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Type 1 Diabetes
Insulin Resistance and weight gain
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<blockquote data-quote="MarkMunday" data-source="post: 2300123" data-attributes="member: 525839"><p>The starting point is that as much insulin as is required to keep blood glucose in the target range should be used. I think we all know this, even newly diagnosed T1s. If this results in weight gain, calories need to be reduced and insulin adjusted accordingly. It doesn't really matter where the calories come from - carbohydrate, fat or protein. Newly diagnosed T1s often gain weight after insulin therapy starts because they now metabolise all the food they eat. Especially the carbohydrates. Before diagnosis there may have been a calorie deficit and after insulin treatment starts there is a calorie surplus, without changing the amount of food eaten. </p><p></p><p>Achieving stable weight is part of the the process starting insulin treatment involves. For some it is more difficult than others. After 43 years of T1, I still manage my weight actively. I weigh myself 3 times a week and make incremental changes to diet /insulin to ensure that my weight stays on track.</p></blockquote><p></p>
[QUOTE="MarkMunday, post: 2300123, member: 525839"] The starting point is that as much insulin as is required to keep blood glucose in the target range should be used. I think we all know this, even newly diagnosed T1s. If this results in weight gain, calories need to be reduced and insulin adjusted accordingly. It doesn't really matter where the calories come from - carbohydrate, fat or protein. Newly diagnosed T1s often gain weight after insulin therapy starts because they now metabolise all the food they eat. Especially the carbohydrates. Before diagnosis there may have been a calorie deficit and after insulin treatment starts there is a calorie surplus, without changing the amount of food eaten. Achieving stable weight is part of the the process starting insulin treatment involves. For some it is more difficult than others. After 43 years of T1, I still manage my weight actively. I weigh myself 3 times a week and make incremental changes to diet /insulin to ensure that my weight stays on track. [/QUOTE]
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