What's Lada?
ringi, I would suggest that is because most GPs would not be able to recognise one!With levels like that they should have started you on inslin while waiting for the test results. Stockport has a "phone a consultant" service GPs can use to get advice to try to prevent this type of error. I was told by a consultant that a GP is unlikey to see more then 1 or 2 adult type1 new cases in their life.
That's very surprising considering 57% of people with type 1 are diagnosed over the age of 20: https://blogs.diabetes.org.uk/?p=5184I was told by a consultant that a GP is unlikey to see more then 1 or 2 adult type1 new cases in their life.
That's very surprising considering 57% of people with type 1 are diagnosed over the age of 20: https://blogs.diabetes.org.uk/?p=5184
If you are suggesting someone else apart from a GP does the type 1 diagnosis, this is not my experience: I was diagnosed by my GP. As I said earlier in this thread, when diagnosed as an adult, the onset is usually slower and less likely to result in emergency hospital admission.But often not by GPs, also think about how few people have type 1.
I thought the fasting insulin level would be OK, as long as you weren’t on insulin. Then I read, in the labs’ description of the two tests, that having insulin antibodies can distort the results. That’s why I would recommend the C-Peptide if you are trying to rule out LADA.Lot of people with LADA are inslin resistance, there is nothing stopping someone having type2 and LADA at the same time. Hence if the NHS was to do more tests as standard, I think the most useful would be fasting inslin, so that someone's inslin restiance can be tracked.
I did not know that it was possible to be insulin resistant when you body cannot make insulin due to a autoimmune attack.
Could you stear me toward any studies. I would really like to learn more.Yes, perfectly possible.
No, it's not standard to test for T1 (LADA) upon diagnosis with diabetes, unless you land in hospital with ketoacidosis.
Which is exactly what LADA looks like if caught early.
It's like what I said everyone's journey to their diagnosis is different. My bloods at first we're in the high 20's and low 30's. 2 months in my average is about 6. I don't know much about type 2 in terms of control and meds. But different types have different things you can take as positives. That's one of the key things that has helped me. Yes I'm a type1(LADA) and multiple daily injections look grim... But I can eat more or less what I want. And after sinking a pack of 3 krispy kreme donuts the future isn't looking too bleak with a little bit of understanding.
Could you stear me toward any studies. I would really like to learn more.
Thanks.
Just found one. Thanks so much. Can never stop learning.
Oh boy. Clearly the medical service where you are is structured differently to where I am.What bugs me is the attitude of diagnosis of T2D by BSL/HBA1C and age, and only if the bsls go way up (which you may have no meter to test for and ketones appear (which you have no way of testing) at some indeterminate time in the future ( days to years), by which time you can be in DKA (a medical emergency), does the penny (or whatever the modern day currency equivalent) drop.
Health rationing is compromising health. And I really wonder why pathology testing is not cheaper at times ( not that I am advocating wage and staff cuts). Could local chemist provide, at nominal cost, opportunities for patients without glucose monitors the chance to check their BSLS, community nurses also.
Most GPs would have monitoring facilities, including freebies given them my company reps etc. Why cannot someone with T2D denied a meter and unable to afford one, at least call in to their GP's surgery to see nurse and get a BSLs done and if high a ketone reading ? Commonsense and a better 'index of suspicion' need to prevail.
Perhaps coeliac disease is another to add to that list !!When a person has one autoimmune disease, developing another is more likely than the norm. Consider the number of diabetics (all types) with Hashimoto's Thyroiditis.
Thank you. I was actually using examples of what other posters have described in UK. In Australia my impression is that LADA is not well known by GPs. They tend to defer such decisions about antibody tests to the endocrinologists although with appropriate wording on requests for C-peptide etc they are not penalised (as far as i know) by Medicare.Oh boy. Clearly the medical service where you are is structured differently to where I am.
OK, diagnosing t2 by blood sugar levels is insufficient, we agree there. But adding in the ketone level and the length of time symptoms have been apparent gives a reasonable indication for most people.
Testing for ketones - ketoDiastix. I was given a pot of 20 and told I could buy more from the chemist over the counter, or get them prescribed if the GP believed I wasn't wasting them.
Testing bg - my local pharmacy lets the pharmacist test your bg if you go in feeling ill and say you are an unmonitored t2 diabetic. Also, at my GP you CAN make an appointment to see a 'diabetes nurse' and have your bg measured. If you can show that you're using the results, they'll give out a glucose tester. Still limited test strips though. Heck, there's a stall once a month outside the supermarket that offers a free bg test if you take their food advice leaflets.
I'm a bit of a special case, my diabetes is complicated, but I have strolled into my diabetes clinic (no appointment with doctor or nurse) and requested a blood test, including thyroid and lipid panel. They dig out a doc, he listened to my reasons, and said yep go ahead with it. Got the results the next day (speed due to my kidney disease). I have found that generally, if you have a clear logical argument, you can get what you need as an individual. Pity it doesn't work on politicians.
I used like the little jam cram ones from Morrisons 4 in a bag!!!I love Krispy Kreme Donuts...delicious!!!
Unfortunately I can’t have them anymore, not allowed!
Yes, it's hard! You know, double cream is still on the menu. I love it with Hartley's 10cal jelly pots. Strawberry flavour are only 0.2g carbs per pot. They are extra nice chilled in the fridge. The full price of £0.75 is rather steep, but if you shop around you can find them cheaper.I used like the little jam cram ones from Morrisons 4 in a bag!!!ohh i do miss um, it's heartbreaking!!!
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