Impossible to lose weight
08/01/2011 9:19 a.m.
Good morning,
After a long time without control of my type I diabetes, only because of me, I stayed in a very low weight, as you know, having a disastrous control the calories ingested are expelled through the urine, hence the thinning.
I decided two years ago to reins again and carry good control and it happened that in two months I recovered almost 20 kilos and to this day I have been raising even more but little in little.
According to my endocrine, I must go up the Lantus units, but what happens?How much more lantus I get more fat and those kilos are not removed with diet.
Example, I have been 3 weeks to strict diabetic regime to see if I losing weight, since I am currently in a body mass index, which indicates that it starts to be overweight.What is my surprise when instead of losing weight what I do is gain weight, in this case 300 gr.
In these last two years I have made many types of diet suitable for a diabetic, that is, in which you can eat hydrates and I have not managed to lower anything.I don't follow a regime, I don't make excesses either, as less than a normal person and all healthy, I should lose weight little by little with this type of food or keep myself.
I would appreciate that people with my same problem or people who have happened to me and have as they have managed to stop the problem, or simply people who know what can be done.
My endocrine is limited to saying that insulin does not fat, a totally uncertain thing, since it is demonstrated, according to my header, that more injected more is usually fattened.
Thank you so much!
08/01/2011 9:19 a.m.
I am very tired of telling me that the diabetics do not get fat by insulin .... I have always had a bit of overweight but, from that I am a diabetic, I have taken a lot of weight, a buried.It will be for insulin, it will be for hypoglycemia, it will be because before doing sports I have to eat and in the end the caloric account comes positive and not negative, it will be for whatever ... but my situation is disastrous.I am clear that my only solution is metabolic surgery because no matter how much I have tried to make diets, it has been impossible for me to lose weight, in fact I have become more and more fat.And all this, without having any thyroid problem.For me the kilos have been the worst of diabetes.: EVIL:
08/01/2011 10:54 a.m.
Glargine insulin is demonstrated that it has a weight gain as time passes, apart from diets, exercise etc.
I know it has nothing to do with the dose increase.
Logically, the higher the weight of higher dose is necessary.
Insulin is a "anabolic" hormone, it helps to take advantage of all the glucose in the body and use it or store muscles.
Even so, a weight gain is not explained exclusively either by insulin or by a good glycosilada, normal (generalizing) is that they are ingested more calories than are consumed.
When it is proven that this is not fulfilled, the endocrine should see why it happens.
08/01/2011 11:52 a.m.
Little to add with respect to what someone fattens or that someone thinthat are needed weights).
These studies on the weight gain of some insulins with respect to others exist but the "extra" weight gain due to the insulin Glargina (Lantus) is totally despicable comparing it with other "slow" insulins.
If someone stands in detail those studies related to weight gain I think they should read them calmly and not only keep the data of the Glargina (Lantus) since these studies are a comparison of several insulins, to look at the gain ofAll the insulins of the study that are usually insulin to determine (Levemir) and the insulin NPH (Insulatard) and yes, in those studies it usually comes out that weight gain with glargine (lantus) is superior to the others but the difference is minimal(And in no way justifies the case set forth in this thread that has said that he won 20 kilos in two months).
carry good control and it happened that In two few months I recovered almost 20 kilos and to this day I have been raising even more but little in little.
I think you have an erroneous concept of what it is to bring good control of diabetes, if someone has a good control of their diabetes does not win 20 kilos of weight in two months.
Possibly you would get more glycemia controls a day but that is slightly different to carrying good diabetes control, according to carrying good diabetes control you have to do a number of higher blood glucose controls but make moreGlymia controls is not the only thing to do ...
My endocrine is limited to saying that insulin does not fat, something totally uncertain, since it is demonstrated, according to my header, which is more injected more insulin is usually fattened.
What the endocrine told you (although with other words) is what we are telling you here, insulin by itself does not get fat (totally true) what fattens or thinness is the calorie counting.
What your head doctor has told you is also true (although in a slightly different context) it is very easyDiabetes control but of course ... how insulin regulation is not perfect (it is impossible for it to be perfect, at least with current treatments) it is very easy that by raising insulin doses there are more hypoglycemia and to get out of those hypoglycemiaYou have to drink/eat things outside the diet, things that have calories, calories that add to those of the diet and that make us ingesting an excess of calories and if more calories are ingested than we consume we get fat.
Possibly your endocrine was referring mainly to the basal insulin and possibly your head doctor was mainly referring to insulin in bolus (casually you have not said anything of insulin in bolus that you use, which is the insulin that is responsible for covering themeals and that is why the most influences the weight).
