I'm T1.5 but don't know LADA or MODY. Pls help me!!?
Question:
I'm 24 yrs old and very thin. I was
for 2 yrs and took oral medicine without BS controlled, run between 150-350 and A1C 8-11%, but never occur
.
last month I'm on
, TDD is 30u. This week I can reduce TDD to 20u with the same food in any meals. My C-peptide test is 1.01 after 2 hrs meal so I have rest of insulin produced.
I'd like to know how I can know which type,
or
if I won't test 6 genetic gene for
because in my country, it's very difficult to test that.
Can I test only anti-GAD to clarify
or
?
Thanks
Answers:
I'm
positive for antibodies and very low C pep. I know little about moody except that from what I've read here they require very tiny amounts of insulin so just going by that alone you sound more
, I also believe
will eventually loose all beta cells producing insulin while moody doesn't.
Deanna
Answers:
I would agree that 30 unit TDD sounds very high for
. I use 10 unit TDD and that is eating high carb meals at every meal. The most I've ever used was 13 units at the Christmas holidays covering desserts etc. Insulin or C-peptide tests are close to normal or normal for
too.
The other things that could make a difference are:
Long history of higher than normal blood sugars.
seems to come on fast, those of us with
have had blood sugar swings all our lives. If female we get Gestational Diabetes as soon as we get pregnant.
Strong response to Gliclazide, Glipizide, Amaryl, Prandin etc.
Answers:
May I also ask what you daily carb count is? I'm around 160 lbs (aiming on loosing about 20-20 lbs) my total daily carb count is between 80-120 depending on level of excerise and my TDD is between 24 and 32 units on average. (18 base and an average 1:12 carb ratio).
Deanna
Answers:
Deanna,
My daily carb count varies from about 50-60 grams when I'm eating fairly low carb to 110 g.
At 110 grams I'd be using 10-12 units of insulin. But I don't eat that much very often as I will start to pack on weight eating that way. I am currently weighing in the very low 140 range and that's where I like to stay. I got perfect blood sugars through the holidays last year but gained about 6 lbs.
I should add that I use 1-2 units a day of Levemir and the rest is fast acting insulin. I was using Novolog and Lantus last winter but am now using Levemir and Apidra.
Answers:
My carb is about 150-200 gram a day and I weigh 50 kg.
why I can reduce Basal from 14u to 8u with morning BS run 90-120 for each dose?
Thanks
Answers:
You really can't confirm
without the tests unfortunity however you do sound slightly
/Type 1.5 to me I'm just not sure as I'm not much of an expert even though do have
.
Answers:
Originally Posted by knight191
... why I can reduce Basal from 14u to 8u with morning BS run 90-120 for each dose?.... Probably because your remaining beta cells work harder to make up the difference. Up to a point, the more insulin you inject, the less insulin your beta cells will produce. Which is why your blood sugar may be similar on different basal insulin doses. When you beta cells stop producing insulin altogether, this will no longer be the case. Reducing the dose will cause blood sugar to go up.
Answers:
MarkM,
If the basal dose has been too high, dropping it CAN improve blood sugars too. I had this happen, and after posting about it on my
, I heard from other people who had the same experience.
If your basal dose is just a bit too high, you end up with a slow release of stress hormones that push up the blood sugar. In my case, they also pushed up the blood pressure and pulse rather dramatically.
This is particularly likely to be true in people whose beta cells are defective, but who have intact alpha cells, the cells that produce glucagon.
Answers:
Figuring What You Are...
Answers:
For at least this one DD member, figuring out the exact flavor of diabetes was more or less a case of "wait and see, and when all the other possibilities are eliminated, what's left is probably what you are."
Assuming of course, that what you actually ARE has even been defined.
In my case, I was normal weight, no symptoms,
'd quite by accident in December 2001 as Diabetic. Because I was over 50, the doc assumed I was a
. I was in my arly 50s, no ketones or any other symptoms, so
seemed highly unlikely, unless maybe the slow onset kind.
Cue for Metformin. After two years, despite REMAINING at normal weight, actually losing about 7 pounds, and sticking religiously more or less to the lower carb diet plus metformin, the HBA1C was creeping up, and I was tired all the time. The
put me on night time insulin, and my
changed to
(insulin dependent diabetic) without further specification.
I pooped along with this for several years, with the Metformin and Lantus night time only, but found myself less and less able to control post-prandial (after eating) BGs. Actually, I only found out about this by accident, since many T2s are told to test AM only; if you're having post prandial highs (which I've probably had for at least 40 years) you'll never know until someone does an HBA1C.
For a few horrible months, my doc thought I might be an "end of the honeymoon
" and put me on the Devil's Insulin (NPH), why I cannot imagine. I mean really, I'm generally happy as can be in the AM, UNLESS deprived of food and coffee, which makes me a crab for the AM fasting blood draws--not getting fed and denied even the consolation of coffee makes me peevish--but I never did ANYTHING to deserve that. Worst time of my life. Incidentally, this would be 6 years in from
: as far as I know no honeymoon lasts that long.
Last autumn, I went on
. NO change in
, since it didn't seem to matter, and with
I had excellent control.
This summer, mostly out of curiosity--and because none of the
's ever made any sense to anyone, including the docs, much less me, and after reading over what Jenny B and the other
's had to say, I asked whether it was possible I was a
. (FYI: My mother developed diabetes late in life, as near as I can tell--so long ago they didn't have meters--pretty much what ever I have.) I asked for a trial of Amaryl, which as Jenny B will tell you will "tell the tale;" the
said OK, normally he doesn't approve of experimenting, but if he was going to let anyone try it, it would be his favorite record-keeping, willing-to-test, writer-downer, patient.
It either works, and you can cut your insulin substantially, and that pegs you, mostly likely as a
3 (I'll leave the technical details to her), or it doesn't work at all.
I was immediately able to cut my Levemir (basal) by 2/3 (from 11 to 6) and unless I'm having more than 35 g of CHO at a sitting (like lunch out), or running a bit hot when I wake up, to eliminate my daytime insulin.
So what was left, after the process of elimination was "probable
3." I haven't bothered with the genetic testing, for a couple of reasons:
o It's expensive, and I don't believe my insurance will pay for it.
o It won't make any difference in my treatment at this point.
o You never know who will read your files.
I've gotten awfully cautious about the prospects for leaking and discrimination based on "genetic testing".
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