Maybe for GPs, DSNs and dieticians. But diabetes specialist doctors have no excuse for not knowing that a primary function of insulin is to deposit body fat from dietary carbs. :-(I think the issue is that even amongst the medical profession, lipid metabolism and the effects of insulin on it are probably less well known and understood than the effects on the carbohydrate metabolism.
Yes - which is why we ought to be offered Metformin, if we like it. As much ex as poss, and moderate/low carbs.
Agreed, however too much insulin, i.e. an imbalance, and it does.if insulin makes you gain weight then all type 1 & type 2's who take insulin would be overweight........which isn't the case
Agreed, however too much insulin, i.e. an imbalance, and it does.
That's not true though, and it's not what's being stated. Not all people who use insulin are overweight, but (with very rare exceptions) all people who are overweight are overweight because of insulin. It is impossible to be overweight without insulin. Insulin is the only way that fat gets deposited for storage.if insulin makes you gain weight then all type 1 & type 2's who take insulin would be overweight........which isn't the case,
That's not true though, and it's not what's being stated. Not all people who use insulin are overweight, but (with very rare exceptions) all people who are overweight are overweight because of insulin. It is impossible to be overweight without insulin. Insulin is the only way that fat gets deposited for storage.
But... semantics. As noted, the real culprit is an exss
I for one definitely would. Metformin is a very safe drug with massive track record in terms of the quantity and longevity of users. We advocate exercise for all diabetics for the reason that it improves insulin sensitivity. Same argument applies in favour of Metformin.I'm not so sure everyone would want to take metformin unless they have insulin resistance Lucy, after all its another drug.
We are the lucky ones. The real problem is that many T1s are not made aware of this relationship. They are prescribed a TDD and they stick to it, because they are given no training in carb counting or any other form of dose adjustment. So they stick to their TDD, get hungry, eat to the insulin, and get fat.Yes I know that Spiker and fully aware of the implications of insulin resistance with taking more and more insulin, but if you cut back on your food intake this alone will mean less insulin as we all have agreed on from the start of the thread.
I for one definitely would. Metformin is a very safe drug with massive track record in terms of the quantity and longevity of users. We advocate exercise for all diabetics for the reason that it improves insulin sensitivity. Same argument applies in favour of Metformin.
It probably makes sense in terms of health economics too, as I bet that generic Metformin is cheaper by far than the cost of the reduced insulin.
We are the lucky ones. The real problem is that many T1s are not made aware of this relationship. They are prescribed a TDD and they stick to it, because they are given no training in carb counting or any other form of dose adjustment. So they stick to their TDD, get hungry, eat to the insulin, and get fat.
This is a serious problem because one not uncommon response to the situation is diabulemia, which as we know is extremely dangerous. The NHS needs to fix this dangerous gap in education of T1s [and other IDDs].
Im glad, not that it exists, but that more and more people are becoming aware of diabullimia, alot of hard work is going into getting the right help for people.
Thanks, I will have a look at this as I do support work for DWED the original charity set up to support diabetics with eating disorders.Indeed Gemma, you've probably already seen the following but I'll post it anyway:
http://www.wearediabetes.org/diabulimia.php
Yes , it's very difficult to do the job that our natural insulin does ,you only need to be over by a little and more fat and water will bind to the extra insulin.In my view yes insulin causes weight gain, it acts like a steroid.
Typically because diabetics develop some level of insulin resistance more insulin is required than what would be in a non diabetic even for the same meal.
Great link, thanks!
How is this different from non-diabetics, though? Surely this sentence could just read "Ergo, yes, eating too many carbs i.e. not balancing what you consume effectively, can cause you to gain weight". I'm not criticising just genuinely curious - does it actually make any difference that we inject our insulin rather than have it produced by our pancreas? Is there something in analog insulin that is more conducive to fat storage than naturally produced insulin? Or is it simply the case that, due to the imperfections of injecting, we are more likely to have more insulin in our body than we would do if produced naturally?Ergo, yes, taking too much insulin and eating too many carbs, i.e. not balancing what you consume effectively, can cause you to gain weight as fat as a type 1 diabetic.
How is this different from non-diabetics, though? Surely this sentence could just read "Ergo, yes, eating too many carbs i.e. not balancing what you consume effectively, can cause you to gain weight". I'm not criticising just genuinely curious - does it actually make any difference that we inject our insulin rather than have it produced by our pancreas? Is there something in analog insulin that is more conducive to fat storage than naturally produced insulin? Or is it simply the case that, due to the imperfections of injecting, we are more likely to have more insulin in our body than we would do if produced naturally?
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