Weight Gain after starting on insulin

dianeb

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Hi I'm type 2, but trying to get pregnant so have moved from Metformin to insulin and have gained over half a stone in two weeks!!!!! :oops: Normal or am I over compensating - BG control needs to be very tight (less than 8 1 hour post meal) but I am usually lower than that. SHould I lower the dose, to avoid snacking and be higher after meals? Or have I just pigged out? BMI is still under 25 (just) but this was a bit of a shock!
 

cugila

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People who are touchy.......feign indignation at the slightest thing. Hypocrites, bullies and cowards.
Insulin can have an effect of causing you to put weight on. The trick is to balance the Insulin with carb intake. Lowering the carb intake can lower the Insulin dose, therefore avoiding the weight gain. Worth a try. :)

Have you discussed this with the Nurse or GP looking after you ?

Ken
 

janabelle

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Hi Diane,
Your sudden weight gain could also be due to fluid retention; that's a lot of weight to put on in such a short time. What insulin/s are you taking? Some people on this forum have reported severe fluid retention on Lantus, involving weight gain,swollen ankles etc. I don't know why this is or whether the prob is associated with other GM insulins.
It's a tough balancing act, keeping your BG low, but avoiding hypos and having to eat when you don't want to. Incorporating exercise into your daily routine can help keep your insulin needs lower, and cutting carbs can help too.
Your BG levels are very good, but as Ken suggested, you prob need to discuss the weight issue and insulin/dietry concerns with your doctor.
Best of luck
Jus
 

hanadr

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Gaining weight after starting on insulin is common.As already written, carb control can help.
The leading doctor taking care of diabetic mothers is Lois Jovanovic.
You might find it useful to read her work
Hana
 

Patch

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Type of diabetes
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The diebetic nurse suggested that I start on insulin (type 2 with met and gliclazide). i refused due to the weight gain that I knew would follow.

It the consumption of carbs along with th einsulin that makes you put on weight, or just the insulin? I do lo-carb - what effect would lo-carb + insulin have of gaining weight?
 

jopar

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Can we remember that dianab is trying for a baby.

7LB in two weeks isn't overly frighten a lot in some repects depending on the underlying problem.. Most women will flutuate durning the month so this does need to be taken into consideration...

It needs to be remembered that when discussing weight gain issues linked to starting insulin, most would have lost weight due to their diabetic condition, so will be putting esstentrail weight back on....

Another factor to weight gain issuse, is partly due to change in most peoples eating habits, when people start insulin they tend to eat more regularly more so on regimes such as Novomix types, where they eat a pre-determined level of carbs regularly throughout the day.. Other insulins, could be that they've regualated their eating patterns, or some can be partly due to the insulin, Lantus has a worse repartation for weight gain than Levimer.. Even animal insulin has the potential of causing weight gain..

Patch

Little bit of information for you,

T2's who were trying or found themselves pregnant, would be automatically changed to insulin thearpy, the reason for this, partly as already said the need to remain in very tight control of blood glucose levels durning pregnancy for the health of the baby...

The other reason, was Meformin wasn't licenced for pregnant women on the bases that it had been implemented in causing major heart defects within an unborn child, I understand that this may have changed in recent years :?:

But in 1991, Metformin was unlicenced in pregnant women, as I was to find out sitting in front of my GP, his faced dropped and he scarmbled for his books, to tribble check! His advice and that of my gyno was to terminate the pregnancy! I refused so was booked into a hospital an hour away from home where they could deal with any major problems, fortunately for me 3 weeks before I had my daughter and the mix-up over adnorm scans had been sorted I was informed that baby was fine, no signs of heart problems so could have her near to home (next town 30 minutes away, no SCUBU at my local maternity hospital)

Worse bit, is that I was never a T2 diabetic, but had slow on set T1, which had been discovered the previous year when I fell pregnant with her older brother (both results given on the same phone call) and if my diabetic consultant had been listening to me, I would never had been on metformin, but insulin but that another story...
 

hanadr

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The principle funtion of insulin is to store fat.
That's why most T1s have weight loss as one of their first symptoms.
I also suspect[without any evidence] that T2 actually starts with insulin resistance,causing weight gain. And not with the weight gain being the cause, as so many people assume. That theory would also allow for the obese people who don't develop T2. those are usually the ones who do eat them-selves into that state.
Insulin resistance affects the glucose control part of insulin function and not the fat storing function.
Hana
 

dianeb

Member
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16
Thanks all

Weigth gain has stopped - my nurse said that it's not unusual to gain half a stone and I had recently lost half a stone when pregnant earlier this year (unsucessful but a chromosone defect not the diabetes, Hba1c for first three months was 5.9), so she's pretty relaxed. I know you're supposed to gain weight but I was really having to watch the carb intake, and limit it to 40g per meal in total.

Watching what I eat more and making sure I have dried fruit/fruit/yogurts to hand instead of junk, which is helping.

I miss metformin, it was so simple....getting used to the injections and as a needle-phobic I am surprised at how easy the covered needles they sorted out are to use. They have a safety device so you can't see the needle when you inject, a brilliant idea and so simple! I am currently using Novorapid at 10 units three times a day.

My medical team are being brilliant, nothing seems to be too much of a problem for them. Perhaps it helps that both my GP and diabetes nurse are diabetic?
 

janabelle

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Dog owners who let their dogs poop in the street-a hazard for most, but worse if you're visually impaired!
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Wow Diane, you really are blessed with your diabetes care team! They will definately have a real insight into your problems, and that must be very reassuring for you. Great news too bout the weight-wishing you the best of luck with your future pregnancy :D
Jus
 

sue32

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Oh yes, Diane, tell me about it. I went on insulin in 2005 and in 5 years put on over 3 stone, which didn't help as I am already a large lady. I am also insulin resistant. My GP told me it wouldn't make me put on weight but it would increase my appetite!! Isn't that the same thing?? Anyway I'm on Byetta and no longer need to take day time insulin. I still take Gliclazide twice a day, but I have lost 2 1/2 stone in 4 months, just by cutting out starchy carbs such as bread and potatoes. I'm never hungry, and I even have my beloved chocolate!! So hang on in there. And good luck. :D