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Why Are My Pump Patients Gaining Weight?
Q: I am a diabetes educator, RD, and insulin-pump trainer. I have trained many patients on the pump (using Humalog) and have instructed them on eating soundly and exercising regularly.
Unfortunately, a few of them have gained 10 to 20 pounds and it is very frustrating for them. I understand that, with better BG control, weight gain occurs.
What do you suggest we do with these individuals in order to avoid excess weight gain? Is the Humalog a culprit?
Thank you for your input.
Christine A. Cullen, RD, CPT
A: After great thought and looking over several sources, it is my opinion that the type of insulin is not the culprit. Weight gain is common with improved diabetes control. I would monitor these patients carefully and institute dietary restrictions to minimize the weight gain.
However, it's a good idea to warn patients beginning insulin therapy that weight gain is a risk and a common occurrence so there are no surprises.
The risk of weight gain is far outweighed by the risks of hyperglycemia. Additionally, this is one of the reasons treatment in individuals who have eating disorders is so difficult.
Hope this helps.
Alan Schorr, DO
Categories: Diabetes, Diabetes, Insulin, Insulin Pumps, Professional Issues
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Dec 1, 2001
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Diabetes Health
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.
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Topics
- Diabetic / Diabetes Health
- Type 1 / 1.5 Diabetes
- Type 2 Diabetes
- Blood Glucose / Sugar
- High/Low Blood Sugar / Fast Acting Glucose
- Insulin- Pumps, Pens & Syringes
- Continuous Glucose Monitors, CGM, Infusion Sets
- Type 2 Medications
- Hyperglycemia
- Hypoglycemia
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