Dear all
My mum (62) was recently diagnosed with diabetes in March after suffering extensive weight loss, polydipsia and polyuria (no ketones). Her HbA1c was 113mmol/mol. She has a history of autoimmune disease (rheumatoid arthritis, psoriasis) and Vitamin D deficiency, nil else. She has never been overweight nor skinny.
The GP gave her a diagnosis of T2DM and started her on metformin bd and told her to return in 3 months. No fasting C-Peptide test, GAD and Islets antibody tests were done. Because of her extensive weight loss (she looks bony and has lost a lot of fat and muscle) i feel LADA is a real possibility. However, the GP has dismissed the suggestion to do the above blood tests.
On metformin and a very low carb diet her diabetes is now under control:
Date. HbA1c (mmol/mol)
March 113
May 65
September 45
She has lost further weight (4kg since diagnosis), going from 49 to 45kg (bmi 20). She is not happy about her excessive weight loss (bony).
I was wondering whether to go private for these blood tests as we would want an accurate diagnosis.
My mum (62) was recently diagnosed with diabetes in March after suffering extensive weight loss, polydipsia and polyuria (no ketones). Her HbA1c was 113mmol/mol. She has a history of autoimmune disease (rheumatoid arthritis, psoriasis) and Vitamin D deficiency, nil else. She has never been overweight nor skinny.
The GP gave her a diagnosis of T2DM and started her on metformin bd and told her to return in 3 months. No fasting C-Peptide test, GAD and Islets antibody tests were done. Because of her extensive weight loss (she looks bony and has lost a lot of fat and muscle) i feel LADA is a real possibility. However, the GP has dismissed the suggestion to do the above blood tests.
On metformin and a very low carb diet her diabetes is now under control:
Date. HbA1c (mmol/mol)
March 113
May 65
September 45
She has lost further weight (4kg since diagnosis), going from 49 to 45kg (bmi 20). She is not happy about her excessive weight loss (bony).
I was wondering whether to go private for these blood tests as we would want an accurate diagnosis.