Insulin resistance?
Hi all,
New to the forum. I am hoping some of you with all your expereince can help cut through my confusion. I am trying to figure out what is wrong with me. I gained alot of weight in 4 years. And pretty much have had a difficult time loosing weight since the 6th grade. College Athlete, very active person. Yet weight loss never came easy always on teh high carb, low fat, low calorie diet with heavy exercise.
Now I am seditary, at 340 with knee problems from athletics (torn meniscus and petalla syndrome)
My endo said I had insulin resistance.
2008 my ac1 test was 6.3. Insulin 94 and FBS was 129 (doctor ordered this test)
2002 my ac1 test was 5.6 FBS 83 (I ordered and paid for this test myself) was 240 then
She prescribed Metformin and Byetta(I am not taking as I am worried about burning out the pancreas). I lost 10 pounds so far, in 5 months with out working out and watching my carbs some (meaning no more pasta, or heavy carbed meals like a bagel in the morning).
I have also had fluctuating cortisol and elevated adernals and prolactin (not high but elevated above normal)
So I am trying to do research on as much stuff as I can to get a handle on what is wrong.
Trying to figure out if my symptoms are insulin resistance or something else.
When just watching what i eat to make sure I have even amount of protein and staying away from certain foods, my BG can range anywhere from 102(starting) to 177(ending after 2 hours, 177 is a rarety it usually is back down to 130-140).
I have be extremely fatigued to the point of not being able to raise my arms up, wanting to sleep all day, night sweats, unable to focus or sit still (you know jittery thoughts going from this to that constantly getting up wanting to go eat but stop myself most of the time).
With that blood sugar range can those type of symptoms be related to that?
And other doctors want to say I am diabetic (non endo dr.s) but my endo made a point in telling me that I am not diabetic.
So who do I beleive?
My endo didn't recommend me seeing a nutrionist or adjusting my eating but I did go and see a nuttrionist and she is saying I can eat 45-60 grams of carbs each meal. 15 each snack.
I know if I go wicked high on carbs that I will go on a roll coaster ride where I will just be craving them. I
I am really confused...And any light you can shed would be greatly appreciated.
Thanks so much :)
Angela
New to the forum. I am hoping some of you with all your expereince can help cut through my confusion. I am trying to figure out what is wrong with me. I gained alot of weight in 4 years. And pretty much have had a difficult time loosing weight since the 6th grade. College Athlete, very active person. Yet weight loss never came easy always on teh high carb, low fat, low calorie diet with heavy exercise.
Now I am seditary, at 340 with knee problems from athletics (torn meniscus and petalla syndrome)
My endo said I had insulin resistance.
2008 my ac1 test was 6.3. Insulin 94 and FBS was 129 (doctor ordered this test)
2002 my ac1 test was 5.6 FBS 83 (I ordered and paid for this test myself) was 240 then
She prescribed Metformin and Byetta(I am not taking as I am worried about burning out the pancreas). I lost 10 pounds so far, in 5 months with out working out and watching my carbs some (meaning no more pasta, or heavy carbed meals like a bagel in the morning).
I have also had fluctuating cortisol and elevated adernals and prolactin (not high but elevated above normal)
So I am trying to do research on as much stuff as I can to get a handle on what is wrong.
Trying to figure out if my symptoms are insulin resistance or something else.
When just watching what i eat to make sure I have even amount of protein and staying away from certain foods, my BG can range anywhere from 102(starting) to 177(ending after 2 hours, 177 is a rarety it usually is back down to 130-140).
I have be extremely fatigued to the point of not being able to raise my arms up, wanting to sleep all day, night sweats, unable to focus or sit still (you know jittery thoughts going from this to that constantly getting up wanting to go eat but stop myself most of the time).
With that blood sugar range can those type of symptoms be related to that?
And other doctors want to say I am diabetic (non endo dr.s) but my endo made a point in telling me that I am not diabetic.
So who do I beleive?
My endo didn't recommend me seeing a nutrionist or adjusting my eating but I did go and see a nuttrionist and she is saying I can eat 45-60 grams of carbs each meal. 15 each snack.
