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Calling Type 2's on Insulin

Jude

Jude

Well-Known Member
Messages
430
Location
Tenerife
Type of diabetes
Treatment type
Insulin
I want to find out if anyone on insulin is trying the Eat, Fast and Live regime? I have already rasied this querie on that thread and was advised that I could not do it on insulin so am just trying to see if I can find anyone else who has tried it whilst on insulin. I am on Humalog 25 which I take with my breakfast and evening meal.

Thank you :wave:
 
Is there no-one on these boards that could advise me on this querie?? :(
 
As explained on the other thread, it may not be possible or safe, and that is why no-one has done it.
 
I am type 2 on Lantus, what regime is this?
 
catherinecherub said:
Here is the other thread where it was briefly discussed.
viewtopic.php?f=27&t=32176
Click to expand...


Thank you for the link

Having enough trouble trying to keep to the low carbing just by itself......

May as well think about stapling my mouth shut
 
Jude, in short I think if you really tampered a lot with your insulin and knew everything about how your body reacts to various calorie levels also when it comes to basal insulin, you could pull it off on a basal/bolus regime if you were extremely careful and started it gradually instead of from day to day.

What worries me about your question though is that your insulin regime is not basal/bolus, but mixed insulin which has you eating a pretty set amount of carbohydrates for each meal because of the insulin profile (it has many peaks).

I THINK I could do it on insulin if I really wanted to. I would have to take very small amounts of bolus insulin (not entirely possible on my regime as I can only deliver full units of insulin, and I'm very sensitive), and adjust down my basal as there would be a bit less 'excess' stuff poking around from protein and fat etc, but it would take me 2-3 weeks to get to the point where I could actually start the diet.

Why are you so interested in this particular diet, btw? Is the the weight loss factor or the possible reversion or something else? Someone might be able to come up with some suggestions other than this to get you where you want to go, or get your to a place where you could do it. It all really depends what the aim is, though.
 
Hello Mileana

Thank you for taking the trouble to respond to my querie. Since going on Humalog 25 I have put back on the 14 kilos which I had lost whilst on Byetta - but on the Byetta my bg did not come down enough, hence the insulin. I have spent 40 years fighting my weight (am just 60) and now it is really important to try and lose some and it does not seem to matter what I do the weight is just not budging. I had avoided a low carb regime because I also suffer with IBS but some 8 weeks or so ago I decided to give it a try - not vlc but 90-120 ish which was a big reduction on what I had been doing and weight and bgs stay firmly where they were!!
I was referred to an Endocrinologist who deals with weight surgery - my BMI at 37 is too low!! - I qualify under NICE but in Coventry have to be 43 - so I could put 3 stone on and then they might help me. Over the years I have lost several stones and put it all back on again so know all about calorie counting etc etc. After watching the programme about fasting 2days a week I thought I might be able to manage that and it would give my body a bit of a shock so might work.
However, I do not understand what you are saying about my insulin having to eat a certain amount of carbs per meal - I have not been told this so do not know if you are able to enlighten me any more? My logic says, if I eat one meal a day say breakfast, then I would inject for that meal but would not inject again until the next day - would this be wrong or risky?

Thank you. :) Judith
 
http://pi.lilly.com/us/humalog7525-pi.pdf

If you check page 2 of here, you will see that the insulin you are on if I have understood it correctly, is one which has a component of rapid acting insulin to cover 1-2 meals and then a longer/intermidiate acting which will deal with your blood sugars around the clock if you have 2 injections.

That means also that to have the basic fasting levels etc correct, your insulin dose cannot just be changed entirely - in the scenario you describe, the entirely normal processes of you body will cause you to go high during the night. Now if you wanted to avoid that, you would have to take insulin also before bed sometime, not just at breakfast, which would then cause you to hypo if you did not make up for the rapid acting part of the insulin with some food.

Is this somewhat clear? Look at the profile on the graph, it tells you roughly how it behaves on average.

About weight loss, I think that low(er) carb makes sense indeed. I don't think on this sort of insulin regime that it is very safe to do the very low calorie diets. There is a link between the amount of insulin you take and the tendency you have to keep on the pounds - there is also a tendency for bigger people to need more insulin. I think if you can reduce your carbs as you have, you will find it easier to lose weight. But because of the way your insulin behaves, you may find it tricky to do that without the rapid making you go hypo or the longer acting not being suffient. If you have these problems, I would ask to go on Multiple Daily Injections/Basal/Bolus.

That lets you deal with the two aspects of your body's needs independently, and has helped me a great deal even if it isn't perfect.

Since going on insulin in April, I've lost a good deal of weight - a few stone, might be 3. If you can bear the hassle of the extra injections and can get them persuaded, it may be easier to spot the connection. At least I found that mixed insulin was difficult to manage for above reasons.

Hope this helps.
 
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