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Confused, Why my diabetes team won't take me off of insulin

All I would say is I actually think your Dr sounds like a good one. It sounds that they have thought out their strategy and have your health at the foremost of their mind. Keep on communicating with them, I do agree it is crucial to get a proper diagnosis and even though some say, so what, as long as you're getting the right treatment, I would say the two conditions are so different that if I was type 2 I would want to know so that I could tackle it differently and (possibly) without insulin if I already had it in abundance. x
 
The more I read dieticians, the less I want to meet one. T1s inject for carbs. Sensible T2s try to avoid them. 150g would be just over a weeks worth for me.

I would carry on as you want. It will be easier if you can get a definitive diagnosis.
 
First question have you gone plant based thinking it’ll help diabetes or for other reasons? If it’s T2 diabetes based decision then it’ll make getting things under control harder and limit good choices, not easier. But regardless of reasoning if you have cut meat and dairy out she has a point. Its easy to miss essential minerals, vitamins and fats without careful planning!

Low carb is beneficial for type 1 and 2. Absolutely no need to eat a lot of carbs for type 1 if you don’t want to. No one needs more than 150g type 1, 2 any other type or non diabetic and she’s misguided/miseducated if she believes that. Seriously I’d ignore her advising that if low carb is your preference. If you can’t do that ask for evidence of why carbs are essential eating- she will fail because they are not!
 


I decided on this diet because I still think i'm T2 although i'm in limbo on that. I thought it would be difficult but it turned out to be easy and delicious. She's sent me a list of plant based alternatives this evening so I'm going to try them out. I was also worried about cholesterol so avoided dairy but she's saying eggs aren't bad cholesterol and it's actually now thought of as saturated fat. But I will try the plant based ones first. Maybe I've gone about this too aggressively and my taste bugs have changed and actually enjoy plant based foods.

I think i will stay on low carb regardless, it's working for me and my BG levels reflect that. Tomorrow I start the metformin and 1/2 the dosage of novo insulin so will be interesting to see how my body reacts. I won't exercise so I can get a base BG level for the day to know what i'm working with.

I totally agree with you, really great advice from you.
 

Oh, I use an app to monitor my food intake, it shows me all the vital nutrients and vitamins via a barcode scanner. So I get fats from things like avocados, iodine from beetroot etc... the only thing that bugs me is the carb intake, why so high.
 
Ok. So unless you are a following a vegan advocate (eg Michael Geiger), possibly with vested interests, cherry picking studies there’s little that says vegan is specifically beneficial for diabetes or optimal for overall health. If you choose that lifestyle for other reasons fair enough but low carb, of any variation, is the most beneficial way of eating, science wise, at the current state of play. And that typically includes meat and dairy. Perhaps you are benefitting from ditching processed, carby and sugary foods as much if not more than the lack of meat and dairy. Food for thought even if you discard it later. Whatever path you choose make sure you get all the macro and micro nutrients you need.

Eggs and fear of them was debunked years ago. For a masters level cholesterol education head here but have plenty of time or take bite sized chunks https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/. Fundamentally cholesterol is made by the body if you don’t eat it and excess carbs rather than saturated fats cause issues.
 
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So i'm stuck in limbo, could be LADA or T2. I'm stressing out because I thought I was on the way to a full recovery but there's a 50/50 chance I will be injecting forever.

It could even be type 1 and type 2 and once. This combination is often called type 1.5.
 
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It could even be type 1 and type 2 and once. This combination is often called type 1.5.
Type 1.5 usually means LADA. I think you mean double diabetes which is fundamentally type 1 that is also insulin resistant. You cannot have simultaneously too much and too little insulin. A type 2 may eventually not produce insulin but that doesn’t make them type 1.
 

The NHS tends to use the anti-GAD antibodies test to verify T1 diagnosis, well they used this test for me anyways because 75% of T1Ds test positive for anti-GAD antibodies. However as someone mentioned earlier you may have other antibodies present in your blood. They should’ve done a C peptide test before giving you insulin, in general terms the level of C peptide is directly equal to amount of insulin in blood, my understanding is that if they do this test after giving you insulin then it would be lower than normal because your body would make less insulin since it’s already receiving some from the outside. Because of your emergency they may have not had time to do this since your situation was critical.

The general characteristics of T1Ds:
-Rapid weight loss so a lower BMI
-Usually younger (less than 30)
-Quicker speed of onset
-Initially T1Ds would have higher blood sugars

However not all people fit these. There is a honeymoon period in T1D where your blood sugars return to normal, near-normal levels after initiating insulin, if you are T1D then you may be experiencing this.
 
Started Metformin today one table a day 500mg, reduced novo insulin to 3 units from 6 units, and the results are scaring me. I've tested all day and now i'm dead on 4 all day. Feeling a bit dizzy. I think my body is producing the rest of insulin now i'm on a lower dose. Not sure if this weird feeling is a hypo, not feeling well at all. normally i'm 4.5 to 5 ish, not sure what's going on but have tingling nerves throughout my body, a bit lightheaded, headache coming on and drained, feel tired.

Not sure what's causing this, I changed my breakfast today also to eggs and bacon and not the small amount of porridge oats i normal do with a 1/4 banana to cut more carbs out.

Feeling strange
 
Have you had enough water to keep hydrated?

Keep an eye on the readings, don't get too low.
 
If you use the mysugr app you will get an estimated hba1c after a few days. It won't be accurate at first but it will show you trending. I found it invaluable when I first started. The app has a free version.
Thanks for the app. I've entered all my results since my last A1C on the 17th June. Took ages good 1hour and a half. It shows an A1C of 5.5% which is 37 so i'll be surprised if when the next one comes i can finally get off of insulin, depending if by then they figure out if i'm T1.5 or T2 but I really believe i'm T2.
 
The longer youu use it, the more accurate. I used it for a few months and at my next hba1c it was 2 points out. Hang in there, I found it highly motivating.
 
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