From the time I got insulin pump (2 years ago) I gain weight. Before pump I was on pens and I have 83kg and now on pump I have 92kg. I run 6 marathons and I have everday long run training but I still gain weight. What is yours experience with this problem?

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That is rubbish. All the fat around the waist has to go throu your mouth. The pump is better to convert glucose to fat than a pen.

If you use a pen its possible that glucose will be pied out instad to be used in the body. If you use the pump in the same way as a pen then you would stay at 83 kg but that is not reason why you starded to use the pump.
So you want to say that is bad side of the pump-gaining weight no matter how careful I am? Or that I must eat less?
Eat less or low Carps diet.

If that is imposseble a bad pump habbit is also a possebillety but on a long term not a good idea.
I have never run a marathon, and never plan to! I have always been active though, and try to exercise one if not twice daily for between 15 and 60 minutes per session. Pre pump, I gained weight over the years, just kept inching up, as did my A1C's. After beginning the pump, and my control stabalized, and I no longer ride the insulin roller coaster of chase the high sugars with more insulin and then chase the low sugars with food as often, I have dropped now probably 60 pounds. I have not yet purchased the book "Diabetic Athletes Handbook" by Sheri Colberg, but I have seen other postings about how she breaks down ways to adjust pump settings to meet exercise goals. So we (diabetics) have to figure out how to adjust our intake of both food and insulin to match our exercise. I am not there yet as I still crash while exercising and have to feed the sugars. Not as much and not as severe as when MDI, but not flatlining 24/7 either. Carbs are hard on us, no doubt, but again they are fuel for endurance activities. Probably you have not yet figured out your sweet spot so to speak - how high your sugars need to be before you begin a training run, how much insulin you require while running, and then how to modify the post exercise changes in glucose. All things I am aware of but have not fully educated myself on the finer points. I just know that if I begin a 30 minute session with my sugars between 140 and 160 and have not bolused within 3 hours, I can usually complete the session and while sugars probably decrease I do not crash while exercising. If I begin a session with sugars below 120 I have to have carbs on board, otherwise I will usually drop lower than I am comfortable with.
Hi Korrie
I am new to tudiabetes and was reading your entry from May 1st. Was wondering how long it took you to find your "sweet" spot before activity and if there was a method you used. Have been struggling with going low with any activity for a long time. Seem to go from low to high all day long...unless I just sit. Any suggestions are greatly appreciated.
I gained weight also...as a fitness competitor this was detrimental to me both physically and emotionally. I now eat under 120 total carbs per day, and I went on symlin, which is helping me drop those extra few pounds.
It is very hard to run marathons with that low carb intake, maybe that is problem with me- I have vey high carb intake because of long running.
Definetly I must try to cut carbs..
can you increase good fats for energy? Less insulin needs.
Are there good fats??????????????
so many good fats that the body needs and uses for energy, brain function etc...not to turn to fat! Olive oil, nuts, avacados, flax oil and all seeds....tahini ( sesame seeds ground), sunflower, flax, etc. Olives, etc.
I also have brought on a couple but I do think the added food to comp. for the exercise is the reason (but the incorrect way to work in an endurance sport.

I have decided to program my pump to have a Temp Basil setting for the endurance days completely programed from the start of the day 5:am with greater insulin sensitivity and a greater carb amount needed per unit of insulin.Hour by hour in the twenty four hour day my insulin basil is cut down by a total of two units and the bolus requirements have been cut down 33% -26u (as apposed to 38u) total bolused that day with out messing with the food ....well....bolus needed in the morning is high (hi carb) just to keep BG down "roud 7 mmoll or 8 mmoll then the totally tapered boluses for the next normal every day meal food.Almost half of the bolus for lunch and snacks.

Haveing your Temp basil set for the workout days lasts for the day and pump is on reg. setting for other days ,so I don't over eat (carb load in excess) attempting to eat as though you are on your ON days Five days a week.

Donovan

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