Question from Helsinki, Finland:
I would like to ask a question about weight loss. I was diagnosed with type 1 in February 2004. I currently take six units of Lantus in the evening and four to six units of NovoRapid before meals. My blood glucose control has been good so far: waking--5.0 to 6.5 mmol/L [90 to 117 mg/dl]; before meals--4.5 to 5.5 mmol/L [81 to 99 mg/dl]; two hours after meals--5.0 to 7.0 mmol/L [90 to 126 mg/dl]. My last A1c reading was 5.7%.
I've tried to match my carbohydrate intake to four units of NovoRapid, whilst taking six units of NovoRapid to match larger carbohydrate meals. My usual number of meals is either three or four a day. I am reasonably active, walking, cycling three times a week, and eat slightly more carbohydrates before exercise.
Before I was diagnosed, my weight was 73 kg (161 pounds), which dropped to around 68 kg (150 pounds) by the time I started treatment. My weight has now dropped to 65 kg (143 pounds). I'm 1.78 m (5 feet 8 inches) tall.
I wondered if my weight loss could be due to eating too few carbohydrates? I have just started trying to eat four meals every day with larger carbohydrate contents, matched by higher NovoRapid doses. Do you think that the carbohydrate issue could be the cause of my weight loss, or are there other possible reasons for weight loss with type 1?