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Diabetes Discussion
Type 1 Diabetes
has any type 1 ever managed to lose weight while on Insulin
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<blockquote data-quote="farmerfudge" data-source="post: 76243" data-attributes="member: 14198"><p>Well the nurse leading the course , rightly or wrongly, believed that 75% of the group were on too high a dose of background insulin. Over the course of the week we were told to gradually reduce our dose. I started the week on 25 daily units of glargine (lantus), by the end of the week I was on 16 units. The idea being that the background insulin was making us hungrier than we actually were. Hence lowering the dose lowered the appetite, the lower the appetite the lower the calorific intake etc.</p><p></p><p>As I say we all lost a bit of weight that week but personally I saw my consultant a while after that course and he recommended I go back up to 24-5 units of lantus a day! I obeyed, the weight was back on.</p><p></p><p>It depends if you buy into the idea that lantus or analogue insulins create an artificially inflated appetite. But whatever you do talk to your nurse, GP, consultant before reducing any dosage.</p><p></p><p>Update: What I would also say is that the DAFNE course creates a situation that doesn't reflect real life. You spend a week in a room with other diabetics and medics and it's all about acheiving control. You eat/sleep/breath control in that environment. I think that was condusive to reducing dosages and is not actually how we all live or lives. An average day for me inviolves more mental/physical exersion than was experienced in a class room. The principles of dosage control are right but you have to bear in mind all of our dosages were effectively calibrated for sitting on our asses all week talking about diabetes! :lol:</p></blockquote><p></p>
[QUOTE="farmerfudge, post: 76243, member: 14198"] Well the nurse leading the course , rightly or wrongly, believed that 75% of the group were on too high a dose of background insulin. Over the course of the week we were told to gradually reduce our dose. I started the week on 25 daily units of glargine (lantus), by the end of the week I was on 16 units. The idea being that the background insulin was making us hungrier than we actually were. Hence lowering the dose lowered the appetite, the lower the appetite the lower the calorific intake etc. As I say we all lost a bit of weight that week but personally I saw my consultant a while after that course and he recommended I go back up to 24-5 units of lantus a day! I obeyed, the weight was back on. It depends if you buy into the idea that lantus or analogue insulins create an artificially inflated appetite. But whatever you do talk to your nurse, GP, consultant before reducing any dosage. Update: What I would also say is that the DAFNE course creates a situation that doesn't reflect real life. You spend a week in a room with other diabetics and medics and it's all about acheiving control. You eat/sleep/breath control in that environment. I think that was condusive to reducing dosages and is not actually how we all live or lives. An average day for me inviolves more mental/physical exersion than was experienced in a class room. The principles of dosage control are right but you have to bear in mind all of our dosages were effectively calibrated for sitting on our asses all week talking about diabetes! :lol: [/QUOTE]
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