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The Question
11/16/09 10:20 AM

"can a type 1 become insulin resistence?.."
Asked By: ictoasn  
Category: Insulin

Background Info Hide
ive been a type 1 diabetic for 20+yrs..i was diagnosed when i was 17..i havent had any complications(eyes organs)..in my first 15 yrs of having this,my a1c levels were under 6..since 2004,i havent always had insurance to see my primary doctor and for the past 2 yrs,ive had no insurance..the last time i saw my doctor he told me that i could be a possible type 3?..due to the fact of having this for 20+yrs..is there a different kind of insulin i can take..i currently take humulin n and humulin r..3xs a day..im also noticing sum weight fluxuations and constant hunger

Expert Answers (1)

11/21/09 12:44 AM

Hello,

Thanks for bringing your question to dLife.

You did not mention your height and typical weight. An increase in weight (from extra fat rather than gain in muscle mass) above ideal weight can contribute to insulin resistance. The combination of type 1 diabetes and insulin resistance is sometimes called "double diabetes."

An A1c under 6, constant hunger, and weight fluctuations could mean that your insulin dosages do not match your needs.

NPH insulin is an immediate-acting insulin. It is used as a "background insulin" (also called basal insulin) to cover your vital processes, such as breathing and kidney function. NPH insulin is typically taken twice each day: at breakfast and again at supper time. Taking it three times a day is too often. You may end up with too much NPH insulin on board (stacking up), which can cause your blood glucose (sugar) to drop resulting in constant hunger. The hunger could cause you to overeat, leading to weight gain.

Regular insulin is a short-acting insulin usually taken at mealtime to cover the food eaten.

Other more effective insulins include rapid-acting insulins whose actions are more predictable. Long-acting insulins don't peak (does not increase appetite) and can be taken only once each day.

Talk with your doctor about your concerns. Your diabetes treatnent plan needs to be evaluated and insulin dosage adjusted. Don't hesitate to let your doctor know about your lack of health insurance. He or she may be able to help you obtain your medicines at reduced cost. Ask about the possiblity of a discount on the office visit or work out a payment plan.

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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