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THINROSE's Photo THINROSE Posts: 295
8/18/09 7:26 A

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I have Lantus, and humalog, and I am very very pleased with it. Since lantus allows more freedom than my old sort did (I think it was called insulatard but I am not sure...) So I don't have to think about getting up at the same time each day just to eat breakfast and get insulin... I LOVE lantus.

Reading what you all have been writing I must be VERY sensitive towards insulin, since I take lantus once a day, 17 units, and then try to match that with humalog. A normal day I get about 20 units of humalog...

My Dr. told me that one should aim at getting the same number of units of lantus and humalog into one day. So since I take 17 units lantus, I should get 17 units of humalog too. I do, on good days : ) My range of how much humalog I take is 15-25 units per day.

So my Dr. said that by lowering the humalog units to about 17/day would help me loose weight. Also to cut all snacks that are high in both sugar and fat.

I also agree that taking only a fraction of normal doses to meals before and shortly after exercise really helps control the lows. Otherwise try to mix your own energy-drink to take with you while exercising.

Good luck with the weight loss everyone! You can do it!

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MICHTOTMAN's Photo MICHTOTMAN Posts: 848
6/30/09 12:05 A

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Check out the book "Eat Clean Diet" by Tosca Reno. She's got lots of basic info as well as some more in-depth stuff. She does a great job of talking about the importance of pairing protein and complex carbs as well as cutting out processed foods. It's also got some recipes, but she's got a couple of recipe books as well. I'd check it out from the library, if you can, and then buy a used copy on Amazon if you think you'd use it as a reference, like I do.

The greatest glory in living lies not in never falling, but in rising every time we fall.

NELSON MANDELA


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DELAYNISMOM Posts: 4
6/29/09 11:09 P

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Hi all, I have been looking for some "validation" regarding diabetes and weight loss. Once again, I am looking to lose extra weight. Aside from when I was pregnant, my weight is at my all-time high. I am walking in the Susan G. Komen for the Cure, 3-day, 60-mile walk this August with a team of 12 women in my town. I am easily the least in shape of all of them. The good news is that I'm walking, and I've been doing up to 10 miles a day and did one 10 mile walk with my team so far. With al this exercise, I want to use this opportunity to lose the weight I need to lose. However, I really am not sure where to start. I have a 1500 calorie meal plan from a dietician. I've done Weight Watchers. I've done liquid diets. I just need to find what works for me. I'm leaning toward eating more fruits/veg. and less processed carbs. That may be what I need at this point. When I start in on the crackers, that seems to lead to chips, cookies, etc. Then I'm "done." The 1500 calorie plan is 3 meals and one snack, but I think 5-6 smaller meals would be better; does anyone have something broken down into what amount to eat at each smaller meal? I'm feeling a little desperate, and we all know that cycle of desperation, eating, more despair, more eating...I want to climb out of it and finally lose this weight. Thanks, all, for listening and for any advice you can give.

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KLBRZE's Photo KLBRZE Posts: 760
6/13/09 6:35 P

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It is harder for us to lose weight. Insulin is a growth hormone, the whole point is to help us keep weight on. I lost 40 pound 20 years ago before I was diagnosed a Type 1 at age 33. When I was hospitalized and put on insulin, I gained 10 pounds before leaving the hospital.

So my diabetes educator introduced me to symlin a few years ago. Symlin slows down the digestion of our food allowing the body to need half the amount of insulin it normally would. So if you need to take 5 units to cover a meal, with 30mgs of symlin injected first you would only need 2.5 uts instead. This has helped me to lose. As a matter of fact when I was out of it for 2 weeks, I lost nothing despite 1200 calorie meal plan and daily heavy exercise.

Anyone ever hear of symlin? What success stories do you have about symlin?

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MICHTOTMAN's Photo MICHTOTMAN Posts: 848
6/11/09 12:50 P

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I'll throw one more thing in and let you decide. You say you are eating "healthy" and I was too (or so I thought). I didn't eat junk food (except very occasionally) or drink (maybe 1-2 glasses of wine/month), and I exercised on a regular basis, so I thought I was good. But I wasn't. I was over-weight and my blood pressure was high (amazingly, my HA1c's were okay). So I started doing a little bit of research, and I discovered that I was not as healthy as I thought. I realized where stuff sneaks in. Even in so-called healthy foods, there is still plenty of junk.

