5 ms·

> he was not remotely over-weight That's not surprising at all, since there's no correlation between weight and T1D.

erichocean 6y ago
The correlation is actually negative: if you don't produce insulin, you'll find it extremely hard to put on weight. Children with Type 1 diabetes, before receiving insulin, look like they are starving to death.
- Trasmatta 6y ago
  Yep, I lost about 40 pounds in the two months leading up to my T1D diagnosis.
  - entitydc 6y ago
    Same, 30lb when I was already a skinny kid, and 21lb of that in the last 3 weeks prior to diagnosis.
drocer88 6y ago
From https://academic.oup.com/edrv/article/39/5/629/5060447 https://academic.oup.com/edrv/article/39/5/629/5060447 "Obesity, once rare in type 1 diabetes (T1D), is now an increasingly frequent problem (3–5). Accumulating evidence on the prevalence and consequences of obesity in T1D shows very clearly that this comorbidity is both underappreciated and poorly understood." .... " The considerable obesity burden in youth with T1D was confirmed, also in the T1DX, where the prevalence of obesity (BMI ≥95th percentile) was 13.5% in adolescents (mean age 15.4 years), with higher prevalences in those of black/African American descent (17.9%) and Hispanic/Latino descent (15.9%) between the years of 2010 and 2012."
- Trasmatta 6y ago
  This is talking about the prevalence of obesity in existing T1D's, not as a precursor or cause of T1D.
- milesvp 6y ago
  My suspicion from diabetic research I did both prior and during my wife’s gestational diabetes, is that the increase in obesity that may have occurred in the last 60 years is due to bad dieting advice for T1 diabetics. The fundamental health issue with diabetes is managing blood glucose levels. This is best done with low carb meals with slow carbs along with small amounts of periodic insulin. But for some reason common advice for diabetics is to eat large amounts of fast carbs and then take large doses of insulin. This combination is just begging for added weight (and increased risk of insulin sensitivity to boot).
  - Trasmatta 6y ago
    > But for some reason common advice for diabetics is to eat large amounts of fast carbs and then take large doses of insulin That's odd, I've been diabetic for about 10 years now and have never heard this advice from any doctor or dietician that I've seen.
    - beagle3 6y ago
      Are you in the US? I've heard from several americans that this was the recommended ADA advice (luckily changed at some point in the last 5 years or so). However, outside the US it seems that the recommendation has always beem to minimize carbs.
      - entitydc 6y ago
        I’m in the US, and all of the advice I’ve recovered from every doctor and nutritionist is to limit carbohydrates. You can “cover” as you put it, and you’re trained to be able to do that when the situation arises, but the baseline diet that I was given is certainly low carb by comparison to typical diet recommendations (not ketogenic, but far from “eat whatever you want”). While I’m sure there are plenty of nurses and doctors out there giving rushed and questionable advice, I’d be surprised to find that this advice is “common” (though many patients may “hear what they want” so to speak).
        6y ago

The correlation is actually negative: if you don't produce insulin, you'll find it extremely hard to put on weight. Children with Type 1 diabetes, before receiving insulin, look like they are starving to death.

Trasmatta 6y ago
Yep, I lost about 40 pounds in the two months leading up to my T1D diagnosis.
- entitydc 6y ago
  Same, 30lb when I was already a skinny kid, and 21lb of that in the last 3 weeks prior to diagnosis.

drocer88 6y ago

From https://academic.oup.com/edrv/article/39/5/629/5060447 https://academic.oup.com/edrv/article/39/5/629/5060447 "Obesity, once rare in type 1 diabetes (T1D), is now an increasingly frequent problem (3–5). Accumulating evidence on the prevalence and consequences of obesity in T1D shows very clearly that this comorbidity is both underappreciated and poorly understood." .... " The considerable obesity burden in youth with T1D was confirmed, also in the T1DX, where the prevalence of obesity (BMI ≥95th percentile) was 13.5% in adolescents (mean age 15.4 years), with higher prevalences in those of black/African American descent (17.9%) and Hispanic/Latino descent (15.9%) between the years of 2010 and 2012."

Trasmatta 6y ago
This is talking about the prevalence of obesity in existing T1D's, not as a precursor or cause of T1D.
milesvp 6y ago
My suspicion from diabetic research I did both prior and during my wife’s gestational diabetes, is that the increase in obesity that may have occurred in the last 60 years is due to bad dieting advice for T1 diabetics. The fundamental health issue with diabetes is managing blood glucose levels. This is best done with low carb meals with slow carbs along with small amounts of periodic insulin. But for some reason common advice for diabetics is to eat large amounts of fast carbs and then take large doses of insulin. This combination is just begging for added weight (and increased risk of insulin sensitivity to boot).
- Trasmatta 6y ago
  > But for some reason common advice for diabetics is to eat large amounts of fast carbs and then take large doses of insulin That's odd, I've been diabetic for about 10 years now and have never heard this advice from any doctor or dietician that I've seen.
  - beagle3 6y ago
    Are you in the US? I've heard from several americans that this was the recommended ADA advice (luckily changed at some point in the last 5 years or so). However, outside the US it seems that the recommendation has always beem to minimize carbs.
    - entitydc 6y ago
      I’m in the US, and all of the advice I’ve recovered from every doctor and nutritionist is to limit carbohydrates. You can “cover” as you put it, and you’re trained to be able to do that when the situation arises, but the baseline diet that I was given is certainly low carb by comparison to typical diet recommendations (not ketogenic, but far from “eat whatever you want”). While I’m sure there are plenty of nurses and doctors out there giving rushed and questionable advice, I’d be surprised to find that this advice is “common” (though many patients may “hear what they want” so to speak).
      - 6y ago