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<blockquote data-quote="NicoleC1971" data-source="post: 2403281" data-attributes="member: 365308"><p>Well done on all the effort you are putting into to get as well as you can physically and emotionally. I am guessing from the persistent weight getting stuck that you are simply quite insulin resistant. Can you indicate how much insulin you are on as well as the meds? If you can get your insulin needs to deal with the food you are eating, as low as possible with the hope that you can come off the insulin or reduce the dose this will help liberate some body fat supplies. Sounds as if you are now in a place to move forward with a very low carb approach coupled with a med review. As you know from Dr Fung the 'flozins' help by expelling the glucose from your body provided you can do so without complications such as UTIs etc. As you know lowering your blood glucose is not treating the root cause of the insulin resistance so your blood glucose is a greater marker of that insulin resistance but you could take a look at a proxy such as triglycerides/hdl ratio as well as the hba1c. Physically I'd stop looking at the scales and find some better measure of body composition such as photos front and side on of your waist and stomach or using a tape measure to track the changes that matter in this area.</p><p>The final piece could be resistance training if you're not already doing this? e.g. kettle bell swings, squats, lunges, push ups etc. etc. which will build muscle (more glycogen storage capacity) and make your more insulin sensitive (the goal).</p><p>Whatever you want to try I'd go for the very low carb/keto approach )ensuring you are not filling up on too many bulletproof coffees and fat bombs of course) first of all as this is going to give you the most bangs for your buck and it is important to get consistent before adding in additional exercise for example. You may well need to adjust your drugs especially insulin. If you do that's going to be a great sign that its working!</p><p>If none of the above works then it wold make sense to check that your body is producing normal insulin levels.</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2403281, member: 365308"] Well done on all the effort you are putting into to get as well as you can physically and emotionally. I am guessing from the persistent weight getting stuck that you are simply quite insulin resistant. Can you indicate how much insulin you are on as well as the meds? If you can get your insulin needs to deal with the food you are eating, as low as possible with the hope that you can come off the insulin or reduce the dose this will help liberate some body fat supplies. Sounds as if you are now in a place to move forward with a very low carb approach coupled with a med review. As you know from Dr Fung the 'flozins' help by expelling the glucose from your body provided you can do so without complications such as UTIs etc. As you know lowering your blood glucose is not treating the root cause of the insulin resistance so your blood glucose is a greater marker of that insulin resistance but you could take a look at a proxy such as triglycerides/hdl ratio as well as the hba1c. Physically I'd stop looking at the scales and find some better measure of body composition such as photos front and side on of your waist and stomach or using a tape measure to track the changes that matter in this area. The final piece could be resistance training if you're not already doing this? e.g. kettle bell swings, squats, lunges, push ups etc. etc. which will build muscle (more glycogen storage capacity) and make your more insulin sensitive (the goal). Whatever you want to try I'd go for the very low carb/keto approach )ensuring you are not filling up on too many bulletproof coffees and fat bombs of course) first of all as this is going to give you the most bangs for your buck and it is important to get consistent before adding in additional exercise for example. You may well need to adjust your drugs especially insulin. If you do that's going to be a great sign that its working! If none of the above works then it wold make sense to check that your body is producing normal insulin levels. [/QUOTE]
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