So I made a major life change: I started by cutting out ALL (and I mean ALL) processed/white sugar, flour, rice and potatoes. Even if it was just a touch of brown sugar (or HFCS) in bread - I didn't eat it anymore. Then I started reading labels to get out MSG (also known as autolyzed yeast extract and a host of other names). Then it was hydrogenated oils. Even if it had a touch of any of these things, I wouldn't touch it. It was hard work - and it took a LOT of planning - but as type 1's we already have some of that down. I lost 30 pounds in about 5 months. I didn't really even count calories. (But I did aim to have my fiber up over 25g on a daily basis).

Funny, but I noticed almost immediately that my daily insulin total dropped from about 50 units/day to about 25-30 units. It seems that those processed and chemical ingredients played havoc with the way my body used insulin.

Now a stressful year at work and just getting lazy led to my letting these things creep back into my life - and I've gained 12 pounds back in the 9 months. So I've learned my lesson - and I'm back to "clean eating" and I expect those 12 pounds will be gone in a few more months. And I won't let it happen again.

The greatest glory in living lies not in never falling, but in rising every time we fall.

NELSON MANDELA


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JERSEYBEAN77 Posts: 15
6/11/09 11:22 A

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Sounds to me like you are doing pretty well with the exercise and your A1c.

On the lantus, not sure the range (and every person is different), but your correction dose makes it sound like you are pretty sensitive to insulin.

If I had to take a stab at it, I'd actually guess that maybe you could try backing off your basal a bit and see if that helps while maintaining your control. Before working out like you are now, were you using the same amount of insulin on a daily basis?

With regards to your bolus insulin. Do you find you are accurately hitting your targets, or are you going low? If so, maybe try adjusting those slightly.

That would be my thought. I don't think its so much that we have more difficulty losing the weight, its just that we have to be so much more conscious about what we are doing. Because once that insulin goes in, we have to cover it. Can't suddenly say, i'm full or I don't need to eat that.

I find that religiously writing down everything (doses, exer, corrections, lows and what i do for them) is a big help, although in not particularly organized and it is sometimes a pain.

Good luck on the ride, I think that is pretty cool. One day i'd like to do the ride for the cure (JDRF), but right now I don't want to spend the extra money on a bike.

About the Lantus, everyone is differnt, so perhaps you could discuss this more with your Dr. Is there any reason they wanted you to use it. I loved it coming off of NPH, but you need to do what works for you. If you had good control pre-lantus, and not too many hypos, then I dont' see why they shouldn't let you go back to what you were on before.

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MEGARONIIIIII Posts: 2
6/11/09 8:43 A

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thank you SO much everyone for your support and help!

i completely feel all of you on having to compensate for a work out when you drop, it has happened SO many times to me too! what i've found that works for me is exactly what jerseybean77 suggested by taking a fraction of my dose to cover a snack. also, when my sugar drops i've found V8 juice works really well (vice orange juice and/or crackers) at bringing my sugar to a 'normal' level instead of making it skyrocket post low.

i was thinking my problem could be one of two (or a combination of both) things; the amount of insulin i'm taking and in theory i could not be eating enough for my workouts. please, please, please let me know if what i'm thinking is in correct or if you guys have any other amazing advice, i need all the help i can get!

firstly, in an effort to eat appropriately for how much i work out (i cycle ~12 miles 2 days a week at ~13 mph, then generally one day on the weekend i do a really long ride (i'm trying to get myself ready for an american cancer society bike-a-thon....) and run at least 3 days a week for 30 minutes)) i put myself back on weight watchers (the first time i did it a year ago i was fairly successful, i got down from 175 to 160 in the course 5 months) to track points eaten and points earned thru the work outs, i've been doing it for 3 weeks and i haven't dropped any weight, it's extremely discouraging because i had success with this program before.

secondly, i looked at how much insulin i take in a day. my endo had put me on lantus ages ago (i don't like it but 'everyone else does' and i'm not a fan of the pump so my options are apparently fairly limited....) and i take two doses of that a day, 10 units in the morning and 10 units in the evening, i take a unit of humalog for every ten carbohydrates and when my sugar is high i take the (number-150)/50 units. on average i take 35 units of insulin a day.

