Why Do Type 1 Diabetics Lose Weight

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Help Patients Lose Weight

Today’s Dietitian Vol. 16 No. 8 P. 14 Making adjustments to medications in accordance with eating and exercise habits is key. Jack, a middle-aged man with type 1 diabetes, started a low-carbohydrate diet to lose weight. In the first few days of his new diet, he experienced the shaking, sweating, and mild confusion that frequently accompanies hypoglycemia, which is typically defined as blood glucose levels less than 70 mg/dL. Jack didn’t know that by consuming less carbohydrate than usual, he’d need to take less insulin. Maura, a woman in her early 30s with type 2 diabetes, takes glyburide to control her blood glucose levels. She began an exercise program to lose weight in preparation for her sister’s wedding. Three weeks into the program, she started experiencing hypoglycemia. To avoid this, she began eating a carbohydrate-containing snack before and after each workout. The calories from her snacks, however, exceeded the calories burned during exercise, so her weight slowly increased. She considered giving up exercise. Maura’s friend Lisa also has type 2 diabetes but controls her blood glucose with metformin. Maura advised Lisa to eat a large carbohydrate-containing snack Continue reading >>

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Popular Questions

  1. erinjane2378

    Best way to lose weight as a T1?

    Hi everyone,
    Wondering if anyone can give me any advice on the best way to lose weight as a T1? I gained almost 10 pounds after going on insulin recently and am having a really difficult time getting it off. I walk about 5 miles a day / 5x a week and lift weights 3x/wk, so I don't think exercise is the problem. I've been told that it is difficult for T1 diabetics to lose weight, but would like to hear your thoughts and experiences.

  2. l0vaduck

    After years of struggling, over the past 16 months I've lost just over 5 stone (70lbs).
    The only way that's worked for me was to cut down severely on carbs which meant I could reduce my insulin doses.
    Obviously I also eat fairly healthily anyway, but I don't avoid fats - as a vegetarian I eat quite a lot of nuts and some full fat cheese.
    I set a target of how much insulin per meal, and kept my carbs within that limit. Eventually I found that I was able to reduce my background insulin as well. Steadily as the weight came off my ratios also went down (I must have been very insulin resistant).
    16 months ago I was on about 24 units of long acting insulin, and a total of at least 60 units of fast acting per day. Nowadays I take 8 units of long acting, and totals of between 24 and 30 of fast acting - but I vary this much more than I used to because I don't automatically eat lots of carbs with each meal, which I used to think was essential. Even though the carbs I was eating before were healthy: wholemeal - I was eating far too much of them.

  3. Tiger Lily

    i agree with lovaduck....... reduce the carbs and reduce the insulin....... keep the bg in a good range
    this will also impact your basal insulin when you lose weight, so that needs to be adjusted too
    i have 70 lbs to lose :-(

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