Hi Megan
Sorry to hear you are experiencing insulin resistance. :cry:
Yes guys & gals Type 1 Insulin Dependant Diabetics (IDD) can also get insulin resistance and you end up with what is known as “Double Diabetes” - Type 1 & Type 2 - what a bummer!
Being insulin resistant in Type 1 Diabetes means that the bodies cells, principally muscle and liver cells become resistant to the effects of the exogenous insulin being injected.
It requires more insulin to achieve the same effect so a Type 1 Diabetic is left with a net loss of "effective insulin."
It's not necessarily a permanent thing, it depends on a lot of co-existing factors, but usually it means there are less insulin receptors on the surfaces of the bodies cells in response to high doses of exogenous insulin being injected.
The duration of Type 1 can also be a factor due to the exogenous insulin being injected over a longer period of time. A percentage of Type 1 IDD’s will develop insulin resistance - that’s not to say every Type 1 whose had diabetes for a long time will get insulin resistance.
There may be other influencing factors including for example: genetics & environmental and insulin resistance can be due to an immunological response to the type of insulin being used.
Using less insulin decreases insulin resistance combined with eating less carbohydrates, exercising and losing weight can help. Fat has the lowest percentage of insulin receptors so the more fat cells you have the higher your insulin resistance.
Metformin is often initiated as it does increase insulin sensitivity in Type 1 IDD using insulin.
Exercise, exercise & more exercise.
Reducing carbohydrates in order to take insulin that optimises blood glucose levels rather than insulin that feeds the carbohydrate.
Choice of insulin – sometimes an insulin change whether to animal insulin, human synthetic insulin, GM synthetic analogues or a combination of insulin types can help.
Getting cholesterol & lipids under control can increase insulin sensitivity.
Reducing insulin dose – what can happen and the understanding of the exact mechanism is lost on me – however in response to increased Blood Glucose (BG) levels the immediate response is ooh must increase insulin dose – what happens then is body thinks oh no more insulin circulating & the liver dumps glucose and thus increased BG levels again & a cycle of increased BG levels, increasing insulin dose & so it continues happens. Insulin sensitivity can sometimes be increased by actually reducing insulin doses – might sound strange but it can help.
If insulin resistance is persistent some individuals find changing to an insulin pump combined with all the above increases sensitivity as a lowered dose of continuous insulin delivery becomes more effective than individual multiple daily injections.
Megan I note from one of your other postings that you are also on Thyroxin.
Hypothyroidism whilst a co existing disease associated with diabetes is often misunderstood. Many individuals taking Thyroxin, whilst their blood levels of Thyroxin might indicate “normal levels” the user frequently feels unwell and not right and only feels better on a much higher dosage of Thyroxin.
There is a complex relationship between increasing insulin sensitivity in order to get the Thyroxin better utilised by the body and thus increasing the effectiveness of both the insulin & Thyroxin – but you also need enough Thyroxin to help metabolise the insulin more effectively in the first place - hope that make sense.
best wishes
Txx