Can Diabetics with Weight Issues Take Fat-Loss Drugs?

For many people living with diabetes, managing weight is not just about appearance, it’s a vital part of controlling blood sugar levels and reducing the risk of complications. 

Recently, there’s been a surge of interest in prescription weight-loss medications (often called anti-obesity drugs or fat-loss drugs), such as semaglutide (Wegovy, Ozempic) and tirzepatide (Mounjaro), which have been shown to help with significant weight reduction.

But can diabetics who struggle with their weight take these drugs, and more importantly, should they?

Why Weight Management Matters for Diabetics

Type 2 diabetes and excess weight are closely linked. Carrying extra fat especially around the abdomen, can worsen insulin resistance, making blood sugar harder to control. Even a modest weight loss of 5–10% can improve insulin sensitivity and lower the risk of heart disease, a major concern for diabetics.

Which Weight-Loss Drugs Are Used in Diabetes?

Some fat-loss medications are already licensed for use in people with diabetes. In fact, several were first developed as diabetes drugs and later approved for weight management:

Semaglutide (Ozempic for diabetes, Wegovy for obesity) – mimics the GLP-1 hormone to slow digestion, reduce appetite, and improve blood sugar control.

Liraglutide (Victoza for diabetes, Saxenda for obesity) – another GLP-1 agonist with similar effects.

Tirzepatide (Mounjaro) – works on two gut hormones (GLP-1 and GIP) and has shown impressive results for both weight loss and glucose control.

Other options, like orlistat (Alli, Xenical), work differently by blocking fat absorption from food, though side effects can be unpleasant.

Safety and Considerations for Diabetics

For diabetics considering fat-loss drugs, there are key points to consider:

Medical supervision is essential – Certain drugs can interact with diabetes medications, increasing the risk of hypoglycaemia (low blood sugar).

Type 1 diabetes is different – These drugs are generally not licensed for people with type 1 diabetes.

Side effects can affect blood sugar – Nausea, vomiting, or reduced appetite may require adjustments to existing medication doses.

Heart health benefits – Some GLP-1 drugs have been shown to lower cardiovascular risk, which can be a plus for diabetics.

NHS access vs. private prescriptions – In England, NICE guidelines allow some weight-loss drugs for certain patients with both obesity and type 2 diabetes, but strict criteria apply.

NHS Guidelines on Who Qualifies

As of 2025, NICE (National Institute for Health and Care Excellence) recommends that certain GLP-1 weight-loss drugs can be offered on the NHS if:

The patient has a BMI of ≥35 and weight-related health problems (including type 2 diabetes), or

They have a BMI of 30–34.9 and meet other high-risk criteria.

Treatment is usually limited to a set period (for example, two years for Wegovy) and must be part of a supervised weight management programme.

Bottom Line

Yes, diabetics who have weight issues can take certain fat-loss drugs, and in many cases, these medications are designed with them in mind. 

However, this should always be under the care of a GP or specialist, with close monitoring of both blood sugar levels and possible side effects.

Weight-loss drugs aren’t a magic fix; they work best when combined with healthy eating, regular activity, and ongoing medical support. But for some diabetics, they can be a game-changer in improving both weight and long-term health.

Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice. Always speak to your GP or healthcare provider before starting any new medication.

Foods That Can Help You Lose Weight Naturally

When it comes to losing weight, fad diets and expensive “miracle” products can be tempting. But in reality, the key to healthy and sustainable weight loss often lies in eating more of the right foods. 

Choosing ingredients that help you feel fuller for longer, support your metabolism, and balance blood sugar can make a big difference, and you don’t have to give up flavour to see results.

Here are some nutritious foods that can help support your weight-loss goals.

1. Oats

Oats are a slow-digesting, fibre-rich carbohydrate that can keep you feeling full for hours. Starting your day with a bowl of porridge topped with berries can help reduce mid-morning snack cravings and keep your energy steady. Choose whole rolled oats rather than instant varieties for maximum nutritional benefit.

