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<blockquote data-quote="geekesse" data-source="post: 2632648" data-attributes="member: 569732"><p>Update: After moaning about my GP’s lack of engagement with my concerns, I remembered that I have private medical insurance through my job. Following a consultation with a nurse practitioner, I was referred to an endocrinologist who specialises in diabetes. I saw him today, and unlike my GP, he took my family history of LADA seriously, and said the A1c test wasn’t useful as anything more than a measure of the control effected by my diet and exercise. He’s taken very nearly an armful of blood (Tony Hancock, anyone?) to test for C-peptide, GAD antibodies, random blood glucose and something else, and explained in detail how any particular combination of results might point to different diagnoses. Once the results come back, it should become clear whether I have T2, now in remission through diet and exercise, the early stages of LADA or monogenic diabetes (which I’d never heard of before, but is relevant to family history). I know that for the time being, whatever the results, a low carb diet and exercise are necessary. Longer term, knowing which will determine how much and how often to test, what symptoms to watch out for, and what to expect in the future. I feel empowered after my appointment!</p></blockquote><p></p>
[QUOTE="geekesse, post: 2632648, member: 569732"] Update: After moaning about my GP’s lack of engagement with my concerns, I remembered that I have private medical insurance through my job. Following a consultation with a nurse practitioner, I was referred to an endocrinologist who specialises in diabetes. I saw him today, and unlike my GP, he took my family history of LADA seriously, and said the A1c test wasn’t useful as anything more than a measure of the control effected by my diet and exercise. He’s taken very nearly an armful of blood (Tony Hancock, anyone?) to test for C-peptide, GAD antibodies, random blood glucose and something else, and explained in detail how any particular combination of results might point to different diagnoses. Once the results come back, it should become clear whether I have T2, now in remission through diet and exercise, the early stages of LADA or monogenic diabetes (which I’d never heard of before, but is relevant to family history). I know that for the time being, whatever the results, a low carb diet and exercise are necessary. Longer term, knowing which will determine how much and how often to test, what symptoms to watch out for, and what to expect in the future. I feel empowered after my appointment! [/QUOTE]
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