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Reversing diabetese Type 2 - adjusting metformin & sensitivity
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xian555 posted:
Hi,

Since I started circuit training about a month ago (doing it 7/7 days) my insulin intake has dropped to less than half, from a total of about 120u/day basal + bolus. Also adjusted eating habits from 2000-3000 Cal/day down to 1500 Cal/day to start loosing weight after months of efforts with no results. The Cal level was rec'd by my endocrinologist.

He indicated that if I continued my efforts I would no longer need insulin, and eventually would not need metformin (actuially Glumetza now). But I just saw him last week and he did not have time to answer all my questions and won't see him for another 6 months. He explained that insulin consumption would drop from initial levels of 42u/day basal and 3.6 u/gm carbs to about half, and then for further reduction I would have to loose weight. Well I've started to loose weight. Based on current situation I won't need insulin in 2-3 months from now.

My question is about adjusting down my Metformin (or Glumetza) dosage once I no longer need insulin. Also my sensitivity factor is currently at 1.0, i.e. for every unit of blood sugar I have above 7.0 mmol/L I take 1u/bolus. So 3 hours after a meal and insulin intake if my blood sugar is at 10.0 mmol/L I'll take an adjustment dose of 3u of bolus to bring it back to the 4-7 mmol/L range. When I started insulin treatment several years ago my sensitivity factor was initially set at 0.5 by my doctor. I believe there's a relationship between the sensitivity factor and the total insulin consumed (basal + bolus) per day but not sure what it is. Does any one know?

Thx

xian555
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