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Losing weight with type 1 diabetes, how does it work ?!

Losing weight with type 1 diabetes ... really not child's play. Why? Well, metabolically healthy people eat fewer calories and / or do a little more exercise. You lose your pounds due to the negative energy balance.

In principle, it works the same way with type 1 diabetes, but it is a little more difficult. For us, a change in diet also means an adjustment of the insulin dose. As a result, and also through more / more intense sport, blood sugar levels can get increasingly confused, especially in the initial phase. As a result, blood sugar levels that are too low or too high alternate.

Suboptimal fat burning: This is why losing weight with type 1 diabetes is more difficult

By constantly correcting blood sugar levels with food and / or injecting insulin, the metabolism gets out of balance, which counteracts weight loss. The fat burning only works subotimally. Here, "calm" must first come back before the pounds can shed.

My experience of losing weight with type 1 diabetes: how did it work?

Only with a balanced blood sugar course did I manage to lose some weight. It didn't matter whether I preferred low carb, high carb, FDH or whatever diet / diet change. The decisive factor was the energy deficit with balanced blood sugar levels (unfortunately there is no guarantee for this).

"Mast hormone" insulin interferes with losing weight with type 1 diabetes

In addition, as we know, insulin is also known as the fattening hormone, so it is also important to keep an eye on the daily insulin dose. It should be a little lower than the average required over the last few weeks.

At this point, at the latest, it becomes difficult. Often I just didn't understand, couldn't understand why I needed more insulin (which led to weight gain) despite intense exercise and lower calorie intake. As already described at this point, there are simply too many factors influencing our blood sugar levels (stress, climate, infections, ...).

Of course, it is frustrating when, like me, for example, you sometimes have to inject extra insulin for exercise so that your blood sugar levels do not rise too much. You think to yourself that you might as well have gone out to eat a pizza.

The thing about the daily insulin dose and patience ...

This is where patience comes into play. If one observes the daily insulin dose over several days, it turns out that overall less insulin was required over the period of the change in diet. If you have lost a bit of weight, you also need less basal insulin overall (since the basal rate is also dependent on weight, among other things).

I find that losing weight with type 1 diabetes really isn't a piece of cake. I could imagine that amylin could help us at this point, which is unfortunately not (yet?) Approved here in Germany. But since I haven't tested it myself, I don't want to lean too far out of the window.