Re: Confused about type
- From: "rk" <rksays@xxxxxxxx>
- Date: Fri, 30 Nov 2007 16:18:28 -0500
"Lynn" <swtchryp@xxxxxxxxx> wrote in message
news:ef1b97ce-184e-467a-bba0-d7bdb1fe323f@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
| Just got my GAD and islet antibody test back from the doc... both
| negative. Are these an end-all test confirming type 2? (Doc is in
| family practice; only endo in the area has a 1-year waiting list -
| that's why I'm asking here.)
|
| Dx was a couple of weeks ago when I had blurry vision, extreme thirst,
| weight loss, moderate to large ketones, and a fasting of 298. I
| suspect I narrowly escaped a hospital visit by cutting all carbs
| immediately.
|
| I don't have any of the other traditional markers for insulin
| resistance. 30yrs old, BMI 23.5. Total cholesterol 159, trigs 42,
| HDL 75, LDL 75. I did have GD 11 months ago from about 16 weeks.
|
| Because I'd like to continue breastfeeding for another month, I'm on
| insulin injections instead of Metformin. I'm taking a daily total of
| 10u of Lantus and between 10 and 15u of Novolog to cover around 65 -
| 100 carbs per day.
|
| Yesterday afternoon, I went low (45) for no reason I could determine
| and skipped my meal bolus with supper with no peak. Is there such
| thing as a honeymoon for T2s, or some other reason why my body would
| react unpredictably?
|
| Are there reasons other than insulin resistance that result in T2?
| What other tests should I request? Is there any reason why Metformin
| might not work for me?
There aren't that many T2's that fit your profile, but they are out there.
There
are also some T1's that have negative GAD and IAA tests. There is a
subset
Type 1, called T1b, I don't know much about it so you'd have to do some
research on the subject. You "seem" to fit the classic T1 profile, other
then
most T1's are diagnosed in the ER because it comes on so rapidly.
IR is the classic contributor to T2 onset. You can have IR and not realize
it.
IR is brought on also by inflammation in the body. You can have
inflammation
and not realize it either. Getting your C-Reactive Protein and (crap
forgot the
other one) think it's ANA (might be one more too) tested will tell you if
you have
inflammation in the body. Then it's a point of getting your doctor to
help you figure
out where and then tackle it and bring it down by whatever means.
If I were you, I'd not worry too much about what type you are at this
point since
your breast-feeding and just worry about keeping your glucose within
range. Then
once you're done with BF try to figure out your type because it will help
in the long
run in how you are able to manage your diabetes. If you can get by with
diet and
exercise, then you certainly don't want to be injecting daily if you can
avoid it. That
if not managed carefully will bring on weight gain, as well as causing too
much insulin
in your system if you're a T2, which can cause heart issues. It's always
something eh?
Anyhow, if you're able to cut back on your insulin and not have a large
rise in your
glucose, then more then likely you're a T2, with a T1 profile. Just keep
an eye on
things, because a T1 can have a nice long honeymoon, whereas T2's do NOT
have
a honeymoon.
Best of luck to you
rk, t1 (been there done that with all those tests.. passed with positive
flying colors ~!~)
happy pumper hilda.
.
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- Confused about type
- From: Lynn
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