Insulin and weight gain

You may at first Steve but once you get your bg levels sorted you can work with your HCP's at ways in which to lose it again. I'm type 1 and managed to lose two and half stone by cutting back on my calorie intake and increasing exercise a little, so far after 2 years I've managed to keep it off so it is achievable.

Good post and points raised!
I too was and 'still' am weight gain phobic with being so tiny in frame
most of my life.
Was terrified to go onto insulin as "knew" it fat stores the glucose!!!!
Argued intensly with my DSN/GP/CONSULTANT over the facts of this...
After several meetings 1-2-1 with my DSN it was agreed that I would go onto
basal insulin "only".
As they had had me using victoza prior to this as my body accepted and tollerated it well...
Sadly it alone wasnt enough to get my blood sugar levels 'down'.
Insulin is a pain to use if weight loss has been achieved and then "know" it can
fat store as the mechanics of it do this!
As nigel above, points out using a low carb daily eating plan combined with activity
will "keep" the weight steady.
Insulin DOES work to control the raised/too high blood sugars, I was loathe to trust it
when they kept nagging me to go onto this. From the sheer fear and dread of the weight gain risk
Steve I REALLY DO KNOW how you must feel with the dreading feeling!
As a type2 my DSN did say the balance of weight control/loss is far harder for us to maintain with the
risk of the insulin resistance, this fat store's around the tummy and central body.
It is a battle that is there for us everyday, it took them over 12months to encourage me to "give in"
and go onto insulin.
The very fact that it HAS worked and improved the quality of my life as I was so ill prior to using the insulin
gives me the incentive to work hard at maintaining my diet/eating/activity lifestyles...
It DOES get easier with time and dosen't seem as overwhelming scary too much hard work anymore!
Hope this post helps you.
Please do let us know how things go.
Anna.

I believe that part of the problem is that "they are not honest wih people.I remeber reading a document issued by the Australian NHS to Drs surgeries about allowing the surgeries to tnitiate insulin thrapy in T2s.

This was a very enlightening document. Our equivalents are nothing like so clear and direst.
It is recommended that patients are not told the whole truth. For example they should not be old about weight gain because this migh deter them. On the other hand HCPs should be careful not to blaanly lie as his might render hem liable to litigation.
The ineresting bit was that if paients did not gain a cerrtain amount of weight within the first few months {can't remeber he amount} then the insulin was not working and should be increased. This is somewhat diffferent to the story I have been old.

Regarding the oral meds plus insulin- I know eactly what you mean and his led me to refuse insulin a few years ago when my bgs appeared to be rising. I was told that I would have o continue taking all my meds as well as insulin and i might evenually be allowed o drop one of the glimepiride depending upon my results.

This errified me, The Practice DSN who old me this had aleready shown hereslf o be less han conversant with T2 medication.
I was lterally afraid for my life. I think there are some far oo simplistic views arounfd both weight gain with insulin and about mixing oral and insulin therapies T2 drugs don't all work in the same way. The assumption was hat insulin and glimepiride would evenually cause hypos and i could then reduce my glimepiride gradually. In the event I had o drop all my glimepiride at the same ime because I began low carbing. I can only imagine what the consequences of aking it with insulin might have been.

if you are on oral meds and insulin then obviously you must sill be producing some nsulin. In these cases the insulin production is
inconsistent. This makes it very diffficult to control with a combinaion of therapies..
I imagine it will ake some time for things to settle.
Let the HCPs know how you feel. I don' blame you for feeling depressed. If you keep on at them and express your concerns they may watch your progress more carefully and reduce your meds or insulin to help your weight stabilise.
I always think it is difficult enough to manage either oral meds or insulin. Mixing them would be a nightmare.
I hope you manage o get someone to take your worries seriously. It must be very upseing to regain all the weigh you had lost and for people o comment pon it publcly when it is not your fault.

I remeber how i felt when medcaion made me gain weigh for the first time in my life.
You don't need o "man up". It should not be inevitable. make hem help you!