i have had type 1 diabetes for over 30 years, recently it appears that i have become insulin resistant. i have changed insulin in my pump from humalog to novolog and still appear to be using much more insulin. has anyone else experienced this and if so how much more insulin is now taken as compared with your previous amount. it seems i am using almost twice as much and have found that this causes weight gain. any advice?
I have been a type 1 for about 40 years, when I go see my CDE's they say I am insulin resistant as well, I started on a pump 2 months ago and use around 60-70 units of rapid a day, I am about 30lbs heavier then I should be, have lost about 10 lbs since starting the pump. I am interested in this discussion as well, what can we do to decrease insulin resistance. I am not sure if this is a lot of insulin or not, I realize it depends on exercise and carb intake, this should be a good discussion!!
I've had Type 1 for just over 20 years. Over the past six months I've had to start taking a lot more insulin. Like you, about double what I was taking before. I've tried switching back to Humalog (I use Apidra) but it has no impact, so I think it's insulin resistance.
I am, however, overweight (although my weight hasn't changed in years), and so I'm hoping my insulin needs will decrease as I lose weight. My weight has been holding steady, I haven't found taking more insulin caused me to gain weight.
The drug Metformin can be used for Type 1 diabetics too. It improves the sensitivity to insulin and will moderate the glucagon production of the liver down. If I remember it correctly you can ask Marps about this combination.
My TDD was 30u for about 15 years and then it increased to around 50u over a couple of years but it has been very stable for the last 5 years. Insulin pumpers.org says the average TDD for a T1D pump user is around 42u.
We just need to use however many units it takes...it's not a sin...;-)...
As I get older it has become easy for me to gain weight, but as long as I get some exercise and only eat junk food half dozen times a year my weight stays stable.
Weight loss and activity are about the only two ways to lower resistance. My TDD will drop during the summer because I'm always more active....
I hit 50 years in 2011 and have encountered insulin resistence. I am on a pump and use less than 20 u perday--basal and bolus.
One of the things I have noticed lately is I have more trouble finding a good spot for my pump catheder. As I have used my stomach for all this time with shots, and pump, it is getting harder and harder to find fresh real estate!
As someone mentioned, you can try Metformin, Symlin, or other medications to help with insulin resistance.
Symlin helps with insulin resistance? I did not know that. Though if you have any type of gastro problems they won't let you take it. I knew Metformin works for it. The only time though I have had insulin resistance was the last part of my pregnancy. Getting ready to go through it again.
That's what my doc told me, that it would help with my insulin resistance, but he might have been thinking of Metformin. Wouldn't be the first time a doc got something confused.