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<blockquote data-quote="DaftThoughts" data-source="post: 1481364" data-attributes="member: 317436"><p>Thanks for tagging me [USER=39639]@azure[/USER] <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>[USER=407833]@k-d[/USER] Your story sounds familiar to me in the sense that 'it just doesn't make sense'! I was diagnosed and put on oral meds as a presumed type 2, which helped at first, but with some additional tests came the knowledge I'd one day be insulin dependent due to being a type LADA. I did test GAD positive, but as others have said not everyone does. I managed to bring down my levels some with oral meds and diet changes (however small they were) but I also had very erratic values until I finally went on insulin. Part of it was the oral meds, the other part was my pancreas 'hiccuping' frequently and giving off insulin irregularly. (I could bike and have a bad hypo, or I could bike and have a bad hyper - it was impossible to predict!)</p><p></p><p></p><p>I was put on Toujeo (basal) for half a year which helped level me out dramatically at first. It wasn't a lot but because of the stage of my diabetes I was in, it helped just enough to put me back into a good range for most of the time. My pancreas just wasn't making enough insulin, period, and I am insulin sensitive most of the time (mornings excluded), so that little bit was plenty to complement where my pancreas lacked. I suspect that might have been the case for you too.</p><p></p><p>My advice is to keep a close reading on food. Your body might have gotten a 'break' when you were on insulin briefly, giving it some time to rest and recharge, which along with the diet change put you back into a place where you can manage without meds. But even on low carb the body needs insulin, if you are indeed a type 1/LADA/1.5 you will eventually find that any food rises you more than the suggested 2 mmol/L. When that's the case you're probably going to be insulin dependent from that point on. When this will happen varies strongly per person. I managed for close to 2 years without, some people can go even longer especially with low carb.</p><p></p><p>If you find that your values persist in being very erratic, it might be worth going on insulin even if it's just basal until you need to bolus too. It's meant to stabilize and it's not uncommon to go on a half insulin regime for those who are losing insulin production more slowly.</p><p></p><p>I want to say that a 'solid diagnosis' isn't as important as the right treatment, but I know from personal experience that having the right diagnosis can be important to your own self. I personally think, and this is not a medical diagnosis, that you fit the LADA profile well. Type 2s typically gain weight due to diabetes prior to diagnosis, while 1/LADA lose weight. (I was the lucky gal who didn't lose weight lol, yay early diagnosis?) Another big marker for T2 is insulin resistance, which you don't appear to be showing either as that bit of Lantus kicked butt in your body. In the end LADA also falls under the umbrella of Type 1, despite some minor genetic differences between the two, In the long run, treatment is very similar, the only difference is the pace. If you're not insulin dependent 100% within a month or two, it's highly likely you're LADA. If from here on out it happens rapidly, it's more likely to be T1. In the end, insulin dependency is the same for either, so I wouldn't fuss <em>too</em> much on what to call it and just keep a close eye on how things develop. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>It sounds like you have a great doctor who's willing to work with you as an individual rather than force you into a box and give you a treatment that doesn't work for you, which I think is <strong>the most important thing</strong> for you diabetes treatment. Best of luck!</p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1481364, member: 317436"] Thanks for tagging me [USER=39639]@azure[/USER] :) [USER=407833]@k-d[/USER] Your story sounds familiar to me in the sense that 'it just doesn't make sense'! I was diagnosed and put on oral meds as a presumed type 2, which helped at first, but with some additional tests came the knowledge I'd one day be insulin dependent due to being a type LADA. I did test GAD positive, but as others have said not everyone does. I managed to bring down my levels some with oral meds and diet changes (however small they were) but I also had very erratic values until I finally went on insulin. Part of it was the oral meds, the other part was my pancreas 'hiccuping' frequently and giving off insulin irregularly. (I could bike and have a bad hypo, or I could bike and have a bad hyper - it was impossible to predict!) I was put on Toujeo (basal) for half a year which helped level me out dramatically at first. It wasn't a lot but because of the stage of my diabetes I was in, it helped just enough to put me back into a good range for most of the time. My pancreas just wasn't making enough insulin, period, and I am insulin sensitive most of the time (mornings excluded), so that little bit was plenty to complement where my pancreas lacked. I suspect that might have been the case for you too. My advice is to keep a close reading on food. Your body might have gotten a 'break' when you were on insulin briefly, giving it some time to rest and recharge, which along with the diet change put you back into a place where you can manage without meds. But even on low carb the body needs insulin, if you are indeed a type 1/LADA/1.5 you will eventually find that any food rises you more than the suggested 2 mmol/L. When that's the case you're probably going to be insulin dependent from that point on. When this will happen varies strongly per person. I managed for close to 2 years without, some people can go even longer especially with low carb. If you find that your values persist in being very erratic, it might be worth going on insulin even if it's just basal until you need to bolus too. It's meant to stabilize and it's not uncommon to go on a half insulin regime for those who are losing insulin production more slowly. I want to say that a 'solid diagnosis' isn't as important as the right treatment, but I know from personal experience that having the right diagnosis can be important to your own self. I personally think, and this is not a medical diagnosis, that you fit the LADA profile well. Type 2s typically gain weight due to diabetes prior to diagnosis, while 1/LADA lose weight. (I was the lucky gal who didn't lose weight lol, yay early diagnosis?) Another big marker for T2 is insulin resistance, which you don't appear to be showing either as that bit of Lantus kicked butt in your body. In the end LADA also falls under the umbrella of Type 1, despite some minor genetic differences between the two, In the long run, treatment is very similar, the only difference is the pace. If you're not insulin dependent 100% within a month or two, it's highly likely you're LADA. If from here on out it happens rapidly, it's more likely to be T1. In the end, insulin dependency is the same for either, so I wouldn't fuss [I]too[/I] much on what to call it and just keep a close eye on how things develop. :) It sounds like you have a great doctor who's willing to work with you as an individual rather than force you into a box and give you a treatment that doesn't work for you, which I think is [B]the most important thing[/B] for you diabetes treatment. Best of luck! [/QUOTE]
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