Trying to gain weight

I know, most everyone hates me now. I am 6’3" and weighed 185 when I was diagnosed last October. I have dropped my A1c from 13.2% to 5.9% with medication, (Janumet), exercise and diet. With my activity level, the dietitians say I need about 2500 calories a day. This is very hard to achieve even though I am eating more carbs than most on this board. My weight had dropped to 152 at its lowest. I have made it up to 159 with more protein and fats than I like to eat, but I was getting seriously worried about the weight loss. Dietitians involved with diabetes seem poorly equipped to deal with active peop0le who need to gain weight. I have not received any truly helpful advice. Any Ideas?

Are you indeed a type 2 ? I used to eat about 2100 cal , when diagnosed , female , 42 plus and active …much younger then …how are you blood sugars running ?

I’ve got about 40lbs you can have that I need to rid of…I’m sorry… I know, you’re serious.
First off I applaude the A1c; that’s awesome. You must be extremely active also in order to need 2500 calories but that’s not an unusual intake if you are. I read during the olympics that Michael Phelps would eat 1900 cal per meal! Have you tried the forum for athletes with diabetes here?
I’m sure someone will chime in.

With all your weight loss I would almost think you could possibily be a T1 except you have had such a great response from oral meds so I would tend to agree you probably need to increase your caloric intake which probably means an increase of carbs… sounds like you need the fuel for your activity level. Honestly and IMHO, you shouldn’t compare your carb intake to someone else’s here. You seem to have great BG control with a 5.9 A1c and as long as you don’t see any adverse effects from eating more carbs, I wouldn’t worry about it. If you are just plain worried about eating carbs, then you should opt for the more complex carbs…browns instead of whites; whole grains and fiber; opt for healthy carbs. Perhaps eating more often might help also?? I don’t know, it sounds as if your dieticians are trying to help but you’re affraid of the carbs. It may also be helpful to see a CDE ( certified diabetes educator) instead of a basic dietician. Good luck!

One other thought…peanutbutter!!! LOL

Hey Alan,

Congrats on the great A1c! Know you worked hard to achieve this.

If it’s any consolation, my endo told me that gaining weight is usually harder for his patients than losing weight.

I need to gain weight also. My endo & internist both recommended I eat more protein, not more carbs. Additional protein is helping. I eat low carb & am Type 1. Since I’m a small person (5’2"), there’s only so much protein I can eat without feeling like I’m going to explode. To get extra protein & calories, I use protein powders. I make shakes using either unflavored whey isolate protein powder or hemp protein powder. The unflavored ones are very low carb. I add protein powder to unsweetened almond milk, add unsweetened cocoa powder, vanilla extract & sweetener (stevia). Yummy! You can also add protein powder to soups & use it in baking.

If you’re trying to gain weight it won’t be done with low carb / high protien. Hence the Atkin’s DIET , South Beach type DIET. Alan, who’s also working out 3X’s per day, and depending on the type of exercise is probably burning 500-600 calories, doesn’t need to be on a diet. For instance, if he’s eating 2000 calories and burning 500-600 that only leaves 1400-1500 total intake which is not sufficient for a 6’3 man to gain weight. Your body wants the glucose and if you don’t feed it, it will convert body fat first to produce it (hence losing body fat); if you have no body fat or when the supply runs out, it will use your body’s muscle to convert to provide the energy & fuel to survive. Low carb high protien is probably fine to maintain weight or lose weight but I doubt you will gain. The reason T1’s are so thin is because they have little to no insulin to get the glucose to the cells…therefore, although they have plenty of glucose, their bodies are starved and feed on itself as it tries to produce fuel; resulting in weight loss. There’s nothing wrong with carbs as long as you’re using them for activity and exercise. There’s a big difference in 50g of carbs for a sedintary person and an active person. As Alan said in his profile, he works out 3x’s a day which is probably way more than the average person, diabetic or not.

I’ve heard of someone being told to drink milkshakes every day to gain weight. Might have been on this forum, several months ago! I second the peanut butter!

Hello Allan. Very good work on your A1c. Im a type 2 diabetic for about 2 years now. When I had a bad back accident, and was hospitalized for more than a month, I lost about 45 pounds. I was down to 98! My doctor prescribed to me a powdered drink called “Nutren Diabetes”. Its a nutritionally balanced diet for tube feeding or oral use, designed for people with diabetes.I used it as a supplement for about 4 months until I got my required body weight. It is gluten free and lactose free. Although I agree that you should consult a health specialist regarding this matter. The Nutren worked for me. Its good tasting too.

Oh…Did somebody suggested peanut butter? Yummy! LOL

Alan,

Have you considered using weights? That will allow you to gain muscle mass. That is the good way to gain weight.

ThaNks to all for the suggestions, a much better response here than at dlife a couple of months ago. My question was met with a deafening silence there. I am glad I found this community.

We’re very chatty here:) You may get more help than you want!

I would make smoothies using whey powder and berries and soymilk. You can throw in peanut butter or extra fruit to add calories. Since your bg’s look good if you add carbs make sure you test to see if bg start to creep up. You may want to add snacks like nuts, avocado, cream cheese, low carb ice cream. Most T 2’s have the opposite problem. Some T 2’s are misdiagnosed and are really T 1’s and they tend to lose a lot of weight because the glucose is not entering their cells correctly. But these individuals have much higher bg’s and find it difficult to lower them without insulin. I think for your atheletic body you just need to add calories. I would say you may even need more than 2500 to add weight. You may want to go to a nutritionist who makes meal plans. Many gyms have them on staff.