in my zillion years of being a diabetic i've never asked, is that too much? what is an appropriate range? i understand if we take too much that helps the weight gain. i could probably cut out some of my high insulin items (cous cous and pita...) as suggested by thinrose to reduce how much i'm taking.

i'm really at a loss. every diet that's worked for me before is not working now, i'm exercising so much and definitely watch what i eat, i've taken major care with my diabetes to make sure it's in order and as far as my health goes, i definitely can't complain; my heart is great, my eyes are great, everything else is great! haha minus my weight!

thanks again everyone!

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JERSEYBEAN77 Posts: 15
6/10/09 6:36 P

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Meg

I think we've all experienced what you are feeling. One issue people have pointed out is the compensation eating to avoid lows while exercising. Nothings more frustrating than to burn a bunch of calories working out and then eating just as many or more to avoid the low.

I'm not sure if you are pumping or MDI, or if you have attempted adjusting your doses for exercise.

If pumping play around with the temporary rates. Once you get it dialed in you can often avoid the lows without taking a significan amount of calories in, remember you'll probably have to dial back mealtime boluses if eating a meal after working out and the duration of exercises impact will vary by the type and intesity/lenght of exercise, but it can last several hours.

If going MDI, try a small snack before working out, but only take a fraction of your normal dose for the snack. That worked pretty well for me when I was on MDI, but it also seemed to be a tougher balance to hit than when on the pump.

I think the biggest issue we face is that we have to cover the insulin we give. We aren't like others in that if there is little glucose we have little insulin.

Good luck, you can do it.

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SUPERDUPER26's Photo SUPERDUPER26 Posts: 1,553
6/9/09 3:30 P

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Hi Megan,
You're in good company! I keep trying out theories as to why its harder to lose weight with diabetes, but all I know right now is that its hard and it doesn't matter so much why, what matters is what I'm going to do about it. I haven't figured that out yet, though, lol! I know for me, the more I exercise, the lower my BG goes, and to a point that's good, but I can end up packing in an extra 600 calories some days trying to keep my BG high enough to think. Its not consistent though, so I don't know why it happens some days and not others, but I do know that 600 calories a day on top of what I already eat would certainly make it more difficult to lose. Grrrrr.... Not fair, but that's just one more reason why its important to focus on "healthy" instead of "losing", because even I eat more calories than I burn, its still good for me to go out there and ride my bike, go for a walk, whatever.
Good luck finding what works for you, there's heaps of support and advice on this team, all you have to do is ask!
emoticon

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RLEEGIRL's Photo RLEEGIRL Posts: 530
6/9/09 9:57 A

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Meg it sounds like your doing all the right things.You know of course how hard it is for insulin users to lo9se weight, usually you eat good exercise than go low and have to suck up orange juice full of calories,it never fails.I Have found that when I dedicate myself to 6 small meals or 3 meals small and snacks it keeps my metabolism burning,then I try to get exercise wherever I can fiund it,besides my 2 miles every day,take the stairs,park far away.and mopping that damn kitchen floor.LOL Good Luck Rlee

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THINROSE's Photo THINROSE Posts: 295
6/9/09 9:33 A

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Hi Megan!
there are many type 1 diabetics that have troubles when trying to loose weight... It takes somewhat longer time for us than for "normal" people...
Try to lower your insulin without getting higher HbA1c, or higher bloodsugars general...
For me, trying to eat like every other hour, and eat just very little each time, makes me able to lower overall insulin intake...
Good luck!!

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MEGARONIIIIII Posts: 2
6/9/09 7:51 A

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Hi! My name is Megan, I've been a Type 1 diabetic for 24 years. I've always been curvy but since I graduated from college (about 4 years ago) I've noticed every year I put on major weight despite my efforts to lose. I have a healthy diet (right now I'm doing Weight Watchers for the 2nd time and have been back on the program for 3 weeks....I haven't lost any weight whereas the first time thru I dropped about 2 pounds a week and got stuck around 160), I exercise 4-6 times a week (running and cycling), my A1C is 6.2....I don't know what I'm doing wrong! I've hit my all time high of 180 and can't stand it...... emoticon

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