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Help! I was diagnosed A LADA diabetic in July. Upon diagnosis I was 107 pounds. For the past five years I have steadily been between 115-120 pounds. I Understand that my elevated blood sugars were causing me to be underweight at 107 but now that I am on insulin I am up to 125 pounds. Every Dr's visit has been an incremental gain of 3-5 pounds. Now my clothes are not fitting. I have started to excercise more, 6 days a week running a total of 20 miles, 1 day of Yoga and two days on an elyptical. I eat less than 1500 calories a day yet the pounds keep rapidly coming on. I am so frustrated. It is bad enough to find out that you have diabetes but to have to gain weight too? My Endo put me on Symlin to help suppress my appetite and it seems to be helping a little. Did any of you experience this? If so, any suggestions on how I can help to control it?

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What is important isn't calories, but carbs. How many carbs do you eat a day? The less carbs you eat the less insulin you need and that combination: less carbs and less insulin will help you stabilize and lose. I am at a point in my life that I have a lot of trouble losing weight and gain easily. I was slowly slowly inching up. I've cut my carbs and its the first thing in many years that's allowed me to lose.

I would schedule to have your thyroid checked right away. I have hashimotos thyroid (low thyroid-which causes weight gain) along with my LADA. You need your t4, t3, and tsh checked. If all comes back normal I would def cut the insulin by what Zoe said, going low carb.

Lil Mama brings up a very good point, especially if the weight gain is rapid, that is a very important cause to rule out. Hypoactive thyroid is much more common with Type 1's.

The way insulin works is to convert excess blood sugars not needed for energy, to fat which is stored, primarily in the abdominal area. So contrary to common belief, it is not fat which makes you fat (the body is not capable of storing excess dietary fat) but sugar.
In addition to reducing the amount of carbs consumed, the Glycemic Index can be very helpful in preventing or reducing weight gain when going on insulin.

I disagree. Excess fat that you eat is digested by your body to triglycerides, and these triglycerides are stored by your body just as easily as triglycerides that are produced from excess carbohydrate. Excess of any macronutrient will cause fat gain.

The point, that Shawnmarie makes below, is that calories do matter. The secret to preventing weight gain is to not eat excess food - whether carb, fat, or protein. (I'm not suggesting this is easy, but at the end of the day it is necessary no matter what foods you eat).

Dietary fat is absorbed into the bloodstream with bile acids, not as triglycerides. The liver processes these fatty acids into lipids, which include tris. While it is true that the tris will be taken up as bodyfat in the presence of insulin, a low carb diet that lowers insulin and reduces tris will really help (dietary carbs are a major source of tris).

I'm not sure what your point is. I agree with you that dietary carb can be a major source of triglycerides, but my point was that fat can also be a major source of triglycerides. It really depends on the diet that you are eating.

So just to be clear, which of our statements do you think is correct: "the body is not capable of storing excess dietary fat", or "excess of any macronutrient will cause fat gain"?

I agree with both the recommendations to look at your carb consumption and ensure that your thyroid is working properly. T1s are more susceptible to hypothyroidism due to a similar autoimmune attach on the thyroid. Hypothyroidism will cause weight gain.

What do you feel is your "ideal" weight? Keep in mind that one's idea weight changes over time, so depending on how old you are, you might just be experiencing some of that natural weight gain we women are so prone to.

All good advice but I would add - check on liver leak, If your diet is stable and not changing, a leaky liver will throw more glucose at problem and raise the Blood Glucose level.

This leak can override diet and exercise and in fact you will need much greater levels of exercise to overcome. Been there and done that.

I am not Doctor and had to load metformin to get liver back in line. Once liver leak stalled, diet worked and weight dropped ( 330 to 240 pounds).

Just a thought and check with your medical help/experts!

Very good points Jim
I believe that one thing a person can do to reduce unwanted glucose dumps from the liver is to have regular mealtimes and importantly to not skip breakfast. The trigger for these glucose releases is often lower than normal blood glucose levels - for example if someone goes for a morning job before eating breakfast, or gets into the unhealthy but unfortunately not uncommon habit of having one big meal a day. With a steady trickle of calories throughout the day the need for the liver to replenish the supply disappears.

Thank you everyone for the information and tips. I'm going to have my thyroid checked. I'm already on a relatively low carb diet. The liver dumping is an interesting concept. I eat 3-5 small meals per day. However my fasting BG is always elevated when I wake. My endo is treating it with more lantus but could this be a result of not eating all night and the liver dumping as you are suggesting above?

I've heard of quite a few people having success in lowering their morning fasting levels after experimenting with different amounts of protein/carb snacks before bedtime. (For example multigrain crackers with peanutbutter.)




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