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<blockquote data-quote="AlcalaBob" data-source="post: 1681364" data-attributes="member: 30529"><p>Week 7 Day 49 Sunday 28th January. FBG 5.4 Weight 98.4kg</p><p></p><p>It looks as though my energy expenditure / metabolic rate pretty much balances the energy intake since there's little if any weight loss. That might mean I won't lose more weight without reducing the insulin further and that depends on if/when my pancreas begins to recover more functionality. That in turn, of course, means accepting higher BG during the process without any guarantee that after all this time it can recover. It's a sort of metabolic catch-22. The other variables are increasing energy expenditure which will leave me very tired, or reducing intake even further - ditto. The fasting option suggested by [USER=410240]@ringi[/USER] has its own factors to take into account. So all in all, it's quite a complicated set of decisions at this point. I think I'll stick with my current insulin level and simply try missing a meal. As I'm on slow-release insulin, it's more difficult to attempt an adjustment of dose to match a particular event so it's test sticks and being careful. If that leaves me too tired, the next option will be dropping the insulin a couple of units - not enough to bomb the FBG. Small changes seems to be the best option.</p><p></p><p>I'll see my GP in a couple of weeks though I'm not optimistic that he'll be all that supportive. My, perhaps cynical, guess is that he'll just say well done, weight loss and a bit of exercise improves your BG. I'm translating some Taylor materials to give him and I hope he'll take it seriously. In any case, in the end it's our responsibility to manage the condition.</p></blockquote><p></p>
[QUOTE="AlcalaBob, post: 1681364, member: 30529"] Week 7 Day 49 Sunday 28th January. FBG 5.4 Weight 98.4kg It looks as though my energy expenditure / metabolic rate pretty much balances the energy intake since there's little if any weight loss. That might mean I won't lose more weight without reducing the insulin further and that depends on if/when my pancreas begins to recover more functionality. That in turn, of course, means accepting higher BG during the process without any guarantee that after all this time it can recover. It's a sort of metabolic catch-22. The other variables are increasing energy expenditure which will leave me very tired, or reducing intake even further - ditto. The fasting option suggested by [USER=410240]@ringi[/USER] has its own factors to take into account. So all in all, it's quite a complicated set of decisions at this point. I think I'll stick with my current insulin level and simply try missing a meal. As I'm on slow-release insulin, it's more difficult to attempt an adjustment of dose to match a particular event so it's test sticks and being careful. If that leaves me too tired, the next option will be dropping the insulin a couple of units - not enough to bomb the FBG. Small changes seems to be the best option. I'll see my GP in a couple of weeks though I'm not optimistic that he'll be all that supportive. My, perhaps cynical, guess is that he'll just say well done, weight loss and a bit of exercise improves your BG. I'm translating some Taylor materials to give him and I hope he'll take it seriously. In any case, in the end it's our responsibility to manage the condition. [/QUOTE]
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