¿Bajar de peso realmente es la SOLUCIÓN para la DIABETES?
Dr. Elias Suvalsky - Diabesmart
29,828 views
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I'll explain the best approach when you're thinking about losing weight to control diabetes.
✅ Schedule an online or in-person consultation, or request information about our services:
💬 WhatsApp 👉🏻 https://wa.me/message/3DEI7GUUZASPC1
☎️ (55) 4742 6420
WEBSITE - https://diabesmart.com.mx/
FACEBOOK - Facebook: diabesmart.mx
INSTAGRAM - Instagram: diabesmart
00:00 – Is weight loss the ultimate solution? (The Incomplete Idea)
02:14 – What Science Says: The Real Impact of Weight Loss
04:47 – The Big Mistake: Weight Loss Isn't an Action, It's a Result
06:15 – The Dangers of Extreme Diets and the Rebound Effect
08:03 – Why Not All Weight Loss Improves Your Metabolism
09:22 – The Scale Myth: Why That Number Doesn't Tell the Whole Story
10:45 – Body Composition: Muscle vs. Fat
11:29 – Muscle as a Key Tool for Glucose Control
14:00 – Visceral Fat: The Type of Fat That Really Damages Your Health
19:57 – The Diabesmart Approach: Energy, Strength, and Sustainable Habits
24:06 – Conclusion: Don't Chase the Scale, Chase Better Body Function
The idea that “weight loss is the solution for diabetes” is incomplete. And when a health message falls short, it can do more harm than good. This is seen every day in consultations: newly diagnosed individuals, others who have already tried multiple diets, many tired, frustrated, and burdened with guilt, convinced that if they don't lose weight, it's because they "failed."
Science does recognize that sustained weight loss can improve glucose control in people with type 2 diabetes. Current guidelines (ADA/EASD 2023–2025) show that losing 5–10% of body weight is associated with clinically significant reductions in glycated hemoglobin, fasting glucose, triglycerides, and blood pressure. Greater weight loss (≥10–15%) may even be associated with diabetes remission, especially if the disease is recent and the changes are maintained over time.
But here's what's almost never explained well:
First, this doesn't apply equally to everyone;
Second, weight loss isn't the only strategy for improving glucose levels;
and third—and this is crucial—weight loss isn't an action, it's a result.
Weight changes as a consequence of multiple factors: diet, physical activity, sleep, stress, hormones, medications, muscle mass, and fat distribution. When advice focuses solely on "weight loss," it ignores everything that truly drives metabolism. And then problems arise: extreme diets, eating too little, eliminating entire food groups, losing muscle, constant fatigue, and, sooner or later, regaining the weight.
Not all weight loss translates to metabolic improvement. It's possible to lose weight and worsen insulin resistance, lose muscle—one of the main tissues that use glucose—and end up with a more fragile metabolism. That's why the scale is a limited tool: it only measures total weight, doesn't distinguish between fat, muscle, or water, and tells us nothing about how the body is functioning.
This is where a key concept comes in: body composition. It's not about how much you weigh, but about what your body is made of. In diabetes, having more muscle and less harmful fat—especially visceral fat—is far more important than the number on the scale. Reducing visceral fat can improve insulin sensitivity even without significant weight changes.
The real goal in diabetes isn't simply to "lose weight," but to improve metabolic function: less visceral fat, more or better muscle mass, more stable blood sugar, and sustainable habits. When weight loss results from doing things right, the results don't just appear: they last.
20 Comments
En mi experiencia personal, fuí diagnosticado con Diabetes tipo 2 hace 28 años y nunca he tenido sobre peso.
De hecho, llegué a Diabesmart hace 2 años, con el fin de conseguir algo más de apoyo pues en ese tiempo tenía una hemoglobina glucosilada de 7.5 y en el IMSS estaban intentando ajustar mi tratamiento, entre otras cosas, cambiar el tipo de insulina y por ese motivo tuve mis primeros episodios críticos de Hipoglucemia.
En mis primeras consultas en Diabesmart, también me dijeron que tenía que hacer ajustes en mi tratamiento y recuerdo que en algún momento comenté que me consideraba un diabetico tipo 1.5 por el hecho de que usaba Insulina y también aplicaba las recomendaciones para un diabético tipo 2.
Para no hacer la historia muy larga, ahora sé que mi diabetes es más bien el tipo LADA y la razón de mi mal diagnóstico inicial, simplemente se debió a que, en ese tiempo, la mayoría de los doctores generales e inclusive algunos endocrinologos, solo conocían la diabetes tipo 1 y 2.
Mis primeros 25 años de diabético, los pasé con escaso seguimiento de doctores, pues me quedó claro desde el principio que solo la participación activa del paciente puede lograr un control adecuado de la glucosa a largo plazo, en especial si tienes que usar una combinación de insulinas o solo usar insulina basal (lenta).
