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Diabetes Discussion
Type 1.5/LADA Diabetes
Getting diagnosed
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<blockquote data-quote="DaftThoughts" data-source="post: 1515221" data-attributes="member: 317436"><p>Diabetes is a condition where you learn to fend for yourself as you learn how to manage it. Medical professionals know the medical details and how things work in theory, but they're typically not very interested in anecdotes and self-management from patients and prefer to use a generalized approach in my experience. My DSN still thinks Metformin actively lowers bloodsugar when in reality that's not really what it does. They overly simplify things towards patients and then end up trusting the simplification too much themselves. </p><p></p><p>Many who treat us don't actually have the condition themselves and while we're dealing with diabetes 24/7 without a break, they go home at the end of the day and forget about it. It's a job to them, so I can't expect them to have this same deep understanding of diabetes that I do.</p><p></p><p>The reasoning behind gliclazide for LADA is that some doctors think that insulin dependency should be put off as long as possible. Unlike with T1 and T2, opinions on how to treat LADA are still very divided - some think insulin should be given immediately, others disagree. The idea is that the gliclazide puts off insulin for longer by forcing whatever cells are left to work overtime. This leads to an equivalent of burnout in the cells, but if a doctor prioritizes not being on insulin for even a few months longer they're usually fine with that.</p><p></p><p>As a patient you have the right to choose your own treatment. You can opt not to take gliclazide and wait for the test results, and if they come back positive for LADA, you can request insulin. As LADA means you can't manage it with diet and exercise alone in any case whatsoever, you're entitled to insulin. Or you can take gliclazide and see how it works out for you.</p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1515221, member: 317436"] Diabetes is a condition where you learn to fend for yourself as you learn how to manage it. Medical professionals know the medical details and how things work in theory, but they're typically not very interested in anecdotes and self-management from patients and prefer to use a generalized approach in my experience. My DSN still thinks Metformin actively lowers bloodsugar when in reality that's not really what it does. They overly simplify things towards patients and then end up trusting the simplification too much themselves. Many who treat us don't actually have the condition themselves and while we're dealing with diabetes 24/7 without a break, they go home at the end of the day and forget about it. It's a job to them, so I can't expect them to have this same deep understanding of diabetes that I do. The reasoning behind gliclazide for LADA is that some doctors think that insulin dependency should be put off as long as possible. Unlike with T1 and T2, opinions on how to treat LADA are still very divided - some think insulin should be given immediately, others disagree. The idea is that the gliclazide puts off insulin for longer by forcing whatever cells are left to work overtime. This leads to an equivalent of burnout in the cells, but if a doctor prioritizes not being on insulin for even a few months longer they're usually fine with that. As a patient you have the right to choose your own treatment. You can opt not to take gliclazide and wait for the test results, and if they come back positive for LADA, you can request insulin. As LADA means you can't manage it with diet and exercise alone in any case whatsoever, you're entitled to insulin. Or you can take gliclazide and see how it works out for you. [/QUOTE]
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