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Lisa, MSN, FNP-BC, CCRN, Nurse Practitioner
Category: Health
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Experience:  Board Certified Family Nurse Practitioner
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I am overweight by 150 pounds. I am a Type 2 diabietic. I am

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I am overweight by 150 pounds. I am a Type 2 diabietic. I am on Metformin (1,000 per day) and Byetta.
I am excerising in the pool for 1 to 1.5 hours at least 3 days a week. My knees hurt so I don't walk much. I work 5 days a week. People keep telling me I need to be walking a block a day and then 1 block to it each week.
My knees and feet hurt when I do alot of walking. I am losing weight, but it is going to take a while before I will like walking alot. I know I need weight bearing excerise, so I have ordered some ankle weights for the water and also some water bar bells. Will these help? Is the pool and the excerising I am doing now the best thing for me at this moment?
I will be 50 in Dec.
<p>Hello;</p><p> </p><p>Thank you for writing in today.</p><p> </p><p>Yes, the pool and the ankle weights are the best exercise for you for the time being.   As you start to lose weight, you should try to increase your stamina with walking.   If you can not walk around the block every day, you may want to start with once or twice a week. The main thing here is to keep trying.   Weight causes a tremendous amount of stress on the knees. With each pound lost, you reduce the amount of pressure on your knees tremendously. Eventually, you will likely find walking easier. If you do not find that walking is easier as you start to lose the weight, you may want to consider checking with your provider or an orthopedic specialist to evaluate for possible structural damage in the knee, particularly given a history of obesity.   You are right about needing weight bearing activity.   However, your weight has likely helped to keep your bones strong.   Therefore, focusing on the water aerobics and phasing in walking after weight loss is reasonable.   To be sure, you may want to talk with your provider about getting a bone density scan (DEXA).   This will help to assess your baseline bone status. </p><p>Finally, since it is difficult to walk right now and you do tolerate water aerobics, you could always consider increasing your water aerobics to more times per week.</p><p> </p><p>I hope this helps. If you have additional questions or concerns, please let me know.</p><p> </p><p>Lisa</p>
Customer: replied 7 years ago.
I am trying to get to the pool more times a week, but with my work schedule, sometimes it is hard.
I can probably try to get there at least 4 times every other week. I know this weight go on over night, I know it will take a while for it to come off. But at least I am trying. It is hard. I do not want the weight surgery, I want to do this. I have lost about 25 pounds since June 25th. So I am on the right track. Is swimming a good excerise? Should I mix swiming and walking in the water together?
<p>Thank you for responding.</p><p> </p><p>First of all, congratulation on your 25 pound loss. Weight loss is tremendously difficult for some peoples. It involves lifestyle changes, which are never easy, so you should be congratulated.   </p><p> </p><p>As for the exercise, you are trying and that is the most important thing.   The water aerobics and swimming are great exercise activities.   Swimming and walking in the water both provide great benefits. Both activities provide aerobic cardio benefit and can actually help build some muscle.   Feel free to mix it up. Swim and walk in the water. </p><p>The key is to push yourself a little each day and to get the benefit of exercise.</p><p> </p><p>I hope this helps.   I am wishing you continued success. Also, if I may, remember, you will have a bad day sometime. Just remember, one bad day does not mean failure. Also, having more good days than bad days in a week is the most important thing to remember. One bad day is not the end of the world. :)</p><p> </p><p>Lisa</p>
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