Hi Daisy!
That's good news - sort of - you know what I mean LOL!
Too many of us LADAs get misdiagnosed as Type 2 based on nothing but age. The fact we still produce a significant amount of insulin in the early stages confuses a not-too-knowledgeable medical profession. Fortunately your doctor had the sense to know when he was out of his depth and refer you for an accurate diagnosis.
The high after food spikes on very few carbs are the dead-giveaway with LADA in my opinion..
They might try to keep you on tablets for a while - maybe adding gliclazide or similar. However, if you are eating so little in order to control your BG that you cannot keep a healthy weight on, in my opinion, it is time to go onto insulin. You might try a basal only at first, but keep a very close eye on your levels, as rapid-acting is a very useful tool in LADA control - it is the after food spikes that are our problem, and that's what rapid-acting is designed to deal with.
Have a think about what you want to do - if you are happy to go straight to insulin, make that clear to your consultant - sometimes they try everything to keep you off insulin because they believe that's what we all want. Personally, it was such a relief for me to go onto insulin after a year of fighting a losing battle on diet and exercise followed by Glic. I still regard insulin as the best choice I ever made.
Take care and let us know how you get on - there are quite a few of us LADAs on here now! I actually think we're taking over LOL.
Smidge
That's good news - sort of - you know what I mean LOL!
Too many of us LADAs get misdiagnosed as Type 2 based on nothing but age. The fact we still produce a significant amount of insulin in the early stages confuses a not-too-knowledgeable medical profession. Fortunately your doctor had the sense to know when he was out of his depth and refer you for an accurate diagnosis.
The high after food spikes on very few carbs are the dead-giveaway with LADA in my opinion..
They might try to keep you on tablets for a while - maybe adding gliclazide or similar. However, if you are eating so little in order to control your BG that you cannot keep a healthy weight on, in my opinion, it is time to go onto insulin. You might try a basal only at first, but keep a very close eye on your levels, as rapid-acting is a very useful tool in LADA control - it is the after food spikes that are our problem, and that's what rapid-acting is designed to deal with.
Have a think about what you want to do - if you are happy to go straight to insulin, make that clear to your consultant - sometimes they try everything to keep you off insulin because they believe that's what we all want. Personally, it was such a relief for me to go onto insulin after a year of fighting a losing battle on diet and exercise followed by Glic. I still regard insulin as the best choice I ever made.
Take care and let us know how you get on - there are quite a few of us LADAs on here now! I actually think we're taking over LOL.
Smidge