Answer: If you are managing your insulin properly, you can lose weight just like anyone else. It’s simply a matter of burning more calories than you consume. That said, there are many medical conditions that can make it more challenging to adhere to the calorie intake necessary to lose weight.
If you are actually in a calorie deficit (burning more calories than you consume), then your next weigh-in will show that you have lost weight. A single weigh-in may be skewed by an unusual water fluctuation, but the overall trend will always be correct. If you are in a deficit, it’s not possible to NOT lose weight. If your 2 or 3 week trend is not showing weight loss, then you are not in a calorie deficit.
There are two things that can get in the way of weight loss: 1) Underestimating calories consumed, and 2) overestimating calories burned. It is challenging to accurately count calories consumed and everyone underestimates at some level. Your measurements will tell you what’s really happening. If weight and body composition are stable, regardless of what your daily numbers may show, then you can reasonably assume that you are in calorie balance. In other words, your calories consumed equal your calories burned. Decrease your food intake and/or increase activity and you will absolutely begin losing weight.