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Should all diabetics have a GADA test at first diagnosis
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<blockquote data-quote="MattInUSA" data-source="post: 2617614" data-attributes="member: 573989"><p>So are you still in a grey zone without an official type 1 diagnosis, but are treating it as such? GAD testing is certainly not foolproof and can go from negative to positive over time. I would still hope that in combination with c-peptide, they would at least catch most cases of insulin-deficiency, no matter the reason. Of course type 2 can result in insulin deficiency over time as well, but catching it early enough would hopefully result in preventing that outcome by working on the insulin resistance and/or other lifestyle changes. I think the main thing is that if it's LADA or type 1, insulin can be provided right away, whereas a true type 2 with adequate insulin should focus on lifestyle changes (the LADAs and type 1s may need to make changes as well, they're not excluded from insulin resistance). I just don't like that a person can be misdiagnosed as a type 2 and do everything reasonably possible to control it over the course of years when all they need is a bit of insulin (it sounds like maybe you were in this situation at first?). The result is unnecessary stress and damage. Even relying on simply fasting glucose and A1C to diagnose ANY diabetes is flawed, imo. It can take years for one or the other to get out of range while post-prandial numbers can signal much sooner that there's a problem. I don't know the solution for that other than an annual OGTT or have someone do post-prandial finger sticks periodically.</p></blockquote><p></p>
[QUOTE="MattInUSA, post: 2617614, member: 573989"] So are you still in a grey zone without an official type 1 diagnosis, but are treating it as such? GAD testing is certainly not foolproof and can go from negative to positive over time. I would still hope that in combination with c-peptide, they would at least catch most cases of insulin-deficiency, no matter the reason. Of course type 2 can result in insulin deficiency over time as well, but catching it early enough would hopefully result in preventing that outcome by working on the insulin resistance and/or other lifestyle changes. I think the main thing is that if it's LADA or type 1, insulin can be provided right away, whereas a true type 2 with adequate insulin should focus on lifestyle changes (the LADAs and type 1s may need to make changes as well, they're not excluded from insulin resistance). I just don't like that a person can be misdiagnosed as a type 2 and do everything reasonably possible to control it over the course of years when all they need is a bit of insulin (it sounds like maybe you were in this situation at first?). The result is unnecessary stress and damage. Even relying on simply fasting glucose and A1C to diagnose ANY diabetes is flawed, imo. It can take years for one or the other to get out of range while post-prandial numbers can signal much sooner that there's a problem. I don't know the solution for that other than an annual OGTT or have someone do post-prandial finger sticks periodically. [/QUOTE]
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Should all diabetics have a GADA test at first diagnosis
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