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sheed Posted: Sun, Jul 19 2009 12:26 AM

So I have had diabetes since the age of 11. I am 18 now...and have finally decided to take care or my diabetes. But for the past 7 years..I have not had very good diabetes control. These past 2 years have been the worst. I am finally admitting that I do let my  sugar run high so that I can lose weight. I am starting to realize my health is more important... But I am petrified to gain weight..because when I started actually taking my insulin and keeping my blood sugar in the correct range..I seriously gained 10 pounds in 2 days. It was sickening. I really do need help... Any advice? I am desperate.

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nance replied on Sun, Jul 19 2009 10:44 PM

Hi, Sheed.  I'm type 2, and have always had to struggle to lose weight and also keep it off.  When diagnosed 11 years ago, I started exercising every day -- usually just fast-walking after meals (which were much smaller portions than I'd been used to.)  I lost all 40 excess pounds within 6 months -- most in the first few weeks and months.  I had started doing the exercise just to help control my blood sugar, but it also melted the extra pounds right off.  Not saying that will work for you, but wondering if you might be able to utilize exercise to your advantage.  Some people have reported that exercise enables them to cut back on insulin, so that might help, as well.  Have you discussed your concerns with your doctor?  Maybe your doc could be of some help.  Glad to hear that you're pusuing good health, and hope that you achieve all your goals!

Nance, T2 dx 7/98; diet and exercise/no meds 11 yrs; 500mg Glucophage XR 4/day, 5mg Glucotrol XL 3/day; A1c av. in 6s.  Treadmill, elliptical, biking, Arc trainer, dumbbells, other resistance moves -- 30-60 minutes a day.

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I am glad that you are asking for help and that you are trying to take care of your diabetes.  Have you told anyone about your weight concerns?  I would suggest that you talk to your diabetes health care team and tell them what is going on and see how they can help.

 I also thought that you might want to know that when blood sugars first come back into a healthy range it is very common for the body to retain a lot of fluid (because it is changing from a state of major dehydration due to chronic high blood sugars). This can take several weeks to settle down as the body gets used to healthy blood sugars and healthy hydration levels. If this happens, one may want to drink water regularly, maintain blood sugar levels as healthy as possible, and remember that this weight is fluid related and will settle down.

Also, you may want to find a mental health specialist who understands eating and body image concerns, so that you can get the ongoing support you will need to continue to improve your health. Your local diabetes team is a great place to start to ask about such a referral.   Good luck!

 -Debbie Butler, LICSW, CDE




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sheed replied on Mon, Jul 20 2009 2:14 PM

Thanks alot Nance for sharing your personal experience with me. I think it helps me to know that it is actually possible to lose weight when my sugar is in the normail range. I am going to start excercising for sure and I definately need to cut back also on my food intake. This whole thing is just so hard sometimes.

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sheed replied on Mon, Jul 20 2009 2:16 PM

Thanks Debbie for the information. I was thinking about that too, finding a mental health specialist because I know this is stupid..but I really do think I have a problem and am too concerned about weight gain at times. I am thankful for all the replies.

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PumperB replied on Mon, Jul 20 2009 3:13 PM

You need to remember that not just eating affects your blood sugars, stress plays a big part! I have figured out that if I have 'emotional' or personal nervous stress, my sugars tend to drop, but if I have work stress- over anxiousness or like anger stress, my sugars run high. I find that when my sugars have a tendency to rise, I take a breif walk- up and down the stairs or around my building (usually outside) for about 10 minutes, that seems to help me lower the sugars without the insulin.

Also, meet with a dietitian about various carbs- each one is different. Starches have a tendency to cause a rise in sugars a few hours after eating while sugars have a tendency to go in and out quick. You have to learn to balance what and when you eat for good sugar control and for weight control.

I was never an exerciser and had a tendency to gain (and lose) like you. Now I force myself to exercise on my lunch breaks and then eat a lighter lunch when I get back to my desk. It has helped me to control my sugars and my weight.

Do not sweat the small stuff- 10 lbs is nothing, once you are in control and feel better, then it will fall into place and you can begin to focus more on what and when you eat. - I have had diabetes for 30 years, and on the pump for 5. I am also only 5 ft tall and currently about 112 lbs- I still put on 5 or 10 lbs very easily when I stress, but I don't worry about it, it will come back off when things are back to a non stressful time.

PS- I am a snacker - alot. So I have learned to munch on the small carrots and celery- 'freebie' carbs, but you still have to balance cuz even the freebies raise my sugars. Walk, walk, walk... I also have some small hand weights in my office so I can put them on my feet while I sit or use them while I am on the phone. Even the smallest things help. Check out some websites for office exercising-- these are some great little movements that help to burn sugars without the extra insulin- again depending on what you have eaten.

Good Luck-- be healthy. That is what is important!


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beanie replied on Mon, Sep 20 2010 12:19 PM

I really wish I had seen this post earlier.  I have a daughter who is a type 1 and developed an eating disorder before she was diagnosed, and then adding type 1 on top of this was too much for her.  We did seek professional help (she was hospitalized in DKA 5 times in about a 6 month period).  She went to an eating disorder rehab center where she lived 24/7 under their care.  This was a unique facility in that they were very well versed with Type 1's and purging using insulin ('diabulemia).  That was almost 2 years ago.  She has not been hospitalized since, yet she constantly struggles with the diabulemia.  She has kept up counseling 1-2 times a week after being discharged from in-patient.  I wish you the best, check your insurance for coverage for eating does exist.  Be prepared to write a few letters and talk to your insurance company for authorization.  I wish you well!

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