Question:
I am female, 37 years old and five foot five inches tall.
Before taking insulin, my weight averaged 130 pounds. Since taking
insulin, starting six months ago, I gained 16 pounds.
I have tried everything, but it seems impossible to lose those 16
pounds. I exercise 5 days a week, one and one half hours per day. The workout
begins with thirty minutes of aerobics and then one hour of free-weight
training. My low fat-low sugar diet is approxomately 1500-1800
calories per day, consisting of 300 calories from fat and 1200 calories from
fruits and vegetables. I walk approximately one or two miles every
day, at a mormal pace. I take 20 units of insulin per day, 12 units in the
AM and 8 units in the PM.
Can you help?
Answer:
The proportion of carbohydrate in your diet is higher than that used in
most meal plans for people on insulin. It is also
somewhat unusual not to include any starch or protein.
The same number of calories as carbohydrate will require more insulin to
keep the blood sugar normal than fat or protein foods with the same
number of calories. Insulin promotes formation of fat in the body.
Perhaps you could discuss with your physician or nutritionist whether
or not you could modify the meal plan to provide the same number of
calories, but fewer carbohydrate calories. You will probably need to
eat some additional protein. If you are then able to control your blood
sugar with less insulin, hopefully you will be able to shed extra pounds.
TGL
Original posting 31 Jul 96