I saw my GP this morning and asked her a question about exercise and its benefits. I was under the mistaken impression that regular exercise might help me to lose weight. She claims that modifying one's diet is the largest thing responsible for the desired weight loss.
How does one 'modify' one's diet when you are taking insulin for every meal? Someone out there must have been successful at this and I would appreciate any help you can pass along.
03-01-2016, 04:53 PM
(This post was last modified: 03-01-2016, 04:55 PM by justMongo.)
That's a tough one. If one looks at calories used during exercise and compares that to the 3500 calories in 1 pound of fat, the GP is correct.
There is an exercise benefit for diabetics. Building muscle mass gives a reservoir for glucose to be be pushed into by insulin. In effect, improving insulin sensitivity.
Now, as for diet. A lower carb diet could result in the need for less insulin. Especially the push needed at mealtime.
Insulin is a double edge sword... it is necessary for glucose control; but also acts as a fat storage hormone. So, lowering carbs while balancing insulin is tricky. Since you are type 1, you have to avoid loss of control that results in metabolic acidosis. I'm sure you are aware that as a type 1, you cannot get off insulin.
Since you use a pump, you should have an idea how much insulin will lower your blood glucose by X mg/dl.
You should also have an idea how much you blood glucose will rise when Y grams of carb are ingested.
Using that, you could devise a plan for lowering carbs and insulin slowly -- then run it past your GP for approval.
If you are on Medicare, you should be entitled to a certain number of visits to a nutritionist.
That might be an avenue to explore.
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My wife is a diabetic. She watches her carbs very carefully (almost always). She has done a lot of research personally in conjunction with her doctor's input and has done very well including controlling her weight. Like me, she is about 65. Don't tell her I shared her age!
Sleep is worth the effort.