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Insulin doses and weight gain

Wayne18000

Wayne18000

Well-Known Member
Messages
93
Hi. I was diagnosed at the beginning of may with probably type 2. I take 20 units of lantus in the morning and novorapid before breakfast 4 units 6 before lunch and 8 for dinner. When I was diagnosed in hospital I had lost just over a stone, I've put that back on and unfortunately have put on another stone recently. My blood sugar in the morning is now around 9 and before I put the extra stone on was between 6 and 7. After each meal my readings were roughly in range, well maybe a bit above but now they shoot up to about 15 to 17 2 hours after eating. My question is is this because of the extra weight I have put on? Does my long lasting lantus need to go higher? Any thoughts on this would be greatly appreciated.

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Wayne18000 said:
Hi. I was diagnosed at the beginning of may with probably type 2. I take 20 units of lantus in the morning and novorapid before breakfast 4 units 6 before lunch and 8 for dinner. When I was diagnosed in hospital I had lost just over a stone, I've put that back on and unfortunately have put on another stone recently. My blood sugar in the morning is now around 9 and before I put the extra stone on was between 6 and 7. After each meal my readings were roughly in range, well maybe a bit above but now they shoot up to about 15 to 17 2 hours after eating. My question is is this because of the extra weight I have put on? Does my long lasting lantus need to go higher? Any thoughts on this would be greatly appreciated.

Sent from my SM-G935F using Diabetes.co.uk Forum mobile app
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By the way, by the time my next meal is due my blood sugars reading have come down to between 8 and 9

Sent from my SM-G935F using Diabetes.co.uk Forum mobile app
 
Hi @Wayne18000 Before you start changing your lantus dose you need to be doing a basal fasting test, quite easy to do: https://mysugr.com/basal-rate-testing/

Doing a fasting test rules out any other possibilities and gives you a clear idea if it does need increasing - any change in weight will mean your insulin needs adjusting too.
 
Hi @Wayne18000

You seem to be going through the same issues that I had when I was injecting insulin. I ended up injecting more and more insulin and it didn't really seem to be working in the same way that it had right when I first started with the injections. I was on Lantus and Novorapid.

The weight gain (I gained a stone for each year I was on it) was one of the reasons that I decided to investigate if there was a way to reduce or get rid of the insulin completely and I eventually managed it by eating a very low carb diet. Since then I have been able to lose most of the weight I put on over those years.

If you like this idea then I would recommend you talk to your doctor or DN before starting.
 
It is also possible you have type LADA and seeing the effects of less and less functioning beta cells. Good luck with finding out what goes wrong and how to remedy it!
 
Chook said:
Hi @Wayne18000

You seem to be going through the same issues that I had when I was injecting insulin. I ended up injecting more and more insulin and it didn't really seem to be working in the same way that it had right when I first started with the injections. I was on Lantus and Novorapid.

The weight gain (I gained a stone for each year I was on it) was one of the reasons that I decided to investigate if there was a way to reduce or get rid of the insulin completely and I eventually managed it by eating a very low carb diet. Since then I have been able to lose most of the weight I put on over those years.

If you like this idea then I would recommend you talk to your doctor or DN before starting.
Click to expand...

Do you still produce sufficient insulin? The OP may not have sufficient insulin. I know I've been told I can't come off insulin as I'm deficient in it.
 
I keep to a VERY low carb diet which I mostly have enough insulin for. I prefer to not eat carbs rather than inject insulin.
 
Chook said:
I keep to a VERY low carb diet which I mostly have enough insulin for. I prefer to not eat carbs rather than inject insulin.
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If I don't take insulin my sugars are high and that's without food. It sounds like you have sufficient insulin so you're ok not being on insulin. So depends on what your c-peptide result was I suppose.
 
Mep said:
If I don't take insulin my sugars are high and that's without food. It sounds like you have sufficient insulin so you're ok not being on insulin. So depends on what your c-peptide result was I suppose.
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I have to take my insulin too or I'd climb and never come down. However like @Chook K would rather eat very low carbs and inject very low doses of insulin.

In fact without eating carbs it's hard for me to eat enough fat and protein to take one unotnqnd not drop. But this is also because of my stupid stomach. I think my stomach is worse than D if that's possible. It works for me as I do better with snacky meals more often. Then I fear not the hypos too. Laws of small numbers...as Bernstein says
 
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