FUDiabetes

My Goal to Regain Weight that I Didn't Mean to Lose

That’s all super interesting!

To throw more information out there, I’m not eating smaller meals more frequently. I’m eating the same meals plus additional ones. So I’ve filled in my day with extra eating without detracting from anything I was already doing as part of my routine. And I’ve smooshed some of it an hour closer together to allow more feedbag sessions.

And I’m still injecting everything that’s not basal. And I never inject more than three units in one injection. So I usually do a two unit and then a three unit injection for each meal or snack.

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With me eating more frequently, and eating more food in addition to what I was eating before, I’m seeing far fewer and far slower bg spikes with the same foods I have eaten for years. I’m just asking you all to trust me on that. I don’t eat adventurously these days bc I’m a busy mom who really doesn’t have time to experiment with fun foods just because. I stick to known quantities because I already have enough variability with each pod site having different basal effectiveness plus a revolving door of hormones. The more things I can keep the same, the fewer inconvenient “oh sh!t” moments I have.

The whole point of Symlin is to slow the emptying of the stomach to prevent super rapid blood sugar spikes, right? That’s how I’ve always understood it. I don’t take Symlin. But I’m talking about the concept of it.

What if eating more frequently (not smaller, not bigger, not solely protein, not anything special…just eating more frequently) somehow impacts how rapidly my stomach processes everything?

That’s really the only thing I can think of that would be causing this big of a change in the results I’m getting for my blood sugar spike after lunch (it’s non-existent now…whereas before this weight gain experiment I was having to make my lunch smaller and smaller and smaller to deal with stuck 270s after lunch just for a dang turkey sandwich even with a large and long prebolus). And I waited to post about this until I saw my new eating routine through both high and low hormone conditions. My meal insulin is doing wayyyyyyyyyyyyyyyyyy more for me eating more frequently. And again…it’s not smaller meals more often. It’s everything I was eating before, plus more. And I’m not taking crazy meal injections to cover this stuff just to have that “my butt’s hanging over a cliff and at any moment I might tank” feeling. Which is what I was dealing with before.

I try to find what works and stick with it. But if I know the “why”, then I can extrapolate and change things up in a workable fashion to make daily life easier and less rigid.

But I’m personally confident that it’s not leftover meal insulin from the prior meal, it’s not smaller meals, and it’s not changes in insulin delivery.

I swear it has something to do with my stomach or how my body is processing things. It’s just far more forgiving with how I’m doing things now, rather than a small breakfast, small lunch, moderate snack, good dinner, small after-dinner snack…which is what I was doing before. My meal injections just haven’t changed that much from a ratio perspective and they go sooooo much further now.

I don’t know. Maybe this will help someone or generate an interesting discussion. But I am super thankful that my weight it going up, I feel way better and way less trapped with insulin and food, and that I might actually reach my goal weight for the first time in eight years.

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The higher fat content delays stuff. And more food being in your stomach will process more slowly. So if you never have a totally empty stomach - eating more frequently - that will slow digestion and reduce spikes too. Those are things I did not pick up on your original post. I thought it was smaller meals more frequently.

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@T1Allison
Thanks so much for all your info. It’s very helpful and I will definitely be using some of your ideas.

I haven’t been keeping as close a record of calories as you have, but I have tried to tweak a few things to get more calories. One of my problems is I’ve never been a big eater, and one of the medical issues I’m having is leaving me without much of an appetite.

A few things I do: baby carrots (or any veggie) with Ranch dressing, 5% fat plain FAGE Greek yogurt (only 3 g CHO in 100 g with 95 cal) instead of low-fat yogurt (I eat it with frozen blueberries or raspberries which are pretty low in carbs and high in fiber), I too use shredded cheese on everything, string cheese snacks, and lately I’ve been having a hotdog at lunch.

It’s hard to balance the high calories with fruit and veggies! :yum:
Wish we had a Chick-fil-A! There aren’t any in the whole state of Montana.

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Yeah I have always just tracked carbs. But after I realized that none of my work pants fit by two sizes…I finally made myself research calories and start a calorie notebook. I double checked my BMI and how many calories I’d need to just maintain weight. And I try to add at least 500 to that daily…but prefer 1000 if my hormones allow it. I didn’t realize how low my calorie intake had gotten on a daily basis in chasing around my blood sugar graph.

I hope you find some things that help you out!

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@T1Allison
Yeah, I’m down 2 sizes as well. I’ve always been a size 12 and I ordered a new pair of size 10 jeans so I’d have something to wear, and they are still huge. :disappointed:

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I totally get that! I had unintentionally gotten down to this record low pant size eight years ago when everything was going to pot for me. And then I recovered enough weight that I donated those tiny pants when I moved houses thinking I’d never accidentally get down to that size again. But here I am. So I ordered some pants to get me through until I can hopefully get outta here for good. I’ll have to make it a habit to check my weight at least once a week after I get to where I want to be…fingers crossed that that goal happens. I didn’t see any upward scale movement until the last few days…but it appears to be holding on.

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I used to have a hard time keeping weight as high as I’d like it but I found that moving to the taco truck capital of the world has reversed that

In my entire line of work if you’re a man under 250 lbs they treat you like you must certainly have full blown aids…

But joking aside… I was about 200 when I got diabetes and dropped to 160 without even realizing it… and it took forever to come back… think it just took the approaching-middle-age metabolism shift for it to happen

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@Eric @Sam @Chris @T1Allison
How would you bolus (ie. how much and how long before) for a protein shake, say 30 g CHO (15 g sugar), 20 g protein and 6 g fat? I know your amount of insulin would be specific to you, but how much relative to a regular meal?

