[ismarhadzia]

I am 33 years of age male and about 4 weeks ago I was diagnozed by type 2. The doctor put me on Lantis and I started with 30units and gradualy went down to 6units-this morning (2 down every day).
Before I was diagnozed I was constantly 185lbs and 3 monts before diagnose I lost about 10-15lbs. Since diagnose I changed my diet completly and dont take many carbs (I dont mesure carbs)
Last three weeks my sugar levels are 70-90 before meal and 130-170 after meal. Few times went just over 200 in the morning and they are usualy the highest in the morning.
My question is in regards to a weight loos. I am tring to gain weight but I am not certain how to do so. Do I increese carb intake and will that have effect on my sugar levells which will result in taking more Lantis?
Also what is regular carb intake to keep my weight stady?
I am planning to start gim, which may change all numbers in regards to carbs. How do I controll that?

[Cyborg]

Not sure what one would consider regular carb intake, but keep in mind that fat has the most calories per gram and the least affect on bg. Protein affects bg for some people (including myself), but not as much as carbs and over a longer duration, and has the same calories per gram as carbs.

[amyjo29]

How can protein effect your BG? It has NO carbs.

[ismarhadzia]

Originally Posted by Cyborg

Not sure what one would consider regular carb intake, but keep in mind that fat has the most calories per gram and the least affect on bg. Protein affects bg for some people (including myself), but not as much as carbs and over a longer duration, and has the same calories per gram as carbs.

My goal is to regain those 10lbs that I lost without affecting BS and not increasing insulin.

[BlueSky]

Your description of the onset (rapid weight loss) sounds more like T1 than T2.... Anyway, to gain that weight back again you may have to start using bolus insulin before meals as well. My experience has been that putting on weight without carbs is very difficult. Novorapid, Humalog or Apidra before meals will enable you to eat more carbs without sending your blood sugar through the roof. And the weight will come back on. Good luck with it .

[ismarhadzia]

Originally Posted by BlueSky

Your description of the onset (rapid weight loss) sounds more like T1 than T2....

If you think that my condition is T1 how do explain that, when my BS is stable with only 6 units of Lantus whit just carefull diet.

[Woodbutcher]

Originally Posted by amyjo29

How can protein effect your BG? It has NO carbs.

Both protein and fat will effect your BG. You body requires glucose to sustain life. If you are not consuming enough in terms of dietary carbohydrates, your liver, using its amazing biochemical processes, convert both dietary proteins and fats into glucose. This process is known as gluconeogenesis.

If you are a Type 2, one of the problems we tend to have is our livers do this at about 3 times the normal rate. One of Metformin's primary actions is to reduce gluconeogenesis.

Jim

[Cyborg]

Whether you eat enough carbs or not, protein (and fat) affect your bg. Here is a good source of info on the topic.

[BlueSky]

Originally Posted by ismarhadzia

If you think that my condition is T1 how do explain that, when my BS is stable with only 6 units of Lantus whit just carefull diet.

You could be in the very early stages of T1, in which case your pancreas would still be producing lots of insulin. It is called the "honeymoon", during which only small amounts of injected insulin are required and blood sugar is very stable. During the honeymoon, some people find that they can reduce insulin down to very small amounts - it almost looks like the diabetes has gone way. If you were insulin resistant (T2), your insulin requirements would, if anything, be going up.

I could be quite wrong, but it is worth having it checked out.

[GuitarManDave]

Except for age our stories are nearly identical.

I had been 185 pounds for many years. I'm 6'2 so this is a pretty lean BMI. You don't mention your weight but at 185 you certainly can't be overweight. You don't fit the profile for type 2.

At age 40 I started losing weight - eventually settling in the 170-175 range which I cannot increase regardless what I eat or how much I exercise (to add muscle).

I saw several endocrinologists who agreed that I don't fit the type 2 profile but blood tests ruled out type 1 so I was labeled type 2.

I tried the usual type 2 drugs that treat insulin resistance and none worked. My fasting bg (morning) was always fine 90-105 but my after meal bg spiked 130-180 with occasional excursions over 200.

Eventually I found an endo who actually knew his stuff and he said I'm a perfect fit for Mody. This isn't type 2 and it isn't type 1. Here is an excellent site that explains what Mody is.

Here are your symptoms that make me think mody:

- too old for typical type 1. Plus I'm assuming your endo ruled out type 1 with blood tests.
- too lean and too young for typical type 2
- weight loss
- low fasting bg
- post-meal spikes

In my case I also have a long family history of diabetes - 4 generations - which is a classic marker for Mody.

You might want to do some research into Mody. It is possible to get genetic testing to confirm the diagnosis but a good endo will be able to spot it immediately. Good luck finding a good endo who knows about Mody - they are few and far between.

I realize this is a lot of information so ask more questions if you want details.

Dave

[BlueSky]

Originally Posted by GuitarManDave

... I'm assuming your endo ruled out type 1 with blood tests....

The problem is that T1 can't be ruled out with blood tests. 20% of T1s don't test positive for the GAD antibodies. The damage is being done by antibodies that aren't picked by the test.

[GuitarManDave]

I agree that absence of GAD is inconclusive but I assume his endo also checked CPeptide which, together with GAD and a low fasting bg, suggests it is not type 1.