Insulin and Obesity

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Insulin and Obesity


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Old 02-13-2012, 01:30   #1
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Default Insulin and Obesity

Was reading Stephan Guyenet's blog Whole Health Source on the whole "insulin hypothesis of obesity" gets you thinking.

Insulin and Obesity: Another Nail in the Coffin


Whole Health Source: Insulin and Obesity: Another Nail in the Coffin

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Old 02-13-2012, 01:45   #2
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You could also visit Dr. James Carlson's website. The first 10 chapters of his book are available for free reading.

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Old 02-13-2012, 01:54   #3
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But so many pts complain about weight gain, particularly with Lantus! I wonder what insulin or analogue these studies used????

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Old 02-13-2012, 02:04   #4
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this is one of my concerns actually...im only on 3 bolus units and 10 units of lantus a day, but the fear is spread far and wide on how insulin plumps you up. Since i have become diabetic i am up 2kgs which is too much for race weight. Now im not sure if this is being a bit lazy with my diet (which has been so-so, no great not bad) or from insulin itself. I am very interested in the facts on insulin and weight gain and it seems there are two different schools of though on it all. Wouldnt mind knowing how insuln has affected the type 1's or 2's on here that still eat carbs and bolus.

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Old 02-13-2012, 02:09   #5
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While I'm glad that smart people like Stephan are researching all possible causes of obesity, I don't agree with his conclusions. There are many causes and contributors to obesity, and I believe insulin is one such factor. Leptin (and other hormones) also play into it but there isn't one thing (whether insulin or leptin or whatever else they come up with) is the sole key to preventing or reversing in everyone.

For many people just getting insulin under control (whether by injecting less or restricting carbs) can get them to their goal weight. For others that isn't enough but it is an easy to understand starting point to try. If it doesn't work, then it's worth geeking out and evaluating additional options (like food reward hypothesis). But if I can have my broccoli AND my butter AND my salt, then I'd rather start there than jump directly to what is suggested by the food reward hypothesis.

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Old 02-13-2012, 02:10   #6
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I see it all the time on D forums are even people mainly T2's going onto MDI and gainining weight and it being attributed to insulin. I know his blog is basically saying the opposie of this and I agree it would be nice to know what insulins were used. It was interesting readinig the comments and Stephan's replies. I have always thought especially if IR is an issue using large amounts of insulin adds weight gain to many more folks than folks that report weight loss. I note in one of his comments he says Jenny of Blood Sugar 101 lost weight going onto insulin.

There is so many that report weight gain surley that stands for something. I just thought it was an interesting in blog as it made me think as I have pretty much all ways thought elevated insulin levels (which are more likley for T2's as IR is normally a far greater problem) makes weight loss harder and weight gain easier. It's just interestining to read there is more than one school of thought after reading his blog.

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Old 02-13-2012, 02:16   #7
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I have not gained weight on it but have increased my dosage very cautiously and gradually. I may not have ever had a problem with high insulin levels, I do think I have some sort of IR, however, though. I can use a dose of novolog that is quite high for the small amount of carbs eaten, and ... nothing happens. I stay high. Other times I can hypo on it. I use like 5U for 15 - 20g. But at the same time, my basal dose remains relatively reasonable -- 12U per day.

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Old 02-13-2012, 02:34   #8
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Those are some heavy-hitters in the comments! Gretchen Becker? Andreas Eenfeldt? And they don't seem to be agreeing with Guyenet . . .




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Old 02-13-2012, 02:47   #9
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I am currently reading a book written by Gary Scheiner, MS, CDE called "Think Like a Pancreas" A diabetics guide to using insulin. It is a very well written book and I have been using it to get my insulin use under control with my bg's.

I was started on a sliding scale, which finally realized I was injecting way too much insulin (both basal and bolus) and being extremely IR, it caused weight gain even though I was eating LC/HF. I stopped using sliding scale, backed down on the amount of insulin, and have already lost some weight. Had to put up with higher than normal bg's, but they are finally starting to come down. It is taking a while to tweak, but hopefully I will get to tight control.

One must watch everything they eat, and exercise is key.

Foxl, I am surprised that as a Type 1 you get away with only 12 units of basal a day. In reading about using basal/bolus insulins, it is suggested that basal should be the higher of the two insulins in use. Bolus should be minimal if basal rate is set correctly. But, then again, everyone is different. I found this interesting. 12 units of basal would do absolutely nothing for me. But again, I'm Type 2 and extremely IR. Hopefully I will continue to lose weight and have to use less and less insulin.

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Old 02-13-2012, 02:56   #10
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I just watched an interesting documentary on Netflix Streaming titled " Preventing and Reversing Diabetes Naturally". It was a panel composed of MD's, Holistic nurse practitioners, Psychologists, etc.

One thing that came across pretty clearly is that there is NO reason to ever use Insulin in a Type 2 Diabetic. It just exacerbates everything. If you truly need insulin, you are probably a Type 1 (or I think we call it Type 1.5) around here.

I am really going to start re-evaluating my Lantus usage.

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