I know if I go wicked high on carbs that I will go on a roll coaster ride where I will just be craving them. I
I am really confused...And any light you can shed would be greatly appreciated.
Thanks so much :)
Angela
Replies to This Discussion
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Permalink Reply by John on
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Might be worth reading this article in the New England Journal of Medicine... Weight Loss with a Low-Carbohydrate, Mediterranean, or Low-Fat Diet
"The mean weight loss was 2.9 kg for the low-fat group, 4.4 kg for the Mediterranean-diet group, and 4.7 kg for the low-carbohydrate group..."
Note the first two diets were calorie restricted. The low-carbohydrate diet was not calorie restricted.
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Permalink Reply by Frank the Lege on -
Excellent article John, and all dieticians, nutritionists and others in the medical profession should be forced to read it.
A reduced cab diet is the only way forward for most non insulin dependent T2 Diabetics.
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Permalink Reply by Cathy on -
I am a T2 diabetic since 18 I use a pump and I became insulin resistant because of my body started not to use the insulin properly. I was using 200 units a day. My pancreas is crapped out and only makes a micro dot of insulin. They switched me to u500 insulin in my pump to deal with my resistance. And yep it can make you gain weight no matter how active. You hold on to more of the fat you eat because you typically use more insulin to fight the rising blood sugars because of the resistance. Then you raise your insulin and it becomes a viscous cycle. It sucks. But the u500 is suppose to help with this.
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Permalink Reply by Rosalee Meade on -
Have you cosidered asking your doctor about running a test on your thyroid? Some of your symtoms sounds like the ones I had before I knew what was wrong.I had gained some weight then lost alot.I hope you can get the answers your looking for.
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Permalink Reply by Andreina Davila on -
I just read this article about a study on mice of course: "Antioxidants May Raise (type 2) Diabetes Risk: Study"
I thought it was interesting:
"Our study suggest that antioxidants may contribute to early development of insulin resistance, a pathological hallmark of type 2 diabetes"
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Permalink Reply by Cheri on -
Hi Angela-
I'm a T2 - over 15 years - just started insulin in January 09.
I'm not going to get in to all the detail now because it would take longer than I have right now - BUT - Angela, you should know right now that there are very different schools of thought. Many of the principals and guidelines that Josee just laid out are TOTALLY different from my own beliefs, knowledge, and personal experience.
Bottom line - keep asking questions - keep learning - then make up your own mind and find out what works best for you. Realize that you will need to be your own Diabetes Educator - especially when it comes to nutrition and diabetes. You said that you were doing a lot of research - good for you!
For now, the very best advice I can give is to start here - http://www.phlaunt.com/diabetes/
Over time, her information (IMHO) has turned out to be the most helpful, and most accurate.
A few quick points - I have found low carb (with plenty of protein and good fats, less than 40 g carb per day) to be the only way to control my BG. There's plenty of solid science to explain why low carb/high protein/good fat WILL NOT damage your kidneys. It's bunk that carb overload from "whole grains" is healthy for a diabetic. To determine whether Byetta or Symlin are best, you need to have a C Peptide test to see how your beta cells are faring. High BG can cause lots of short term issues, like extreme fatigue, as well as long-term issues, like permanent organ damage. Night sweats could be Dawn Phenomenon - your after food numbers aren't that bad but your FBS is too high - it may be that you need long-acting insulin to cover times when you are not eating (like sleeping or between meals)
Back to work! Hope this helps.
Cheri
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Permalink Reply by Frank the Lege on
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Hi Angela.
Unexplained weight gain is one of the major symptoms of T2 Diabetes and is not often emphasised by Diabetes professionals.
As people here have said diet and exercise are the key.
If you have joint problems you could opt for low impact exercises such as using a rowing machine, swimming, yoga and tai chi.
Have you asked your doctor if you could go on a sulfonylurea as an alternative to Metformin?
It is said that some doctors avoid them in favour of Metformin because of the risk of hypos but I've never had any problem with them.
Frank
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