El cuestionar el tratamiento de los doctores: General, Familiar, Medicina Interna (Endocrinologo) o especialista en diabetes como es en diabesmart, será causa de conflicto, pues la mayoría, si no es que todos ellos consideran que el paciente sabe menos que ellos y lo mejor que puede hacer es seguir las instrucciones que nos dan sin replicar, que afortunadamente NO es mi caso.
Ahora que me Jubile, tengo tiempo de prestar más atención a mi salud y quiero compartir esa experiencia, ahora con la ayuda de Diabesmart estoy intentando que el IMSS cambie el diagnóstico de diabetes tipo 2 a tipo LADA que requiere que le presten más atención que al tipo 2 y mi caso pueda ser útil para mejorar el diagnóstico y seguimiento de más enfermos de diabetes que por desgracia sigue aumentando en nuestro país.
Saludos desde Buenos Aires,Argentina ❤❤❤❤❤❤❤❤❤❤❤
¿Bajar de peso realmente es la SOLUCIÓN para la DIABETES?
Dr. Elias Suvalsky - Diabesmart
29,828 views
❗📪 Sign up for our newsletter to receive practical tools that will help you manage your glucose levels 👉🏻 https://bit.ly/49rHTMh
I'll explain the best approach when you're thinking about losing weight to control diabetes.
✅ Schedule an online or in-person consultation, or request information about our services:
💬 WhatsApp 👉🏻 https://wa.me/message/3DEI7GUUZASPC1
☎️ (55) 4742 6420
WEBSITE - https://diabesmart.com.mx/
FACEBOOK - Facebook: diabesmart.mx
INSTAGRAM - Instagram: diabesmart
00:00 – Is weight loss the ultimate solution? (The Incomplete Idea)
02:14 – What Science Says: The Real Impact of Weight Loss
04:47 – The Big Mistake: Weight Loss Isn't an Action, It's a Result
06:15 – The Dangers of Extreme Diets and the Rebound Effect
08:03 – Why Not All Weight Loss Improves Your Metabolism
09:22 – The Scale Myth: Why That Number Doesn't Tell the Whole Story
10:45 – Body Composition: Muscle vs. Fat
11:29 – Muscle as a Key Tool for Glucose Control
14:00 – Visceral Fat: The Type of Fat That Really Damages Your Health
19:57 – The Diabesmart Approach: Energy, Strength, and Sustainable Habits
24:06 – Conclusion: Don't Chase the Scale, Chase Better Body Function
The idea that “weight loss is the solution for diabetes” is incomplete. And when a health message falls short, it can do more harm than good. This is seen every day in consultations: newly diagnosed individuals, others who have already tried multiple diets, many tired, frustrated, and burdened with guilt, convinced that if they don't lose weight, it's because they "failed."
Science does recognize that sustained weight loss can improve glucose control in people with type 2 diabetes. Current guidelines (ADA/EASD 2023–2025) show that losing 5–10% of body weight is associated with clinically significant reductions in glycated hemoglobin, fasting glucose, triglycerides, and blood pressure. Greater weight loss (≥10–15%) may even be associated with diabetes remission, especially if the disease is recent and the changes are maintained over time.
But here's what's almost never explained well:
First, this doesn't apply equally to everyone;
Second, weight loss isn't the only strategy for improving glucose levels;
and third—and this is crucial—weight loss isn't an action, it's a result.
Weight changes as a consequence of multiple factors: diet, physical activity, sleep, stress, hormones, medications, muscle mass, and fat distribution. When advice focuses solely on "weight loss," it ignores everything that truly drives metabolism. And then problems arise: extreme diets, eating too little, eliminating entire food groups, losing muscle, constant fatigue, and, sooner or later, regaining the weight.
Not all weight loss translates to metabolic improvement. It's possible to lose weight and worsen insulin resistance, lose muscle—one of the main tissues that use glucose—and end up with a more fragile metabolism. That's why the scale is a limited tool: it only measures total weight, doesn't distinguish between fat, muscle, or water, and tells us nothing about how the body is functioning.
This is where a key concept comes in: body composition. It's not about how much you weigh, but about what your body is made of. In diabetes, having more muscle and less harmful fat—especially visceral fat—is far more important than the number on the scale. Reducing visceral fat can improve insulin sensitivity even without significant weight changes.
The real goal in diabetes isn't simply to "lose weight," but to improve metabolic function: less visceral fat, more or better muscle mass, more stable blood sugar, and sustainable habits. When weight loss results from doing things right, the results don't just appear: they last.
Quería tomarme un momento para decirle que se nota cuando alguien sabe… y cuando además es honesto. Sus videos explican con claridad, sin exageraciones ni estridencias, y eso hoy es un lujo. Se agradece la forma tranquila, respetuosa y responsable con la que comunica; así sí se construye confianza y se educa de verdad. Siga así, hace falta medicina explicada con conocimiento y con ética.