The two have told you the truth, but within slightly different contexts ... what happens that it seems that you are only interested in paying attention to the opinion that in principle does not blame yourself directly.
All insulins "lose weight" and all insulins "fattening", which happens that there is always something to blame before admitting that the culprits are us.
08/01/2011 2:15 p.m.
Anyway, I understand you very well ... It is desperate
But really doing things as they touch: organized diet, physical exercise (essential) and medical (discreet but not insistent) control is possible to reduce weight.
I, since I am working (and I am every day 12-14 km) I have lost 4 kilos, maintaining the same glycosylated.
In 2-3 weeks that I have lowered the rhythm for vacations and lower workload I have re-took a little more than 1 kg ...
All this maintaining the same ultra -granted insulin units and lowering the basal.
08/01/2011 2:46 p.m.
Thanks for all comments.
I know what is a good control of diabetes, I am diabetic for almost 13 years, and I know that it is not based solely on becoming more controls, but I lowered my glyc of almost 14 to 7 in 3-4 months, thatGreat improvement pointed out that the thing was not bad at all ...
According to my end, so much weight gain was totally normal, moreover, he warned me that I would gain more weight.
Making memory, and reviewing some papers, the data I have given are not entirely correct, in almost two months I went up 13 kilos and those 13 to this day already add up to a total of 22 or so.
When I go to endo, she always told how disgusted that I am with all these kilos that I did not have, I find myself less agile and more tired, my back hurts, etc.Endo limits me to tell me that I am an obsse that I don't have to diet, but who better than a endo to give you a healthy diet and not want to get to an obesity?Based on insisting and arguing, lengthens the hand and limps the first diet that catches, he takes, 1500 calories! Leo and I normally consume less fatty and less food than that diet that gives me.
I know how diets and weight and lose weight, obviously, if you consume more calories than you burn, it is based solely on that.The only thing I say is that diet of 1000 calories as I have done more than once and walking every day I have gone about, and it happens with all, the first week I notice that I have lost about 500 grams at most and the nextWe weight the same as at the beginning and more.
I know that insulin itself does not fat, of course not!But that more units injected in a long space of time, more is inevitably fattening.
In my case, about 6 months ago I was putting X from Lantus and always weighed the same, I raised the dose in 2 more units and I weightI climb again and I have taken another 2 kilos that I can not remove and I can no longer gain weight, I am already overweight, according to the body mass index, not according to the beauty canons, I repeat it to me, with forgiveness ofThe word.
I am thinking that my only solution is to pay a private endocrine, to help me have perfect control of my diabetes, and at the same time can lose weight.I wrote to know if the same thing happened to me or I was a weirdo.
Greetings!
08/02/2011 4:08 a.m.
What was your physical constitution before diabetes appeared?
What was your physical constitution during the first years within diabetes?(Where I imagined that you would carry acceptable control of diabetes and not the savage of control that made you had (according to your own words) gyted 14 and you were almost in the bones).
If the answer to those questions is basically that you had obesity, that you were already a person with obesity, then that important weight gain that you had when putting the batteries with diabetes after a wild season is totally normal, you returned to the weight you had, you returned to the physical constitution you had.
I am not saying with this that a person who has obesity has to have obesity for the rest of his life, no, I just ask/comment this for looking for an explanation to such an important weight gain in such a short time, if not for that (because your physical constitution was already like that) of good control nothing for a long time that the glyd went from 14 to 7 in 3-4 months since the glyd is not the only parameter to analyze to see if someone carries a good control ofDiabetes (it is a spectacular decrease in glycosylated hemoglobin, but it is spectacular because you were doing it auctionly).
I see that you insist on associating weight gain with Lantus, in addition to a rather daring way, you dare to quantify the matter ("so many units of L -& GT; so much gain of kilos" and adorn it with "... and those kilos do notI can take them out with a diet ", now it will turn out that there are different kinds of kilos ...).
Every patient who has type 1 diabetes and is with a treatment with multiple injections USA (at least) two types of insulin, you only talk about one of the insulins you use (of the Lantus) and you still do not say absolutely nothing of the fast insulinor ultra -grape that you use.
In the same way you still do not say anything relevant to the diet you carry (how many calories are it or less, if you carry a diet by rations or do things "by eye" ... etc).
Why do you blame only one of the things involved when there are several things that intervene?Maybe you can be putting the leg in the diet if you are doing things "by eye."