2. Eggs

Eggs are an excellent source of high-quality protein, vitamins, and minerals. Having eggs for breakfast has been shown to reduce hunger and help control calorie intake later in the day. Whether boiled, poached, or made into a veggie-packed omelette, they’re a versatile weight-loss-friendly option.

3. Leafy Greens

Spinach, kale, rocket, and other leafy greens are low in calories but packed with fibre and nutrients. They’re ideal for bulking up meals without adding many calories, helping you feel satisfied while supporting your body with essential vitamins.

4. Lean Protein Sources

Chicken breast, turkey, fish, tofu, and pulses such as lentils or chickpeas are rich in protein, which supports muscle mass and helps you burn more calories at rest. Protein also has a high satiety factor, meaning it helps you stay fuller for longer.

5. Berries

Strawberries, blueberries, raspberries, and blackberries are high in fibre and antioxidants but low in calories. They’re perfect for satisfying sweet cravings without resorting to biscuits or chocolate. Add them to yoghurt, salads, or porridge for a natural flavour boost.

6. Greek Yoghurt

Unsweetened Greek yoghurt is high in protein and lower in sugar than many other yoghurts. It makes a great snack or breakfast base and pairs perfectly with fresh fruit and a sprinkle of seeds for added nutrition.

7. Nuts and Seeds

Almonds, walnuts, chia seeds, and flaxseeds contain healthy fats and protein, making them excellent for keeping hunger at bay. While calorie-dense, eating small portions can help you feel satisfied and prevent overeating.

8. Cruciferous Vegetables

Broccoli, cauliflower, Brussels sprouts, and cabbage are high in fibre, water, and nutrients. They’re filling, low in calories, and may also help regulate blood sugar levels. Roasting them with olive oil and herbs makes them extra tasty.

9. Green Tea

While not technically a food, green tea is worth mentioning. It contains compounds that may help boost metabolism and fat burning. Enjoying a few cups a day, without sugar, can be a simple, healthy addition to your weight-loss routine.

Final Tips

Weight loss is about more than just individual foods, it’s about your overall eating pattern. By focusing on whole, minimally processed foods, balancing your plate with protein, fibre, and healthy fats, and staying hydrated, you can make sustainable progress without feeling deprived.

Always consult your GP or a registered dietitian before making significant dietary changes, especially if you have existing health conditions.

Natural and Safe Ways to Help Burn Body Fat

If you’ve been searching for ways to burn body fat without extreme diets or unsafe supplements, or don't fancy injections, you’re not alone. 

Sustainable fat loss comes from combining healthy lifestyle habits with patience, no quick fixes, just steady progress. 

Here are natural and safe strategies that can help you along the way.

1. Prioritise Whole, Unprocessed Foods

Your body responds best to real food. Focus on:

Lean proteins such as chicken, turkey, fish, eggs, and plant-based options like lentils and tofu

High-fibre carbohydrates including wholegrains, oats, brown rice, and sweet potatoes

Plenty of vegetables and fruit for vitamins, minerals, and antioxidants

Healthy fats from nuts, seeds, avocados, and olive oil

These foods not only support fat metabolism but also keep you fuller for longer, helping to prevent overeating.

2. Keep Moving Throughout the Day

You don’t have to spend hours in the gym to burn fat.

Brisk walking is underrated — aim for at least 7,000–10,000 steps daily.

Strength training (with bodyweight, resistance bands, or weights) helps build muscle, which boosts your metabolism.

Interval training such as short bursts of jogging or cycling can increase calorie burn in less time.

3. Stay Hydrated

Drinking enough water supports your metabolism and helps control appetite. Sometimes what feels like hunger is actually mild dehydration. Aim for around 1.5–2 litres of water a day, more if you’re active. Herbal teas can also count towards your fluid intake.

4. Get Enough Sleep

Lack of sleep can disrupt hunger hormones (ghrelin and leptin), making you more likely to crave high-calorie foods. Adults should aim for 7–9 hours of quality sleep each night for better fat-burning potential and overall health.

