Hey a little help please ;)

[Matilda14919]

Hi

I haven't posted in a while so quick summary about me I'm 23 will be 24 in June was diagnosed t1 8 - 9 years ago - current hb1ac is 6.2 ＼(^o^)／ took years but now my bg is quite stable.

Recently went to visit my doctor and was praised regarding my bg but then he went onto a sore subject which was my weight T^T

I eat well currently eating 70 - 80% raw (loads of green poop) I exercise 30 mins - 1 hr a day since November and I've only lost 3kg now I weigh 100kg - I know I have a major problem on down days ( I'm bi polar) which aren't predictable and there's also the red lady who vists once a month - and I can't help my self so I tend to munch on pre packed snacks but still always under 1600 calories

Here's my problem I want to lose weight really badly I have tried the hard way and it doesn't work - my body builder friend recommended a diet pill which he uses to stay lean call t6 I've read reviews and as usual there are pros and cons - but I want to know if its ok to use it as a diabetic

I am currently on 58 unit of lantus ( big does which I want to reduce with weight loss) and I am on a 1:1 novorapid ratio

Please I want genuine help - p.s if my replies seem snappy or down please do not panic I'm probably having a down day/week

Thanks in advance


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[Engineer88]

Hi @Matilda14919 Good to see you

Do you eat lots of fruit? on a raw diet I would assume you would? (I may well be wrong)

Also how tall are you? I know that sounds odd but trying to figure how much weight you need to lose?

I've got to say I wouldnt be keen on weight loss pills.

 

[Daibell]

HI. Your HBa1C is good so well done on that score; a bit better than mine. I wouldn't go for any 'magic' diet pills. I think you know the only way forward is a good diet. You mention calories? Forget calories and think carbs as these are the bad guys for excess weight rather than other foods; they will also be forcing up your insulin shots. The problem with snacks is the level of carbs they typically have. I would try to minimise snacks when you can and snack on nuts, cheese and berries etc when you do. Set yourself a daily carb limit of, say, 200gm or less. 150gm/day might be a good target.

 

[Matilda14919]

Hi @Matilda14919 Good to see you

Do you eat lots of fruit? on a raw diet I would assume you would? (I may well be wrong)

Also how tall are you? I know that sounds odd but trying to figure how much weight you need to lose?

I've got to say I wouldnt be keen on weight loss pills.

I eat a lot more vegetables than fruits and I'm about 174cm - 175cm height wise - I'm not that keen but I'm tired of people saying "you have diabetes coz you are fat lose weight and you will feel better" - and it's actually getting to a point that I'm willing to try anything


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[Matilda14919]

HI. Your HBa1C is good so well done on that score; a bit better than mine. I wouldn't go for any 'magic' diet pills. I think you know the only way forward is a good diet. You mention calories? Forget calories and think carbs as these are the bad guys for excess weight rather than other foods; they will also be forcing up your insulin shots. The problem with snacks is the level of carbs they typically have. I would try to minimise snacks when you can and snack on nuts, cheese and berries etc when you do. Set yourself a daily carb limit of, say, 200gm or less. 150gm/day might be a good target.

Thanks will try that but I already only snack on nuts and cheese which is where I think the additional calories are popping from


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[Engineer88]

Do you eat Wheat? I was about a stone over weight before I started Gluten free but it just melted away? (I admit im a pound or two over now)

 

[rossworld]

Hi

What kind of exercise are you doing ?

I lost a stone and a half last year but it was hard work but would be happy to advice you on how I achieved it

 

[mooshk]

Hiya . I don't know
If this is any help (please tell me to **** off if it's out of line) but why do you need to lose weight if you're healthy, as it seems you are! With such a good hba1c an the exercise you do you are probably amazingly healthy good on you.
I'm just wondering because with type1 weight fluctuates all the time an people with T1 are 3x as likely to suffer from an eating disorder an mental health issues. You sound healthy, please don't punish yourself /think you need to lose weight.Please tell me to **** off if I'm going down the wrong path but I've had a very similar difficulties with db/weight/mental health issues (I'm 23 also). Let me know if you fancy a chat xx




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[Dzialo]

Overweight is NEVER good because all your organs will have to walk much harder and that will make them more tired and less effective after a while (that's the common cause of Type 2) so I would advise you to try "juice plus" shakes, really helps you with losing weight!!

 

[mooshk]

Sorry but are you a doctor Dzialo? Unless so you can't speak on the weight of other people, she has type 1 and all her bloods are really good. No don't advice ridiculous juice diets or restriction diets as this leads to disordered eating behaviour.

 

[zand]

I eat a lot more vegetables than fruits and I'm about 174cm - 175cm height wise - I'm not that keen but I'm tired of people saying "you have diabetes coz you are fat lose weight and you will feel better" - and it's actually getting to a point that I'm willing to try anything


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In my opinion people have this the wrong way round. I believe it is more likely that you become fat because you are in the process of becoming diabetic. I realise this doesn't apply to everyone, many diabetics are thin. But then many fat people are not diabetics. Sometimes our bodies don't work properly, and this can happen a long time before diabetes crops up.

