Hi
It is possible to lose weight while using twice daily insulin. I did it to go on holidaay one year with a group of girls and like most females, we all want to look good in a bikini on the beach. So, I reduced my morning insulin by 1u and cut back a tiny bit on all my meals - breakfast less 5g, snack less 5g, lunch less 5g. That way, my insulin balanced out with the carb that I eat. I also did the same with my evening insulin and cut that back by 1u and reduced the carb that I eat.
Yes, but you're also on a pump and you have the luxury to do that just like I do on a basal/bolus MDI regimen.
With mixed insulin you're not only reducing your bolus insulin, you're also reducing your basal at the same time.
To explain: right now it sounds like
@revive@2 is on 94 units of 70/30 insulin per day and eating 147 grams of carbs.
It obviously isn't this easy, but doing the math that's:
65.8 units of intermediate insulin (94*70%)
28.2 units of fast-acting insulin (94*30%)
In theory, that equates to a 1unit:5.2g insulin:carb ratio (again, it's much more complicated than that).
With that in mind, if Revive wanted to reduce his or her carbs from 147g per day down to let's say 50g that would mean reducing basal insulin from 28.2 units down to 9.6 units (again assuming a 1:5.2 ratio).
That would be easy for someone on a pump or on basal/bolus, but for Revive, that would also cut his or her basal insulin by the same percentage. Think about it this way, what would happen if you reduced your basal by 66% (147g down to 50g)? I know that would mess my levels up like crazy.