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Getting the correct diagnosis of diabetes type?
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<blockquote data-quote="Daibell" data-source="post: 1372220" data-attributes="member: 21149"><p>Hi. As you say you have excess weight and you may be having a lot of carbs you are most probably T2. Most GPs just guess like mine did and got it wrong. Metformin is a good start but only has a small effect so the low-carb diet remains the main start point. Gliclazide is only really of use if you have a failing pancreas as it stimulates it to produce more insulin but if you have insulin resistance thru excess weight you may already have too much insulin. The c-peptide test would show where you insulin is but it's expensive and few GPs will do it unless they suspect T1. Sitagliptin suppresses an enzyme which in turn suppresses insulin output after a meal. Again this is only really useful if you have a failing pancreas. In summary go for a low-carb diet; perhaps 150gm/day total or less. The fact that you gained weight with Gliclazide implies your carbs may be too high. If the low-carb diet with Metformin doesn't work for you then do discuss further with the GP.</p></blockquote><p></p>
[QUOTE="Daibell, post: 1372220, member: 21149"] Hi. As you say you have excess weight and you may be having a lot of carbs you are most probably T2. Most GPs just guess like mine did and got it wrong. Metformin is a good start but only has a small effect so the low-carb diet remains the main start point. Gliclazide is only really of use if you have a failing pancreas as it stimulates it to produce more insulin but if you have insulin resistance thru excess weight you may already have too much insulin. The c-peptide test would show where you insulin is but it's expensive and few GPs will do it unless they suspect T1. Sitagliptin suppresses an enzyme which in turn suppresses insulin output after a meal. Again this is only really useful if you have a failing pancreas. In summary go for a low-carb diet; perhaps 150gm/day total or less. The fact that you gained weight with Gliclazide implies your carbs may be too high. If the low-carb diet with Metformin doesn't work for you then do discuss further with the GP. [/QUOTE]
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