Weight loss

Anonymous
By Anonymous Latest Reply 2012-03-06 17:14:26 -0600
Started 2012-03-02 23:51:57 -0600

I have type 1 diabetes and am using lantus and novo rapid, my weight has doubled since diagnosed. I'm wondering what people in this situation are doing to lose weight and what is the realistic time frame for dropping weight.


7 replies

Anonymous
Anonymous 2012-03-04 16:20:45 -0600 Report

Using insulin can put weight on, especially if giving yourself too much insulin. A pump can give better control if you are right for it? But, it only puts up to 10lbs on. The rest of the weight is just eating too much, wrong foods, and no exercise. By exercise, I'm talking about doing something that raises your heart rate for at least 30 minutes and doing so three to five times a week.

To answer your question, have to watch portion control, don't skip meals, eat healthier, and we all know what that means, and get to doing actual exercise. The time it takes to lose weight will be different with each individual, but trying for about 2lbs a week is healthy and you'll keep it off longer. If you are very overweight, then you'll drop alot of water weight in the first few weeks then slow down.

Remember, the weight didn't happen overnight, so don't expect to lose it overnight.

Richard157
Richard157 2012-03-03 20:20:25 -0600 Report

I have been type 1 since 1945, and used animal insulins until the 1990s. I was never more than 5 pounds overweight during that time. When I started using modern day insulins I began gaining weight. I did not know what was causing it. Eventually I learned that newer insulins were causing the problem. The more insulin I used, the more weight I gained. So I gradually reduced my daily carb intake to 130 carbs. I began losing weight, but rather slowly. Exercise was also helpful. House repairs and one hour walks on roads with hills along with my lower carb diet enabled me to lose 34 pounds in 2004. I still needed to lose 23 more pounds. My overweight resulted in my being diagnosed with insulin resistance (IR), which is a type 2 characteristic. A type 1 diabetic with IR is called a double diabetic. I have been a double diabetic for 14 years.

I am presently using Metformin along with my insulin. That med helps with my IR and helps me use less insulin. The smaller doses of insulin have resulted in my losing an additional 17 pounds. Now I am only 6 pounds above my ideal weight. I am presently able to eat more carbs without gaining weight, and I am working out at a gym three days per week.

If your weight has doubled then you have probably developed IR, and your insulin dosages are probably high. Please speak to your doctor about this. I hope your doctor is an endocrinologist. Tell your doctor that Metformin has been prescribed for many type 1 diabetics with overweight, and IR. I use Metformin ER, which requires two doses per day.

If you do not have IR then a much lower carb diet and lots of exercise may be your only hope for losing weight. Metformin, if appropriate, would help a lot. It may take a long time to lose all the weight, it depends on the individual, and how good you are at sticking to the new routine.

Type1Lou
Type1Lou 2012-03-03 12:29:55 -0600 Report

I too am Type 1. Has your doctor given you a sliding scale and a personal carb ratio to help you balance the amount of insulin you need with the amount of food you eat? I have 3 carb to insulin ratios based on the time of day but what is set for me may not work for you. Prior to going on an insulin pump last August, I took Lantus and Novolog. My sense is that you are gaining weight because the insulin you take now allows your body to process the food you eat more efficiently, hence the weight gain. You probably need to reduce the amount of carbs you are eating to take off any excess weight but that would also mean reducing the amount of insulin to adjust for the reduced carbs. Definitely talk about this to your doctor. Are you seeing an endocrinologist? I finally went to an endo because I was not happy with my PCP's approach to my diabetes. I firmly believe that had I continued with the PCP I would be dead now.

jigsaw
jigsaw 2012-03-03 12:46:34 -0600 Report

I like what you are saying here, and I think it is valid. I won't say I'm absolutely certain because I am not an expert. I would like to add that seeing an (RD), registered dietician that is familiar with diabetes can be extremely helpful. They inevitably incorporate portion control into ones diet where weight loss is desired.

jayabee52
jayabee52 2012-03-03 00:16:54 -0600 Report

I had been on NPH insulin (not a very big dose) from Nov 2006 through Feb 2011. Had been on metformin from 1995 thru Nov 2006. I thought that since I was on such a low dose of insulin, I might perhaps be able to modify my meal plan to manage my Blood glucose (BG) levels without diabetes meds. As it turned out I could. So now I eat a very low carb/ high protein meal plan and have maintained my BG levels in the "normal range" have an A1c of 5.5, and have lost 65 lbs this past year. I have T2, but a lowered carb load even for T1s can lower one's need for insulin and one's ability to lose some weight by being able to back off on one's insulin levels, and inuslin resistence and potential weight gain.

If you wish to take a look at my meal plan, please send me an inbox message here on DC with a request for the meal plan. I am the only one who would know your identity if you send me an inbox message.

That is totally up to you, of course. I do it this way so I don't clutter up discussions with my meal plan.

You might want to talk with your Dr and get tested for insulin resistince. Some T1s are being put on metformin to lower insulin resistince

Blessings to you and yours

James Baker

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