5. Manage Stress

Chronic stress raises cortisol levels, which can encourage fat storage, especially around the midsection.

Natural stress-reducing habits include:

Meditation or mindfulness

Gentle yoga or stretching

Spending time outdoors in green spaces

6. Choose Smart Snacks

Instead of sugary biscuits or crisps, opt for:

A small handful of unsalted nuts

Greek yoghurt with berries

Apple slices with almond butter

These choices help regulate blood sugar and prevent energy crashes that lead to overeating.

7. Support Your Gut Health

A healthy gut microbiome can influence metabolism and fat storage. Include probiotic-rich foods like live yoghurt, kefir, sauerkraut, and kimchi, along with plenty of fibre from vegetables, fruit, and wholegrains.

Key Takeaway

Safe and natural fat-burning is about consistency, balance, and realistic goals. Pair nutrient-rich eating with daily movement, adequate rest, and stress management for results that last — without fad diets or unsafe products.

Always consult your GP before starting a new diet or exercise plan, especially if you have existing health conditions.

The Obesity Epidemic: Causes, Cures, and the Role of DNA

Obesity has quietly, and now more loudly, become one of the most pressing public health crises of our time. 

What was once seen as a problem primarily for high-income nations has now taken hold across the globe, affecting people of all ages, socioeconomic backgrounds and countries. 

The World Health Organization (WHO) calls it a global epidemic, and the numbers speak for themselves: over 1 billion people worldwide are now classified as obese.

So, what has caused this rise – and more importantly, what can be done about it?

Understanding the Causes of Obesity

Obesity is not merely the result of poor willpower or laziness – it is a complex, multifactorial condition influenced by a wide range of biological, behavioural, environmental, and social factors.

1. Diet and Lifestyle

At the heart of the obesity crisis is the imbalance between calorie intake and energy expenditure. Ultra-processed foods high in sugar, salt and fat are cheap, accessible, and often heavily marketed. Portion sizes have increased dramatically in the last few decades, and the global shift towards sedentary lifestyles – fuelled by screen time, urbanisation and desk-based work – means fewer calories are burned.

2. Environment and Economics

Food deserts, the high cost of fresh produce, lack of safe areas for exercise, and even school and workplace environments contribute to unhealthy patterns. Fast food is often cheaper and more accessible than a home-cooked meal, especially in low-income areas.

3. Mental Health and Stress

Stress, anxiety, and depression can influence eating habits. Emotional eating, comfort food cravings, and disrupted sleep patterns all contribute to weight gain. Chronic stress can also affect hormones such as cortisol, which promotes fat storage.

4. Genetics and DNA

DNA and family history do play a significant role. People with obese parents are statistically more likely to become obese themselves. Certain genetic variants affect metabolism, appetite regulation, and how fat is stored in the body. While genes aren’t destiny, they can make weight management more difficult for some people.

Can Obesity Be Cured?

There is no single “cure” for obesity, but it can be managed and even reversed through a combination of individual action, medical support, and systemic change.

1. Personal Interventions

Dietary changes: Adopting a balanced, nutrient-rich diet with fewer processed foods.

Physical activity: Incorporating regular exercise into daily routines, where possible.

Behavioural therapy: Cognitive behavioural therapy (CBT) can help with emotional eating and long-term change.

2. Medical Treatments

Weight-loss medications: Drugs like GLP-1 receptor agonists (e.g. semaglutide) are now helping people lose significant weight under medical supervision.

Bariatric surgery: For some, surgical interventions like gastric bypass or sleeve gastrectomy may be appropriate.

3. Public Health Measures

Education campaigns: Encouraging healthy eating and physical activity from a young age.

Food policy reform: Regulating junk food advertising, subsidising fresh produce, and implementing sugar taxes.

Urban planning: Creating safe spaces for walking, cycling, and recreational activities.

The Role of Genetics and Epigenetics

While our genes can predispose us to obesity, they don’t doom us to it. Environmental triggers – such as poor diet and lack of exercise – can activate certain genetic expressions, a process known as epigenetics. This is where family history becomes relevant: not only can obesity run in families due to shared genes, but also due to shared habits and environments.

