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DKA - Type 2
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<blockquote data-quote="EllieM" data-source="post: 2280955" data-attributes="member: 372717"><p>Agreed, a staggering number of adult T1s are initially misdiagnosed as T2.</p><p></p><p></p><p>Unless she is a misdiagnosed LADA, in which case diet could have kept her insulin needs at bay until insulin production got too low. Having said that, I don't see how you can just "recover" from a DKA without insulin, so something's off there.</p><p></p><p>Also, if she was on daplaglaflozin she should have been given a glucose meter then ([USER=526806]@LindsayCatt[/USER] did you run out of strips?), as I'm pretty sure that this is a requirement for hypo inducing drugs (assuming you are in the UK). </p><p></p><p>Feels like some medical incompetence/ignorance is going on here. We all know that many GPs are clueless about diabetes. And giving someone a phone diagnosis like that without any access or request for medical tests (blood sugars, ketones etc) seems crazy.</p><p></p><p>Is the weight loss desired, because though excess weight can be lost as a result of controlling T2, it can also be a sign of T1/LADA.</p><p></p><p>Moving forward, as others have said, you need a meter, both for blood sugar and ketones, so you can work out what is happening if you crash again. I'd also be urging you to request a specialist endo appointment again, but that will be a lot more useful if you have the result of blood tests to indicate how your system is coping. And the doctor who thought you might be DKA should be asked to do GAD and c-peptide tests if he/she really thinks that that was the case.... </p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2280955, member: 372717"] Agreed, a staggering number of adult T1s are initially misdiagnosed as T2. Unless she is a misdiagnosed LADA, in which case diet could have kept her insulin needs at bay until insulin production got too low. Having said that, I don't see how you can just "recover" from a DKA without insulin, so something's off there. Also, if she was on daplaglaflozin she should have been given a glucose meter then ([USER=526806]@LindsayCatt[/USER] did you run out of strips?), as I'm pretty sure that this is a requirement for hypo inducing drugs (assuming you are in the UK). Feels like some medical incompetence/ignorance is going on here. We all know that many GPs are clueless about diabetes. And giving someone a phone diagnosis like that without any access or request for medical tests (blood sugars, ketones etc) seems crazy. Is the weight loss desired, because though excess weight can be lost as a result of controlling T2, it can also be a sign of T1/LADA. Moving forward, as others have said, you need a meter, both for blood sugar and ketones, so you can work out what is happening if you crash again. I'd also be urging you to request a specialist endo appointment again, but that will be a lot more useful if you have the result of blood tests to indicate how your system is coping. And the doctor who thought you might be DKA should be asked to do GAD and c-peptide tests if he/she really thinks that that was the case.... Good luck. [/QUOTE]
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