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Interesting question. Type 2 DM can be seen as part of the metabolic syndrome which is high glucose, high BP, high cholesterol and a big waist. So, in USA where half folk did not get health care, folk wiht hypertension were more likely to get diabetes, and in diabetic folk, prevalence of...

Great to hear doing well on diet and that you are feeling better. It is highly unlikely that you will get a significant hypo on diet alone, practically zero chance. There are occasions when even non-diabetic folk can go hypo but extremely rare, and generally in the setting of other very obvious...

Not sure what has been happening with the tablets, sounds like they were problematic and it looks like you have been on the insulin a few years. In the past, oral agents were often stopped on starting insulin; the OHAs came out of the system and 5 days later the glucose levels went up; so...

There is a Julio Rosenstock paper comparing lantus to levemir in T2DM; results were very similar and the main difference was that one needed 50% more levemir to match the lantus dose ie if switching from lantus to levemir, may well need more units of levemir than lantus. Lantus was always sold...

Units per ml is generally 100 (U100). But there are vials of U500 Humulin R which we import from USA - here it is equivalent to humulin S There is U200 Humalog, and U300 glargine is Toujeo. I think for animal use, one can still find older strengths such as U40. So lots of scope for error if folk...

Totally agree with above on care home staff. They are very stretched due to difficulty recruiting. There are frequent investigations with homes in special measures, sometimes for good reason, sometimes not. And diabetes eduation is difficult; although diabetes specialists can do training...

Agree, weight loss odd. Several options. 1: LADA as above. 2: Pancreatic disease causing both diabetes (generally needs insulin) and food malabsorption; does he have diarrhoea? Could do a faecal elastase test. 3: Overactive thryoid which increases glucose levels and causes weight loss - so...

Annoying problem to put it mildly. 25% care home residents have diabetes of whom half are known; so there is a 12% chance that your dad has diabetes and it is not known. So if he is a bit tubby, and has undiagnosed T2DM, might not be too much of a problem But if he is skinny, and not diabetic...

Most folk in UK have type 2 diabetes, about 5% or less have type 1 diabetes; but there is also what one might call secondary diabetes, diabetes secondary to other things; the two commonest other things would be pancreatic damage, generally from pancreatitis, or drugs, such as steroids. Probably...

Interesting. Last things first, anaemia can make your HbA1c look higher than it really is; so people get their glucose lowering medication increased, when what they need is their anaemia sorting. Iron deficiency anaemia probably means that you are losing blood somewhere eg stomach or large...

Would be worth knowing for how long you have had the diabetes and to confirm that you are just on two units twice per day of insulin. Also, what tests were done to show no insulin production? In Ketosis Prone T2DM, when the blood glucose levels are high, the pancreatic beta cells go to sleep and...

Why do Indo-Asian folk get more diabetes? A good question. It is clear from data, that Indo-Asian folk get T2DM when less obese and younger than Europid folk. See http://onlinelibrary.wiley.com/doi/10.1111/dom.12915/full It has been suggested that the increased prevalence is due to...

Very eloquent post, IMHO, and agree with points above. It is very difficult to admit to depression and difficulty coping, and it often sneaks up on people without them realising it. Also lots of links between diabetes and depression. I guess you measure in mg% not mMol/L, When I started to...

Age Related Macular Degeneration. Commonest cause of poor vision in retired folk. Basically two sorts - those that respond to injections and those that don't. Said not to be associated with diabetes. Injections are similar to injections for diabetic macular oedema. Tend to lose central...

Interesting problem. As above, Blue badges come from the council, and they may want money and a photo - varies from area to area, I believe. The criteria for getting the Blue badge are based on mobility or lack of it; one would not lie, but one would look at your mobility on your worse day, not...

Regarding letting folk know that your Mum has diabetes, a good point. She might get admitted muddled due to a high glucose or muddled due to steroids, or if on sulphonylurea, muddled due to low glucose; so important to know, although diabets is so common, it should be considered by medical...

Yes - fingers crossed. As you say, low cortisols make glucose levels go low. Sounds like you are under some very pro-active endocrinologists, so I would suspect that they have fine tuned your cortisol levels to be as good as possible. The problem would be intercurrent illnesses increasing your...

I feel that the main question to address at moment is type of diabetes. If you started with 75 units insulin per day, unless you weigh 150 KG, you were insulin resistant then; mild insulin resistance happens in T1DM after diabetic keto-acidosis, but significant insulin resistance is the...

Thanks. I guess with your other auto-immune diagnoses, LADA / T1DM was always a risk. I had one patient who was GAD +ve, who stayed on metformin and tolbutamide for years and last I knew, had still not developed T1DM. I am sure that they are quoting you the normal non-diabetic glucose...

Interesting; I personally think that aiming for under 5 risks hypos; I trust that your Addison's is well controlled else greater risk of hypos. I would aim 4 to 7 mmol/L before food. I have just had a look at Diabetes UK website, which says that one should aim for glucose levels near normal, 3.5...