Hi,
Yes insulin therapy can be problematic in terms of weight gain. It's mainly because insulin is what in the medical terminology is called an agent which decreased lipolysis (stops fat cells being turned into energy). It also acts in general as a transport hormone so it will transport the proteins and sugars into cells for use or storage.
The only effective way I have found to counter the weight gain effects is to exercise, the more intense the better and to be careful what I eat. I tend not to follow the whole low carb diet simply because I don't see it as being healthy we need carbs, but instead I am careful when I eat them. Carbs tend to be on the menu for me either at lunchtime or before I go to the gym, in the evenings I have a protein rich meal with vegies.
The other thing to watch out for is stress, it releases cortisol (as do hypos and hypers) which then get stored as body fat.
Keeping the insulin to the minimum needed should also help but whatever you do don't run into hypers they are a nightmare when looking after your waist line.
Diabtes is all about managing the hormonal balance in our bodies not just the sugar levels in our blood. So far I've had type 1 for near 32yrs now and am still at the 31-32 inch waist so it can be done but does involve a lot of work.
Hope that helps,
Frankie
