Hi,
I was first diagnosed with T2 over 10 years ago. With diet and exercise I lost a lot of weight and brought my BG under control.
In 2022 I was losing weight for no reason and asked for an HbA1c when I needed another blood test it came back at 124mmol/mol. It was repeated at 127mmol/mol.
I was put on Gliclazide to bring it down then transitioned to Metformin. It was not enough so they tried Dapagliflozin and I had ketones so they switched me to Alogliptin.
Fast forward to summer 2023 HbA1c was 64. Then in September it was back up at 103 mmol/mol. I had had a transforaminal steroid injection in my back in early August but that should not have had that big an effect.
Tt was decided to put me on insulin. I requested a C-Peptide test which after the first one was spoiled by the lab leaving it lying around for too long came back at 477 pmol/L for a 10.1 mmol/L fasting BG. The sample was slightly haemolysed. A consultant was asked to look at it and said it was low for the BG level and the nurse said I might have LADA.
The insulin I was on was semglee which brought my BG down, but it still spiked after breakfast and lunch, but less so after the larger evening meal. I am watching the carbs I eat and average about 130g a day (that may be an underestimate but not far off) , well below NHS guidelines but not particularly low carb. The carbs I do eay are mostly selected for lower GI. On a CGM the peak is 3h after eating.
To try to smooth the peaks they have put me on to Toujeo but my BG has been hugh, dropping me from 80% in range (below 10mmol/L) to ~55%. I have increased the dose and it it coming down but the peaks are still there. This morning's fasting capillary BG was 8.1.
If we assume that the statement that I may have LADA is correct what should I be requesting to confirm that? How will it affect my treatment?
This as all been handled in primary healthcare, initially under the care of a GP, now the practice diabetes nurse(s).
I am beginning to think that whatever I eat I am going to damage something be it due to BG, cholesterol or too much protein for my kidneys.
Thank you for reading.
Any advice would be greatfuly received
Ellis
I was first diagnosed with T2 over 10 years ago. With diet and exercise I lost a lot of weight and brought my BG under control.
In 2022 I was losing weight for no reason and asked for an HbA1c when I needed another blood test it came back at 124mmol/mol. It was repeated at 127mmol/mol.
I was put on Gliclazide to bring it down then transitioned to Metformin. It was not enough so they tried Dapagliflozin and I had ketones so they switched me to Alogliptin.
Fast forward to summer 2023 HbA1c was 64. Then in September it was back up at 103 mmol/mol. I had had a transforaminal steroid injection in my back in early August but that should not have had that big an effect.
Tt was decided to put me on insulin. I requested a C-Peptide test which after the first one was spoiled by the lab leaving it lying around for too long came back at 477 pmol/L for a 10.1 mmol/L fasting BG. The sample was slightly haemolysed. A consultant was asked to look at it and said it was low for the BG level and the nurse said I might have LADA.
The insulin I was on was semglee which brought my BG down, but it still spiked after breakfast and lunch, but less so after the larger evening meal. I am watching the carbs I eat and average about 130g a day (that may be an underestimate but not far off) , well below NHS guidelines but not particularly low carb. The carbs I do eay are mostly selected for lower GI. On a CGM the peak is 3h after eating.
To try to smooth the peaks they have put me on to Toujeo but my BG has been hugh, dropping me from 80% in range (below 10mmol/L) to ~55%. I have increased the dose and it it coming down but the peaks are still there. This morning's fasting capillary BG was 8.1.
If we assume that the statement that I may have LADA is correct what should I be requesting to confirm that? How will it affect my treatment?
This as all been handled in primary healthcare, initially under the care of a GP, now the practice diabetes nurse(s).
I am beginning to think that whatever I eat I am going to damage something be it due to BG, cholesterol or too much protein for my kidneys.
Thank you for reading.
Any advice would be greatfuly received
Ellis
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