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Diabetes Discussion
Type 1.5/LADA Diabetes
Finding more difficult to control
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<blockquote data-quote="DaftThoughts" data-source="post: 1381051" data-attributes="member: 317436"><p>I was on oral medication for 1.5 years before being put on basal insulin. (Long lasting insulin to keep my levels in check between meals.) After 6 months of dealing with stupid spikes after meals (hitting 11-13 sometimes) I was put on bolus insulin (rapid acting to deal with the food I eat) and taken off gliclazide.</p><p></p><p>I really regret not having been able to go on a full basal and bolus regime from the moment insulin was necessary. It was really rough dealing with the spikes and not being able to fix them despite my best efforts in my diet. I'm still taking Metformin as there are no side-effects to taking it for me, but I have a much better control over my values now that I'm taking insulin as well.</p><p></p><p>You have to remember that although LADA generally enjoys a very long honeymoon where the pancreas still produces insulin, it will stop at some point and insulin is necessary no matter what you do. While treatment does vary depending on the doctor, you also need to consider that acting <em>before</em> issues rise is the way to go. Even if your HBA1C is good, the fact you spike as high as 11 after a meal is not. That matters just as much if not more.</p><p></p><p>There really is no harm in starting insulin now. You might only need very small amounts, but if you can take even 1 unit to manage the post-meal spikes then you're already on track to maintaining good health and minimize your risks of complications down the line. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> If your doctor doesn't bring it up, I recommend you do.</p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1381051, member: 317436"] I was on oral medication for 1.5 years before being put on basal insulin. (Long lasting insulin to keep my levels in check between meals.) After 6 months of dealing with stupid spikes after meals (hitting 11-13 sometimes) I was put on bolus insulin (rapid acting to deal with the food I eat) and taken off gliclazide. I really regret not having been able to go on a full basal and bolus regime from the moment insulin was necessary. It was really rough dealing with the spikes and not being able to fix them despite my best efforts in my diet. I'm still taking Metformin as there are no side-effects to taking it for me, but I have a much better control over my values now that I'm taking insulin as well. You have to remember that although LADA generally enjoys a very long honeymoon where the pancreas still produces insulin, it will stop at some point and insulin is necessary no matter what you do. While treatment does vary depending on the doctor, you also need to consider that acting [I]before[/I] issues rise is the way to go. Even if your HBA1C is good, the fact you spike as high as 11 after a meal is not. That matters just as much if not more. There really is no harm in starting insulin now. You might only need very small amounts, but if you can take even 1 unit to manage the post-meal spikes then you're already on track to maintaining good health and minimize your risks of complications down the line. :) If your doctor doesn't bring it up, I recommend you do. [/QUOTE]
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