Hypertension and Other Medical Problems Lose Weight

Richard Lipman, M.D. is a doctor who specializes in weight loss. As an endocrinologist and diabetologist, he can help you lose weight quickly even if you have diabetes, heart disease, low thyroid, or high cholesterol.

If you have these problems your weight loss may be much more important to you health than people who are trying to lose weight solely for cosmetic reasons. Being an endocrinologist, every day he treats overweight people with diabetes, high blood pressure, and heart disease. Some of the medications like insulin and beta blockers for hypertension interfere with weight loss. Some diabetic medications actually make you gain weight.

DiabetologistThere are a few medications for control of diabetes that make you lose weight such as Metformin, Exentide and Victoza. Metformin, a generic diabetes treatment usually sold under the brand name Glucophage, may help people with diabetes to lose weight by lowering their appetites. Insulin makes people overweight by acting on the brain to cause hunger, making the liver manufacture fat and fill fat cells in the stomach.

Dr. Lipman’s 35 years experience as an internist and endocrinologist helps him design a personal weight loss program whether you have heart disease, diabetes, low thyroid, high cholesterol or any other internal medicine problem. Dr. Lipman, diabetologist, can design your own personal weight loss plan.

Why Lose Weight At All?

Men and women have a 20% increase in mortality for every 2 inch increase in waist size – above 38 inches for men and 32 inches for women. The same trend applied even to normal, non-overweight adults: increasing abdominal girth above 34 inches was associated with increased risk.

Risks of Dying Young from Obesity:
Here is a rough correlation: Every 2 inch increase in your belt size = a 17% increase chance of dying young. (Walking a mile a day = a 2 inch reduction in a year.) That’s a good reason to see a diabetologist!

Risk of Complications from Gaining Weight:

You don’t have to be obese or 30 pounds overweight to increase your risk for heart attacks. All it takes is gaining 7 pounds to increase your chances of having a heart attack by 11%. Double that weight gain and you have a 25% risk. (another good reason to see a diabetologist!)

Spanning two decades, 21,000 non-smoking American male doctors without heart disease –average starting age of 53- were followed annually for 8 years. Blood pressure, cholesterol, triglycerides, heart disease and cancer were checked yearly. You will be surprised how poorly they did. Here is a summary of the study report, called the Physicians Health Study II.

Only 1109 male doctors were in this part of the study. Here is what they found:

  • A higher BMI increased heart failure risk in active & inactive participants
  • Modestly overweight had increased heart risk—increasing with weight gain
  • Every 7 pounds of excess weight = 11% increased heart risk in the 20 years
  • Overweight participants had a 49% heart failure increase
  • Obese participants had a 180% heart failure increase
  • Active participants experienced an 18% reduction in heart failure risk
  • Higher activity participants experienced a 36% reduction in heart failure

There was a doubling of obesity in these doctors!

The study shows that even in healthy doctors in this country, who presumably should know better, there was a doubling of obesity and a 8% increase in those overweight. The general US population is far behind with 33% obese and 67% overweight.

A 2 inch increase in your waist size results in a 25% increase in diabetes and heart disease and cuts off 1 to 2 years from your lifespan.

Reduce Your Weight, Reduce Your Risks

Whether you are seven pounds or 70 pounds overweight, the more you exercise, the more you reduce your risk for heart failure and prolong your life. Even a 7 lb. weight loss increases lifespan. The American Heart Association recommends healthy adults age 18-65 should get 30 minutes of moderate level activity five days per week. Adults 65 and older or those aged 50 – 64 with chronic conditions or physical limitations need to follow additional guidelines provided by their physician.