To blame insulin ... why do you blame only one of the insulins you use?Is the other insulin holy and blessed because it allows you to eat?
If you have to climb the dose of basal insulin because your body is what you need because you go up (it doesn't matter to let's pile) what you have to do is also regulate the other insulin, the one you use at meals and stop you a little with it, the treatment is a two -insulin thing (and the hand that handles them ...) not only one of the two insulins.
Put to blame insulin for the issue of weight is more guilty the rapid or ultra -grape than basal insulin, since it is rapid or ultra -graph that covers meals.
It is a luck that there is always something to blame before we blame ourscontinue using the fast as a champion to give you good tributes).
08/02/2011 3:03 p.m.
Last year something similar happened to me, I also sprinkled the overweight and even if I diet (counting HC) or more sport there was no way to lower the weight.They made me thyroid analysis and in the end, in my case, it was the antihistamines that I was taking for a chronic urticaria, after 3 years I left and I started to lose a kg per week until it drops 6 kg.
In diabetes we always talk about the X and we should know files that in the human body 1 + 1 is not always 2. I think we should think that people know what they are talking about and download a hem of 14 is always fine.And, yes, the gyted of 14 is a mockery, but instead of emphasizing how bad it should be doing (we do not know the situation of this person, the same was with corticosteroids or having a bad season) we should congratulate her for going down 7 points in3 months ....
08/02/2011 5:59 p.m.
Miembro del equipo de moderación del foro
DM1 desde 1988
Mamá de 2 niños y a la espera del tercero
Bomba + Dexcom
What I have said has been quite clear: that hemoglobin descent is spectacular and I have explained because it is so spectacular, all in the same sentence, the complete phrase should be read instead of staying only with half of the phrase and inPlace to congratulate so "happily" only for a parameter when we are seeing that in something else it has gone worse (and in that it has gone worse it is blaming him, in my opinion, what is not).
Glycosylated hemoglobin is not the only parameter by assessing diabetes control, there are more things ...
- Having an excellent hemoglobin but having a roller mountain profile (with many hypoglycemia and hyperglycemia) is worse than having a slightly higher hemoglobin but with a more stable profile.
- Having an excellent hemoglobin but gaining a lot of weight in a very short time is to improve in one thing but get worse in other things.
And as these two examples could put others related to cholesterol/triglyceride or blood pressure.
We should be quite clear that glycosylated hemoglobin should not be the only parameter to take into account to see if diabetes control is good or bad.
08/02/2011 7:12 p.m.
Only two things: if later, fattening 20 kg is aiming overweight has improved in two things, in hemo and not being infrapee.
And the second, no matter how stable hemo is stable, is an average of almost 400 ...
08/02/2011 8:06 p.m.
Miembro del equipo de moderación del foro
DM1 desde 1988
Mamá de 2 niños y a la espera del tercero
Bomba + Dexcom
Before being diabetic I weighed 85kg and I measure 1.75 when the doctor began to develop one of the symptoms was to lose weight in a month 12 kg this was one of the symptoms apart from a lot of very much Seeeddd and a lot of hunger but every two hours I would eat a chuleton withpotatoes ...... etc. I had the hemo in 11 when I detected it now I have it between 7 and 8 and I still weigh the same thing I have not fattened anything for the moment or thinned, to all this to say that I take hORAL DIABETICS.
Greetings and we encourage everyone.
08/03/2011 7:47 a.m.
Several things:
2nd - verukis, I agree with TNT only in one thing, and that is that if more calories are ingested than consumed, it is fattened.However, there are many factors that favor, not only food assimilation or fat storage mechanism, but also the same fact of needing less calories than average.
The latter has not read that it was called "Savoring Genotype".I fear that it is something that happens to enough people: we eat less than the average, we move the same and fattening when the others would lose weight.
To say that it is unfair does not serve much.
You also have to rule out medications or similar that may have that side effect.
And not forget problems such as fluid retention, constipation, etc., which can be the cause of overweight.
3rd - What I do recommend is that you change endocrine.It is clear that he is not helping you and that you need a specialist who knows with diabetes and overweight control, doing the necessary studies and tests to individualize your case.
The rest, be Lantus, be the fast you use, whatever, are just speculation.Change endocrine and tell us.
Health
08/03/2011 1:17 p.m.
I forgot: you don't need to go private.You have the right to choose another within social security.
Health again
08/03/2011 1:20 p.m.
Perhaps, we have overlooked a trifle ...
The Weight concept is associated with BMI: Body mass index ... There are very beautiful tables, which indicate to what degree of "fat" ...