Please don't take diet pills, they can be very dangerous and cause you even more problems; you don't want heart or kidney problems on top of everything else. I have struggled with my weight for years and through this forum I now have a few more things to try. I notice you are type 1, so advice from other type 1's would be best for you. I am type 2. I wish you all the best, try to stay positive and don't listen to those ignorant people who are blaming you. It is not your fault.

 

[Scandichic]

I am T2 and eat LCHF. I believe you can follow this as a T1. There is lots of info on www.dietdoctor.com if it is possible, might it be something you would like to try?

 

[Spiker]

Matilda I would suggest LCHF or maybe intermittent fasting. Or both. These can both be done by T1s, though (as always with diets) there are extra considerations for T1s.

A great advantage of intermittent fasting is that you can use the fasting periods to check your basal (Lantus). 60 odd units is a lot. One of the problems with losing weight as a T1 is that the basal dose tends to regulate you at a fixed weight. As you lose weight, you need to reduce the Lantus. In fact it's often easier if the basal reduction is done slightly ahead of the weight loss. You will often find anyway that the first time you do a fasting test it shows your basal is actually too high. Many people on basal are using part of their basal for part of an average days food. The problem with that is if you don't eat as much, the excess basal insulin will give you hunger cravings and make it much harder not to eat. Dropping your basal down to your "real" basal, then stepping that basal down as your weight drops, or slightly ahead of the weight drop, can make a big difference.

OP were you always about this weight, or did your weight go up before diagnosis, or after diagnosis?

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[James12]

how many grams of carbs do you eat per day on average?

 

[Alanp35]

Around 100 to 130 a day but average it out over a week as some days it is a little more/less. Most of these come from vegetables rather than cereal products.



Late onset T1, several auto immune issues.
Humalogmix25 twice a day, Methotrexate 25mg once per week, FolicAcid 5mg once per week, prednisolone 5mg daily, Allopurinol 300mg, Calcichew-D3 800iu, Levothyroxine 50mcg, Atenolol 50mg, Losarten 100mg, Aspirin 75mg, Nicorandil 20mg, Nitrolingual GTN spray, Metformin 2000mg, Allimemazine 10mg, Lanzoprazole 30mg, Atorvastatin 20mg, Co Codamol 8/500mg, Depo Medrone (Methylprednisolone) or double Prednisolone for 7 days in case of RA flare.

 

[Dzialo]

Sorry but are you a doctor Dzialo? Unless so you can't speak on the weight of other people, she has type 1 and all her bloods are really good. No don't advice ridiculous juice diets or restriction diets as this leads to disordered eating behaviour.

I'm Sorry, but I'm just telling you what they told me. If you don't believe it so ask them yourself

 

[James12]

Around 100 to 130 a day but average it out over a week as some days it is a little more/less. Most of these come from vegetables rather than cereal products.



Late onset T1, several auto immune issues.
Humalogmix25 twice a day, Methotrexate 25mg once per week, FolicAcid 5mg once per week, prednisolone 5mg daily, Allopurinol 300mg, Calcichew-D3 800iu, Levothyroxine 50mcg, Atenolol 50mg, Losarten 100mg, Aspirin 75mg, Nicorandil 20mg, Nitrolingual GTN spray, Metformin 2000mg, Allimemazine 10mg, Lanzoprazole 30mg, Atorvastatin 20mg, Co Codamol 8/500mg, Depo Medrone (Methylprednisolone) or double Prednisolone for 7 days in case of RA flare.

Ok, so far sounds good although the carbs could still be a little high. Im not sure of your current weight, hight or how active you are, also i don't know if any of your other conditions or medications could be effecting your weight. Diets tend not to work or produce short lasting benefits. A change of life style (including dietary habits) would be far more effective. I would strongly recomend that you take inspiration from ketogenic diets such as atkins and paleo to help structure your new way of eating. Theese kind of diets are also great for maintaining normal blood sugars.

 

[Spiker]

OP's weight and height are in the thread - 100kg, 175cm.

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[mooshk]

"I'm Sorry, but I'm just telling you what they told me. If you don't believe it so ask them yourself "
That maybe what your specialist told you, but as a 4th year Medical student hoping to specialise in Endocrinology. An having been a T1 go 20 years, I'll stick with the knowledge I have thanks.




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[mpe]

Forget calories and think carbs as these are the bad guys for excess weight rather than other foods; they will also be forcing up your insulin shots.

Someone taking insulin will need to match their dosage with their dietary glucose. e.g. by DAFNE.
N.B. using some generic "carb" can be of little use since amylose and amylopectin (starch) equate to 6.17 mmol/g glucose whereas sucrose and lactose equate to 2.91 mmol/g glucose. (Eating mostly starch, to simplify the maths, may be far easier on a processed food diet...)