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It depends on a lot of things. What is my BG, which way is it going, am I going to eat more soon, did I just finish exercising, do I want to add more carbs soon, what’s for dinner, how much have I been eating, how active have I been.

It’s hard to say compared to a meal, because I have those shakes often, but they are usually right after exercise. And I usually eat dinner soon after too, so part of the bolus is for dinner too.

Maybe it would be useful to consider your circumstances, like if you are drinking it after exercise or if you are eating soon too.

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Sorry, I know it’s complicated. Say mid afternoon, like 4 pm, dinner at 7 pm, no exercise. Just a way to add calories with no appetite. Do you bolus relatively more for something that’s liquid with sugar? Or high sugar? And do you do a longer or shorter pre-bolus?

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13 posts were split to a new topic: Weight Gain using Commercial or Homemade Shakes

A few things on this. These are just some generalized topics. We can get into specifics later if you want.

Weight gain or loss is “generally” dependent on simply 2 things - the amount of calories you consume and the amount of energy you expend.

(Yes you can modify your metabolism a little bit with what you are eating and how often you eat and what you eat, and how much activity you get. And there are some ways to do all of that, but for the most part it’s simply this - calories in versus calories burnt.)

Only considering weight gain or loss (not health or nutrition), it does not matter a whole lot what you eat to make up the calories. Like 2,000 calories that is 50% carbs versus 2,000 calories that is 35% carbs won’t make much of a difference for weight. Only a small factor.

So for weight, the primary concerns are eating the right number of calories, and making sure you provide your body with the right amount of the macronutrients - carbs, protein, and fat to be healthy. (This is not counting nutrients like vitamins and vegetables and such. That is a different topic.)

For muscle gain, you need to work your muscles and you need the right amount of protein (for repair) and carbs for muscle glycogen (stored carbs for energy). There is not really a diet that builds muscle by itself without also working the muscles.

For calories, every gram of carbs or protein has 4 calories. Every gram of fat has 9 calories. More than twice as much. And for the most part, fat is easier to manage for BG than carbs.

Fat give you more bang for the buck in terms of calories. So the easiest way to gain weight is to increase your fat intake though healthy fats (unsaturated fats instead of saturated fats).

The easiest way to remember “good” versus “bad” fat (unsaturated fat versus saturated fat) is that fats from plants are generally the “good” kind of fat, except for 2 things - palm or palm kernel oil and coconut oil. Most every other plant fat is fine.

And fat from animals are generally the “bad” kind of fat, except for fish, which are good. (Like pork is bad, tuna is good, etc.)

That is not a completely full list, but that is a fairly easy way to remember it and simplify it. (Totally oversimplified, but just easy. I can eat more of this animal, not this one. I can eat these plants but not these 2, etc. :grinning:)

But the last thing is that you need to keep in mind is that you still need the proper amount of everything. You still need a sufficient amount of carbs and protein too. Like even if you only eat healthy fats, you still need the other macronutrients too. As well as the right amount of vitamins and minerals and water and fiber, etc.

Does that stuff make sense? Questions?

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@Chris
I saw you split threads, just put this in whichever thread makes the most sense and flag @Jan for her to see it.

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@Jan, I’m sorry you’re dealing with all of this! I sure hope something starts to get easier sooner rather than later! Fingers crossed!

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Yes, you explained it well. Actually I’m a nutritionist, but not human nutrition, rather ruminant nutrition. Ruminants do run on glucose, but not so much dietary glucose (depends on diet). Most of their glucose comes from gluconeogenesis, result of propionate (short-chain volatile fatty acid from fermentation) and excess amino acids. So I’m more familiar with ruminant metabolism. Actually, even their metabolic pathways and enzymes are different. So thanks for the clear human explanation. :cow:

So, does that mean without exercise, that most of the weight I’ll gain will be fat? And that the only way to replace muscle is by muscle training or strength exercises?

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Oh, yeah then you already know a lot of this stuff, so my explanation was certainly oversimplified. :grinning:

Yes, for the most part (I am actually tempted to say “all”), muscle growth and adaptations occur from outside stimulation.

That does not mean you need to go to the gym though. Walking up stairs or going to the mailbox is still exercise. Any activity can contribute and can help maintain your muscle.

Basically anything that uses your muscles counts. But the more intense and harder, the greater the gains.

But there really is no magic shortcut to just eating in order to gain muscle. And while it is not true that 100% of your weight gain would be only from fat gain (fat also holds some water, so some of the weight gained would be water), without exercise more of the weight gain would be from fat than muscle.

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Thanks, it has been and continues to be a struggle. One of the main problems is I’m struggling with major anxiety, and don’t have much of an appetite. :worried:

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In cattle, body composition gains are dependant on stage of growth. I guess I should have guessed that was true in humans too.
Interestingly, in cattle the farther along the growth curve and the higher the body condition (more fat to begin with regardless of stage of growth) the more “expensive” it is to gain weight. A thin cow requires fewer calories per pound not only to maintain herself, but also to gain weight.

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Oh yeah, good clarification! I was mainly referencing humans in the “steady-state”, not like a child’s growth and such. Obviously you can grow muscle without much exercise when you are a youngster who is still growing.

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