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weight gain with useing insulin
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<blockquote data-quote="hanadr" data-source="post: 11686" data-attributes="member: 8110"><p>I have been married to a type 1 for 37 years and I have noticed a tendency in diabetic care teams to suggest a dose of insulin and the get the patient to"cover" it with food. That leads to an upweight spiral ( 6'3" husband now weighs 17 stone). A much better approach is to work out how much insulin you need to cover the food at each meal. Bernstein shows how to do this and I think it's meant to be at the root of DAFNE, but I have no experience of it. If you are a hyperinsulaemic type 2 ( which many of us are) adding more insulin to the mix is likely to pile on the pounds. </p><p>In my experience, the only way for type 2s to loose weight and keep BGs on target, is to eat fewer carbs and cut the insulin secretalogues to the bone. Metformin is less helpful in established type 2 than in the early stages. It can cause tummy grumbles, but usually that wears off in time. I'm told that the slow release form doesn't do it. Again I have no experience of that. I just kept going with it until I adapted.</p></blockquote><p></p>
[QUOTE="hanadr, post: 11686, member: 8110"] I have been married to a type 1 for 37 years and I have noticed a tendency in diabetic care teams to suggest a dose of insulin and the get the patient to"cover" it with food. That leads to an upweight spiral ( 6'3" husband now weighs 17 stone). A much better approach is to work out how much insulin you need to cover the food at each meal. Bernstein shows how to do this and I think it's meant to be at the root of DAFNE, but I have no experience of it. If you are a hyperinsulaemic type 2 ( which many of us are) adding more insulin to the mix is likely to pile on the pounds. In my experience, the only way for type 2s to loose weight and keep BGs on target, is to eat fewer carbs and cut the insulin secretalogues to the bone. Metformin is less helpful in established type 2 than in the early stages. It can cause tummy grumbles, but usually that wears off in time. I'm told that the slow release form doesn't do it. Again I have no experience of that. I just kept going with it until I adapted. [/QUOTE]
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