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Insuline resistance

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Posted 5/15/2014 4:05 PM (GMT 0)
Hello, I would like to find more information about insulin resistance....my daughter(16 year old) was diagnosed two years ago and start talking metformin1000mg two times a day to prevent gaining a weight. For few first months (maybe 6 months) she was loosing a 2-3 pounds a month for a total of 12 pounds. After that her weight start to claim up and whatever she loose in one month she can gain back in one week.
She is very athletic girl -doing softball all year long, so I am thinking her weight rollercoaster can be relate to eating habits not lock of exercise. She is trying avoid sugar( like sweets or juices) but still I fell we not on the road where I can see her food intake works with her body as it should. Does anyone has any advise for me? Thanks a lot!
Posted 5/15/2014 6:57 PM (GMT 0)
Look at her size, not the number on the scale. Are her clothes getting tighter? If so, she probably is gaining fat, which is bad. If her clothes are fitting her the same or even looser, she may be converting body fat to muscle, which is good. I've seen this happen to me as I've been working out more over the past five years. My decrease in clothing size has been greater than my actual weight loss.

Is she checking her blood glucose level regularly - in the morning fasting and in the evening two hours after the evening meal? That's the best way to keep tabs on the actual blood sugar. If it is still high despite the metformin, diet and exercise, she may need a different medication. Metformin works well for most, but not for everyone. Also, at her age keep in mind that it can be difficult to differentiate between type II diabetes (insulin resistance) and type I (insufficient insulin production). If she actually has type I or I-A, Metformin is not likely to be very helpful.

Hope this helps you.
Posted 5/15/2014 9:07 PM (GMT 0)
Hello Greatmom and welcome to HealingWell.  How much overweight has your daughter been and for how long?  What kind of exercise does she get on a daily basis?  Does she have a blood sugar meter to measure her blood sugar?  Here is a website that has some useful information about insulin resistance:  http://diabetes.niddk.nih.gov/dm/pubs/insulinresistance/

If she needs to lose weight she needs a regular schedule of sustained exercise like walking, jogging, biking, swimming for at least 30 minutes a few times a week.  Does she do this?

It is good that she is trying to avoid sugar but that's not the complete picture.  Can you tell us exactly what she eats for meals, snack?  Is she eating things like potato chips, cookies, pizza in addition to her meals?

 

Posted 5/16/2014 2:55 PM (GMT 0)
Avoiding sugar is only a small part of the picture when it comes to eating properly. You have to watch all carbs as well as fats and total calories.
Posted 5/29/2014 3:44 AM (GMT 0)
I would check in with your daughter's physician who prescribed the metformin. Many times a 16 year old can be misdiagnosed with Type 2 hen in actually she may have Type 1.Please check with your physician and see if a c-peptide test was ordered when her labs were and also if a GAD (glutamic acid decarboxylase)/ICA(insulin cell antibody) needs to be ordered to rule out Type 1. Best of luck to you and your daughter, it sounds like you have made some initial good lifestyle modification choices in helping manage her metabolic issues but if you have access to it a dietary consult might also be helpful.
Posted 5/29/2014 2:00 PM (GMT 0)
Welcome to HealingWell, Hawaiiguy. Do you have diabetes? You need to start a new thread and introduce yourself.
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