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Type 1.5/LADA Diabetes
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<blockquote data-quote="Iowaboy" data-source="post: 1609038" data-attributes="member: 445699"><p>Hi all, thank you everyone for the responses and words of encouragement!</p><p>Alexandra100: Thanks for the link, I had looked at that website but have been reading over all the information carefully there today. Lots of great info!</p><p>Daibell, Appreciate the info! Yes, I am virtually certain this is LADA with the low c-peptide, positive GAD, and HBa1C. It's been at least three years already (since my HBa1C was 5.7 three years ago). I have read that the honeymoon period is usually less than 5 years, but for some it can be as long as 10-12 years before insulin is required. I suspect it depends on when it is diagnosed and how high antibody titers are. What I will be asking the Endo on Friday is what is the threshold for starting insulin. Is it fasting glucose? Hba1C level? Or when 1 hour post meal goes above a certain number?</p><p></p><p>I had a really good week until tonight. No peaks above 125 that I detected. I am still testing out foods and diet, with the overall goal of staying under 100 carbs, and trying to keep 1 hour postprandial less than 120. </p><p>Today I had 22 net carbs for breakfast, consisting of Greek Yogurt and mixed berries. 1.5 hour glucose was 89 (I couldn't test at an hour, but still was very happy with that).</p><p>Lunch I had 23 net carbs, consistent of hummus, snow peas, and whole wheat wrap. 1 hour glucose was 103. So far so good.</p><p>Dinner I decided to try Quinoa for the first time since the new diet. Rest of the meal consisted of chicken, asparagus, cucumber soup (homemade so very low carb), salad, and the quinoa. By my calculation was about 45 net carbs, with about 35 coming from the quinoa. One hour glucose was 152 (Double checked because I was so stunned) and 2 hour was 132. I had other meals earlier in the week with close to 40 net carbs (black bean chili), so I don't think it was the total amount of carbs that did it. Is it really possible that the quinoa had that big an effect on my blood sugar vs a food like black beans? I know that black beans have a lower GI/GL, but I didn't think it would be that big a difference. In any case, lesson learned. Bye bye quinoa!</p><p></p><p>Sadly, my dinner experience tonight tells me my phase 1 insulin response is poor, which likely that the remaining honeymoon period may be short. Wish I had made the more dramatic diet changes sooner.</p></blockquote><p></p>
[QUOTE="Iowaboy, post: 1609038, member: 445699"] Hi all, thank you everyone for the responses and words of encouragement! Alexandra100: Thanks for the link, I had looked at that website but have been reading over all the information carefully there today. Lots of great info! Daibell, Appreciate the info! Yes, I am virtually certain this is LADA with the low c-peptide, positive GAD, and HBa1C. It's been at least three years already (since my HBa1C was 5.7 three years ago). I have read that the honeymoon period is usually less than 5 years, but for some it can be as long as 10-12 years before insulin is required. I suspect it depends on when it is diagnosed and how high antibody titers are. What I will be asking the Endo on Friday is what is the threshold for starting insulin. Is it fasting glucose? Hba1C level? Or when 1 hour post meal goes above a certain number? I had a really good week until tonight. No peaks above 125 that I detected. I am still testing out foods and diet, with the overall goal of staying under 100 carbs, and trying to keep 1 hour postprandial less than 120. Today I had 22 net carbs for breakfast, consisting of Greek Yogurt and mixed berries. 1.5 hour glucose was 89 (I couldn't test at an hour, but still was very happy with that). Lunch I had 23 net carbs, consistent of hummus, snow peas, and whole wheat wrap. 1 hour glucose was 103. So far so good. Dinner I decided to try Quinoa for the first time since the new diet. Rest of the meal consisted of chicken, asparagus, cucumber soup (homemade so very low carb), salad, and the quinoa. By my calculation was about 45 net carbs, with about 35 coming from the quinoa. One hour glucose was 152 (Double checked because I was so stunned) and 2 hour was 132. I had other meals earlier in the week with close to 40 net carbs (black bean chili), so I don't think it was the total amount of carbs that did it. Is it really possible that the quinoa had that big an effect on my blood sugar vs a food like black beans? I know that black beans have a lower GI/GL, but I didn't think it would be that big a difference. In any case, lesson learned. Bye bye quinoa! Sadly, my dinner experience tonight tells me my phase 1 insulin response is poor, which likely that the remaining honeymoon period may be short. Wish I had made the more dramatic diet changes sooner. [/QUOTE]
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