Dear Dr. Pierce,
I met you in a social setting a long time ago and we discussed my Type I diabetes and my difficulty losing weight. You suggested I read Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars. I immediately went out and bought it the next day and it changed my life. I went from obsessively counting calories to enjoying as much meat, eggs, fish, dairy, and veggies as I wanted.
At that time I was 430 lbs. I'm now down to 300 lbs and feel younger than I have in years. However, I have been hovering at this same weight for some time and my sugars are again going up. Even though I am grateful for the lifestyle change, I do not want to be injecting more insulin, I would like to be a healthier weight, and I would also like to return to the blood sugar control that I had when I first started this WOE. [Ed Note: WOE is Way Of Eating].
I don't weigh or count calories any more but I'm fairly certain I do not eat more than 1600-1800 calories a day. Can you offer me any advice on how to get out of this stuck place?
--Stan in Newtown, MA
Congratulations on your significant loss. After such a great start I can imagine your frustration. I encourage you to discuss it with the doctor responsible for treating your diabetes, and there are a lot of missing pieces here that I can only guess about, but I have a few thoughts.
1) My first concern for you, if your food diary indeed confirmed that you are eating under 50 net carbs a day (a more important macronutrient calculation than "calories" would be an undetected, low-level infection. When blood sugars are inexplicably going up, infection is my first concern. Your doctor can test for an infection hrough a blood draw and urinalysis.
2) Check for adequate protein and fat in your food diary. Are you getting enough protein?
2) Also keep an insulin and blood sugar log during this time and see if you notice any correlation between certain foods and your readings. Some suspects in cases of unexplained poor blood control are dairy products, products with sugar alcohols, and even some kinds of vegetables. (I hope you are staying away from fruits except for the occasional bowl of berries.)
3) Begin tracking all of your measurements and use this as your primary guide in your progress. Measurements you should track weekly are:
4) You do not mention exercise and physical activity which is another factor, not so much in your weight loss, but in maintaining and building muscle mass and blood sugar control. Do not do cardio at anything more than low intensity and for longer than 20 minutes, and if you haven't started already, do a resistance training program. Go slow and steady.
5) Using these measurements above, track your lean mass and body fat using an online calculator.
6) It is worth repeating to discuss your blood sugar management with your doctor. Without knowing all the variables, like your A1C reading and other factors, I can't say what approach will work best.
7) Try adding coconut oil and grass fed butter. The fatty acid chains in these particular fats aid in metabolizing body fat.
The trouble with being insulin dependent is you can become Type II by developing resistance to your injected insulin. Being insulin depedent works against you but it isn't an impossible situation. Check back in with me and let me know how you are doing.