want to try insulin + metformin

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want to try insulin + metformin


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Old 04-09-2015, 00:37   #1
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Default want to try insulin + metformin

Would like to know why my Dr. tells me that I will gain weight if I switch to Insulin. I would rather be on Insulin + metformin instead of the Janumet XR 50/1000mg x 2 each morning. He tells me that I will gain weight, is that really true? Will I be able to eat LCHF & keep the 60 lbs I lost off? I am scared to re-gain the weight. I worked so hard at loosing it. Plus, will I need a lot of Insulin? I was thinking of a Basal (Levemir or Lantus) + my max dose of metformin 2000mg.
What do you think? Which Type of Insulin should I ask for? Will I be hungry all the time due to Insulin? Will I gain weight because of the effects of Insulin on the body?

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Old 04-09-2015, 01:16   #2
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Originally Posted by Nanlou1964 View Post
Would like to know why my Dr. tells me that I will gain weight if I switch to Insulin. I would rather be on Insulin + metformin instead of the Janumet XR 50/1000mg x 2 each morning. He tells me that I will gain weight, is that really true? Will I be able to eat LCHF & keep the 60 lbs I lost off? I am scared to re-gain the weight. I worked so hard at loosing it. Plus, will I need a lot of Insulin? I was thinking of a Basal (Levemir or Lantus) + my max dose of metformin 2000mg.
What do you think? Which Type of Insulin should I ask for? Will I be hungry all the time due to Insulin? Will I gain weight because of the effects of Insulin on the body?
I'm not an expert on insulin, but the reason your doctor says it is because the primary role of insulin is to allow fats and glucose to enter the cells for metabolic use. If you have been urinating all of your glucose and such out of the body, you may gain some weight initially. However, metformin acts as an insulin mimetic independently of insulin, so that is not as likely since you are on metformin (in my non-medical and non-expert opinion). In addition, if you overeat or have BG swings because of overcorrecting for starch intakes, you will gain. I am not familiar with Janumet, but others here are. How much you will need is a person to person thing, and depends a lot on your amount of insulin resistance. It tends to do best to start low and carefully.

I'm in the same position as you. I want the doctor to prescribe insulin for me in addition to my metformin, but he is deathly afraid of hypos, so he refuses.

I would like to see what the "experts" say to your dilemma.

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Old 04-09-2015, 01:16   #3
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The reason people gain weight on insulin is because their doctor puts them on a fixed amount and then they have to eat enough carbs to keep from going hypo. If you count carbs and take only the amount you need, then you shouldn't gain weight. That is, as long as you continue to eat LCHF.

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Old 04-09-2015, 01:25   #4
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The reason people gain weight on insulin is because their doctor puts them on a fixed amount and then they have to eat enough carbs to keep from going hypo. If you count carbs and take only the amount you need, then you shouldn't gain weight. That is, as long as you continue to eat LCHF.
This, over and over.

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Old 04-09-2015, 01:37   #5
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Originally Posted by VeeJay View Post
The reason people gain weight on insulin is because their doctor puts them on a fixed amount and then they have to eat enough carbs to keep from going hypo. If you count carbs and take only the amount you need, then you shouldn't gain weight. That is, as long as you continue to eat LCHF.
This is exactly right!

When I started out I was on insulin and following ADA diet. I quickly put on 40 pounds.

Learned how to match my insulin to carbs correctly instead of using sliding scale. Worked down to LCHF. Made sure to reduce insulin as needed. Weight came off as insulin needs reduced.

Just be as you use insulin doesn't mean you'll gain weight as long as you keep on the straight and narrow.

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Old 04-09-2015, 01:41   #6
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I'm not an expert on insulin, but the reason your doctor says it is because the primary role of insulin is to allow fats and glucose to enter the cells for metabolic use. If you have been urinating all of your glucose and such out of the body, you may gain some weight initially. However, metformin acts as an insulin mimetic independently of insulin, so that is not as likely since you are on metformin (in my non-medical and non-expert opinion). In addition, if you overeat or have BG swings because of overcorrecting for starch intakes, you will gain. I am not familiar with Janumet, but others here are. How much you will need is a person to person thing, and depends a lot on your amount of insulin resistance. It tends to do best to start low and carefully.

I'm in the same position as you. I want the doctor to prescribe insulin for me in addition to my metformin, but he is deathly afraid of hypos, so he refuses.

I would like to see what the "experts" say to your dilemma.
Some one correct me if I am wrong, but the red highlighted above is wrong. insulin is NOT used in the metabolizing of fat.

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Old 04-09-2015, 01:47   #7
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This is exactly right!

When I started out I was on insulin and following ADA diet. I quickly put on 40 pounds.

Learned how to match my insulin to carbs correctly instead of using sliding scale. Worked down to LCHF. Made sure to reduce insulin as needed. Weight came off as insulin needs reduced.

Just be as you use insulin doesn't mean you'll gain weight as long as you keep on the straight and narrow.

Sent from my iPhone
Absolutely!

"Insulin made me fat." is absolute baloney.

Bad dietary choices and/or mismanagement of insulin made you fat.

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Old 04-09-2015, 01:49   #8
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I believe you're right, Chris . . . insulin is the key that fits in the cell receptors to allow glucose access to nourish the cells.




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Old 04-09-2015, 02:31   #9
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ok, so say I do take insulin + metformin, how do I know if & how much is too much? Hypo's I guess... So then how do I know how much to reduce it by in qty? what type of Insulin should I push for as Basal? If I am now well controlled on Janumet XR 50/1000mg x 2/day avg bg is 5.5 mmol, will I need a lot of Insulin? I understand everyone is different, I just do not know how much is a big start dose. This way I can tell if Dr. gives me too much @start of treatment. Maybe Dr. is not interested because he would need to walk me through all the steps?

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Old 04-09-2015, 02:41   #10
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There are several books that walk you through these steps, and one of them is Using Insulin by John Walsh. You'll want to concentrate on the insulin instructions here, because the dietary instructions are not the best, so just focus on how he teaches the management of insulin usage.

Another one is Think Like a Pancreas by Gary Scheiner, who is a type 1 diabetic himself.




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