Scientists are now exploring how personalised medicine, using an individual’s genetic profile, could guide targeted weight loss programmes in the future. 

What works for one person may not work for another, and understanding someone’s DNA may help unlock the right combination of diet, exercise, and medical support.

Conclusion: A Shared Responsibility

The global obesity epidemic is not about blaming individuals – it’s about recognising the systems, influences and biological factors that converge to create a widespread problem. Solutions will need to come from multiple angles: personal empowerment, medical innovation, public policy, and a deeper understanding of human biology.

Combating obesity is not just about losing weight – it’s about gaining health, dignity, and the right to live well in a world that often sets people up to fail.

The Concerning Trend of Plate-Pushing Among Young Women When Eating Out

Eating out is meant to be a social and enjoyable experience, a time to share good food, laughter, and conversation. 

However, a worrying trend is becoming more noticeable among young women: the practice of pushing food around their plates rather than actually eating it. This behaviour, while subtle, raises important questions about self-image, societal pressures, and mental health.

The Rise of 'Plate-Pushing'

If you've ever been out to dinner with a group of young women, you may have noticed a few participants poking at their meals, taking small bites, or leaving large portions untouched. For some, this is a one-off occurrence; for others, it has become a frequent habit. This phenomenon, often referred to as "plate-pushing," may seem innocuous, but it reflects deeper societal issues around food, body image, and social expectations.

While there’s nothing wrong with not finishing a meal or having a lighter appetite, the problem arises when the act of avoiding food becomes a display of control or self-restraint. For many, the act of eating, or not eating, has become tied to appearance, peer judgement, and fear of criticism. And the advent of schools warning parents that their children are 'too fat.'

The Impact of Social Media and Beauty Standards

One of the major factors driving this trend is the pervasive influence of social media. Platforms like Instagram and TikTok have created an environment where image is everything. The pressure to conform to a certain body type—one that is often unachievable for the vast majority—has led many young women to equate thinness with worth. As a result, there’s a growing concern about how food and eating habits are viewed through a lens of self-control, particularly in public settings.

For some, the fear of being judged for eating “too much” in front of others becomes overwhelming. Plate-pushing becomes a way of signalling discipline, of aligning with the thin, idealised bodies seen across media platforms. Even in situations meant to bring pleasure—such as dining out—the anxiety of how one is perceived can overpower the enjoyment of the moment.

The Role of Peer Pressure

Eating out is often a communal activity, and the influence of friends or social circles can be profound. If a few people at the table are skipping meals, nibbling on salads, or simply avoiding their food, it can create an unspoken pressure for others to do the same. This subtle peer pressure can lead to feelings of guilt or shame around eating, even when one is hungry.

The result? Many young women feel they must conform to the group's behaviour, opting to push food around their plate rather than indulging in it. This isn’t just about fitting in—it can also be about avoiding the potential of being labelled as 'gluttonous' or 'indulgent'.

Mental Health and Disordered Eating

The concern about this plate-pushing trend lies not only in societal pressures but also in its connection to mental health and disordered eating. What begins as a social habit can quickly evolve into something more serious, such as restrictive eating patterns or full-blown eating disorders. Conditions like anorexia nervosa or orthorexia often have roots in behaviours that revolve around an unhealthy relationship with food.

When young women constantly feel pressured to restrict their food intake, they may develop harmful eating patterns that are difficult to break. These habits can take a significant toll on both physical and mental well-being. Eating out should be an opportunity to enjoy food without judgement, yet for many, it has become a source of stress and anxiety.

Breaking the Cycle

So, what can be done to address this issue? First and foremost, we need to normalise the act of eating. Society must move away from the narrative that certain body types are more desirable than others. All body types should be celebrated, and food should be seen as nourishment and a source of joy, not as an enemy to be controlled.

Conversations around food and body image should be open and honest. It’s essential to teach young women that their worth is not tied to how much or how little they eat. Education on healthy eating, body positivity, and the dangers of comparison is crucial in creating a healthier mindset around food.

