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<blockquote data-quote="catapillar" data-source="post: 1492994" data-attributes="member: 32394"><p>1) a giggling doctor is an indication of someone with a lack of social skills, not someone with a lack of clinical skills. Sorry if it made you uncomfortable, but don't let it.</p><p></p><p>2) not being sure whether you are type 1 or type 2 is a perfectly valid clinical uncertainty. Very often is is not actually possible to determine what type of diabetes someone has.</p><p></p><p>3) the only time it is possible to be absolutely, definitely, certain what type of diabetes you have is if you get a positive antibody test. A positive GAD test means you definitely have type 1. A negative GAD test doesn't mean you don't have type 1. It just means that you won't be able to get a certain answer as to type of diabetes. About 25% of people with type 1 are GAD negative.</p><p></p><p><a href="http://www.diabetesandenvironment.org/home/mech/autoimmunity" target="_blank">http://www.diabetesandenvironment.org/home/mech/autoimmunity</a></p><p></p><p>5) more tests beyond the gad test aren't really going to help determine type of diabetes. If you're terribly bothered about it, you might want to query whether the gad test included a broader range of antibody tests, it usually does. Other antibodies associated with type 1 are ICA, IA-2 and ZnT8A. Again, not all type 1s are positive for these antibodies.</p><p></p><p>6) if it's not possible to determine the type of diabetes from tests then the story of your diagnosis can help in deciding. The fact you were diagnosed with blood sugar over 30 and with ketones points to type 1. Other things pointing to a type 1 diagnosis would be sudden dramatic untried for weight loss pre diagnosis.</p><p></p><p>7) if you will be treated as type 1 with a basal bolus regime then uncertainty over what type of diabetes you have won't make any difference to your treatment.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1492994, member: 32394"] 1) a giggling doctor is an indication of someone with a lack of social skills, not someone with a lack of clinical skills. Sorry if it made you uncomfortable, but don't let it. 2) not being sure whether you are type 1 or type 2 is a perfectly valid clinical uncertainty. Very often is is not actually possible to determine what type of diabetes someone has. 3) the only time it is possible to be absolutely, definitely, certain what type of diabetes you have is if you get a positive antibody test. A positive GAD test means you definitely have type 1. A negative GAD test doesn't mean you don't have type 1. It just means that you won't be able to get a certain answer as to type of diabetes. About 25% of people with type 1 are GAD negative. [URL]http://www.diabetesandenvironment.org/home/mech/autoimmunity[/URL] 5) more tests beyond the gad test aren't really going to help determine type of diabetes. If you're terribly bothered about it, you might want to query whether the gad test included a broader range of antibody tests, it usually does. Other antibodies associated with type 1 are ICA, IA-2 and ZnT8A. Again, not all type 1s are positive for these antibodies. 6) if it's not possible to determine the type of diabetes from tests then the story of your diagnosis can help in deciding. The fact you were diagnosed with blood sugar over 30 and with ketones points to type 1. Other things pointing to a type 1 diagnosis would be sudden dramatic untried for weight loss pre diagnosis. 7) if you will be treated as type 1 with a basal bolus regime then uncertainty over what type of diabetes you have won't make any difference to your treatment. [/QUOTE]
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