A link:
That's the theory ...
In practice, sometimes and according to people it is desirable to modify these criteria at the discharge ... and 3-4 kilos above the limits have to go crazy.
08/03/2011 2:26 p.m.
If verukis blames the problem to the Lantus, it can be for several reasons, and some have clearly explained them: it has followed diets (although you deny that it has given concrete data) of 1000 calories and, however, it has continued to fatter.
He has recognized his bad control when he had gyzed 14 (you have not questioned his bad control, adding qualifiers as savage or fellow, as offensive as unnecessary in someone who in advance recognizes his bad control at that time) nevertheless, when he says that he says thatIt has dropped to 7 and that has good control, you take for granted that you have no idea what is good control and that it has up and down (your invention).
Health
08/04/2011 8:26 a.m.
Let's recover a bit of calm all, and let's go back to the issues that interest us.
I lost 17 kilos during those two months prior to knowing my sweet spirit.In the hospital, an see rehydrated, I recovered 5 kilos quickly.
My treatment was with Lantus and Novorapid.I did not earn weight in the following months (with a diet of 2200 calories) and I still have no weight (I oscrate between my 97-99 kilos) two years later.Say that I do not use Lantus.And no, I have not changed insulin, it simply is that I do not use basal insulin: mrgreen: my honeymoon is being generous with me.
I am clear that physical exercise helps a lot, I consider it a fundamental part of diabetes control.It is not necessary to become a super-attachment, with 1 hour a day of a moderate-intense exercise is sufficient.And if we are able to distribute that exercise throughout the day, better than better.Walking to go to work (even if they are only three bus stops, or one of subway) walk to return, a little bicycle in the afternoons, swimming, etc ... will help us stay fit, increase sensitivity to insulin, lower glycemia, etc ...
With another concept that I agree, it is that not all bodies are the same, you have to know that each other fattens.I have a co -worker who didn't lose kilos with any diet, until they looked at him well, and told him that it was milk.He considerably reduced his consumption, and lost kilos.
A good endocrine should be able to tell us that diet and what foods are the ones that suit us.
Greetings.
08/05/2011 6:11 a.m.
Hello colleagues.
Leaving aside the ugly mess in the forum I commented things with the theme of the companion who asks.
I consume 2000 calories a day and almost put the hand in the fire that as much more than before.
When Debute had lost about 13 kilos, he weighed 85kg and then about 72kg (I measure 1.80cm)
Taking into account what I am very moved, I am quite a gandul with sedentary work, after a year and a half I find myself in 70,500km.Surprise a less.Therefore I believe that the insulin at the moment is not fattening me.
I suppose this is like everything, each one has a different body and theirs is to find the exact balance with what is consumed and spent.
I encourage and do not hopeless keep trying things until you find where the dwarf is.
Hugs, Quim
08/05/2011 8:40 a.m.
I understand you because I have fattened with the lantus, I have read (I hung the infornma) q If t lapons at night that is fattened less, I am going to try it from now on, since now I put it at the 1st noon.
Tell me how you are going, hopefully you have lost weight and tell me how.
Greetings and thanks.
10/20/2011 12:33 p.m.
Bomba Accu Check Insight de Roche con Novorapid.
Usuaria de bomba desde 2011 ( lleve la Combo hasta el año pasado).
If, as the lantus fattens, you know what the more you put on .....:-/
I think that what fattens is food, not insulin, there are many people who have decompensated guidelines and what they do is feed insulin;), if you have well adjusted the guideline you will eat what you need and you will not gain weight, if you want to lose weight reduces the amount of food, especially fats and adjust the pattern, lower insulin to avoid hypoglycemia and something very important, exercise ....
10/20/2011 12:43 p.m.
I have been diabetic since 1979 .... I mean 32 years ...
It may be that I was with the Levemir from 2004 to March 2011, with the LEVEMIR I was addressed, although my glycosilada was not as good as I have it now, (I did not take care of how I take care of now), but the fattening, I repeat, I repeatIt was in a short time, 0.5 kg per week seems to me a lot, and yes, I'm going to guide her night, I don't understand the PQ, but I read it and hung it.Before the Levemir with the Mixtard 30/70, the feeling of being swollen was equal to what I have now.Anyway, if I still get fat, I will change to the Levemir, even if they are 2 punctures instead of one .....
All the best.
10/20/2011 3:27 p.m.
Bomba Accu Check Insight de Roche con Novorapid.
Usuaria de bomba desde 2011 ( lleve la Combo hasta el año pasado).