Why Do Type 1 Diabetics Lose Weight

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Why Does Diabetes Cause Weight Loss In Some People And Weight Gain In Some Others?

To understand dynamics of body weight first we have to understand Energy balance equation which states Calorie intake - calorie lost = Weight So if, Calorie intake > calorie lost = Weight Gain Calorie intake < calorie lost = Weight Loss Calorie intake = calorie lost = Weight is maintained Let's try to understand it in patients with diabetes Scenarios causing weight gain in Diabetes 1. In patients with type 2 Diabetes some may have predominantly insulin resistance ( cells are not as much sensitive to action of insulin as they should be ) This makes their pancreas to secrete excess insulin in an attempt to overcome this resistance . Excessive insulin coupled with high calorie intake causes weight gain 2. A patient of Type 1 Diabetes or type 2 Diabetes who has good control of glucose but consumes excess calories than he needs is bound to gain weight . A good number of patients resort to defensive eating for the fear of hypoglycemia and this also causes weight gain Scenarios causing weight loss in Diabetes 1. Any patient with uncontrolled diabetes will usually have weight loss . This is due to the fact that cells of our body are deprived of glucose as a source of energy and therefore b Continue reading >>

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  1. Lindsay_Schmitt

    I have been doing keto for two months. The first week I lost eight pounds, but after that, I've not lost anything. My carbs are at 25/daily, 112g protein, and 141g fat (I got these from ketodietapp.com so that I had a place to start) and track anything and everything I eat. I exercise every day and am at a complete loss. My legs were swelling, so I incorporated potassium supplements into my diet, along with electrolytes, and that helped alleviate that, but I'm still stuck. I have a LOT of weight to lose (I'm 5'8" and weigh 275). Also, being a type 1 diabetic with PCOS, I know that will slow things down, but I should be seeing something! I do check for ketones and am currently burning a moderate amount. Any thoughts or suggestions would be greatly appreciated.

  2. carolT


    The first week I lost eight pounds, but after that, I've not lost anything.
    That's going to be mostly water weight from glycogen depletion and less inflammation.

    My carbs are at 25/daily, 112g protein, and 141g fat
    112 g of protein sounds kind of high unless you have a very high muscle mass. I'd try going to 1g/kg lean body weight and see if that makes a difference. So if you are maybe at 35% bodyfat, that would work out to 80g protein/day. Also, don't think of the fat macro as a requirement. If you're not hungry, stop eating.

    being a type 1 diabetic with PCOS,
    You are insulin dependant? Or did you mean type-2 diabetic?

    I do check for ketones and am currently burning a moderate amount.

    What are you using to check for ketones?

  3. Lindsay_Schmitt

    I am type 1 (insulin dependent) and am on an insulin pump. I have been able to significantly lower my insulin basal rate, and account for protein when I bolus. I currently use ketosticks to account for ketones, which I know there is an actual monitor that you can use to do a blood check, but I've not yet bought one of these. I will take your advice on the protein. I thought it seemed a bit high, but wasn't sure. By the way, I've checked with my endocrinologist and she okayed my using this diet to lose weight.

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