Friends and family can also play an important role by fostering supportive environments. Encouraging each other to enjoy meals without judgement can make a significant difference. The simple act of enjoying food together can be a powerful tool in combating unhealthy societal norms.

Conclusion

The trend of plate-pushing among young women when dining out may seem minor, but it reflects a broader issue of societal pressures and the damaging ideals perpetuated by social media and beauty standards. Addressing this behaviour requires a collective shift in how we talk about food, body image, and self-worth. Ultimately, we must move towards a world where eating is not something to be ashamed of, but something to be celebrated.

https://www.nhs.uk/mental-health/conditions/anorexia/overview/

https://www.beateatingdisorders.org.uk/get-information-and-support/get-help-for-myself/i-need-support-now/helplines/

https://www.youngminds.org.uk/young-person/mental-health-conditions/bulimia/

Please note the image used was computer generated.

Mastering Measurement Conversions for the Modern Home Cook: American, Imperial, and Metric Systems

Cooking is an art that transcends borders, but the variety of measurement systems can sometimes be a source of confusion for home cooks. 

Recipes from different countries often use different measurement systems: American recipes typically use the US customary system, British recipes often rely on the imperial system, and many other countries use the metric system. 

Understanding how to convert between these systems is essential for any modern home cook who wants to explore global cuisines. Here, we'll provide a comprehensive guide to help you navigate these conversions with ease.

Understanding the Systems

1. US Customary System:

Commonly used in the United States.

Utilises cups, tablespoons, teaspoons, fluid ounces, pounds, and ounces.

2. Imperial System:

Historically used in the United Kingdom and still found in some recipes.

Uses pints, quarts, gallons, pounds, and ounces, similar to the US system but with some differences in volume measurements.

3. Metric System:

The standard in most of the world, including Europe and many other regions.

Uses millilitres, litres, grams, and kilograms.

Based on powers of ten, making conversions straightforward.

Key Conversion Factors

Volume Conversions

US Customary to Metric:

1 teaspoon (tsp) = 5 millilitres (ml)

1 tablespoon (tbsp) = 15 millilitres (ml)

1 fluid ounce (fl oz) = 30 millilitres (ml)

1 cup = 240 millilitres (ml) (note: in British recipes, 1 cup is often considered to be 250 ml)

1 pint (US) = 473 millilitres (ml)

1 quart (US) = 946 millilitres (ml)

1 gallon (US) = 3.785 litres (l)

Imperial to Metric:

1 teaspoon (tsp) = 5 millilitres (ml)

1 tablespoon (tbsp) = 15 millilitres (ml)

1 fluid ounce (fl oz) = 28.41 millilitres (ml)

1 pint (UK) = 568 millilitres (ml)

1 quart (UK) = 1.136 litres (l)

1 gallon (UK) = 4.546 litres (l)

US Customary to Imperial:

1 cup = 0.833 Imperial cups

1 pint (US) = 0.832 Imperial pints

1 quart (US) = 0.832 Imperial quarts

1 gallon (US) = 0.832 Imperial gallons

Weight Conversions

US Customary and Imperial to Metric:

1 ounce (oz) = 28 grams (g)

1 pound (lb) = 454 grams (g)

Metric to US Customary and Imperial:

100 grams (g) = 3.53 ounces (oz)

1 kilogram (kg) = 2.2 pounds (lb)

Practical Conversion Tips

Invest in a Kitchen Scale: For precise measurements, especially in baking, a kitchen scale that can switch between grams and ounces is invaluable.

Use Measuring Cups and Spoons: Have a set of both metric and US customary measuring cups and spoons. This can simplify following recipes from different regions without constant conversion.

Conversion Charts: Keep a handy conversion chart in your kitchen. Laminated charts can be a quick reference while cooking.

Online Conversion Tools: Websites and apps can quickly convert measurements for you, saving time and reducing the chance of error.

Cooking by Weight: Whenever possible, measure ingredients by weight rather than volume. This is more accurate and can improve the consistency of your results.

Sample Recipe Conversion

Let's convert an American recipe to metric measurements:

Original Recipe (US Customary):

2 cups of flour

1 cup of sugar

1/2 cup of butter

1 cup of milk

2 teaspoons of baking powder

1 teaspoon of vanilla extract

Converted Recipe (Metric):

240 grams of flour

200 grams of sugar

115 grams of butter

240 millilitres of milk

10 millilitres of baking powder

5 millilitres of vanilla extract

Conclusion

Mastering measurement conversions opens up a world of culinary possibilities, allowing you to enjoy recipes from across the globe with confidence. By understanding the differences between the US customary, imperial, and metric systems and utilising practical tools and tips, you can ensure your dishes turn out perfectly every time. 

So, whether you’re baking a British Victoria sponge, simmering a French ratatouille, or grilling American ribs, you'll be well-equipped to handle any recipe that comes your way. Happy cooking!

Debunking Ancel Keys: Why His Dietary Dogma Was Flawed

Following on from our recent post of the potential problems of replacing dairy products with vegetable products, we examine Ancel Keys and his controversial research that has been debunked in recent years.

In the realm of nutritional science, few figures have been as influential and controversial as Ancel Keys. Widely celebrated for his research on the Mediterranean diet and the formulation of the lipid hypothesis, Keys played a pivotal role in shaping dietary guidelines around the world. 

However, as time progresses and research evolves, it becomes increasingly apparent that some of Keys' assertions were flawed and may have led us down the wrong path in understanding nutrition and health.

Ancel Keys rose to prominence in the mid-20th century with his research on the relationship between dietary fat, cholesterol, and heart disease. His landmark "Seven Countries Study" seemed to demonstrate a clear link between saturated fat intake and heart disease mortality. 

This laid the groundwork for the vilification of dietary fat, particularly saturated fat, and the promotion of low-fat diets as a means of preventing cardiovascular disease.

But upon closer examination, several flaws in Keys' research methodology and conclusions have emerged. 

One of the most glaring issues with the Seven Countries Study is its selective sampling. Keys cherry-picked data from countries that supported his hypothesis while ignoring data from countries that did not fit his narrative.

This cherry-picking bias has been heavily criticised by subsequent researchers, who argue that it skewed the results and led to an oversimplified understanding of the relationship between diet and heart disease.

Moreover, Keys' focus on total fat consumption as a risk factor for heart disease overlooked the importance of other dietary and lifestyle factors. Subsequent studies have demonstrated that the quality of fats consumed, rather than the quantity, may be more important for heart health. 

For instance, replacing saturated fats with refined carbohydrates, as recommended by low-fat dietary guidelines, may actually increase the risk of heart disease by raising levels of triglycerides and lowering levels of beneficial HDL cholesterol.

Furthermore, the demonisation of dietary fat led to the proliferation of low-fat and fat-free products, many of which replaced fat with added sugars and refined carbohydrates. 

This shift in dietary patterns may have contributed to the obesity and metabolic health epidemics observed in recent decades. Ironically, while fat intake decreased, rates of obesity, type 2 diabetes, and other metabolic disorders skyrocketed, challenging the notion that fat is solely to blame for poor health outcomes.

In addition to his views on dietary fat, Ancel Keys also promoted the Mediterranean diet as a model of healthy eating. While the Mediterranean diet is indeed associated with numerous health benefits, it is important to recognise that it is not a one-size-fits-all solution. Cultural, socioeconomic, and individual differences must be taken into account when prescribing dietary recommendations. What works for one population may not necessarily work for another.

In conclusion, while Ancel Keys made significant contributions to the field of nutrition science, his dietary dogma was not without its flaws. His oversimplified conclusions about the role of dietary fat in heart disease and the promotion of low-fat diets have been called into question by subsequent research.

Moving forward, it is imperative that we adopt a more nuanced understanding of nutrition, one that considers the complex interactions between diet, lifestyle, genetics, and environment. By learning from the mistakes of the past, we can pave the way for a healthier future.