nice and easy one. been feeling particularly low for a number of months - sore throat, achy eyes, lack of energy. Approached my GP and pushed for a blood test -. my last HBA1C came back as 38 (Jan 2019), this last was 54, the GP says that no action is required, but surely that is not the case. I have no improved over the last few weeks - unable to complete basic physical exercise, always tired
As a LADA it is fully expected to need insulin at some point. This sounds like a good moment to start looking into that.they settled on T1 LADA as they are certain it was not T2 (my HBAIC at that point was 38). Now it is 54 but in the words of the GP - 'you are still in the range ' so there is nothing to worry about.
that was my thought but I have a resistant GP who has no interest in that approach - wants only to review again in the New YearAs a LADA it is fully expected to need insulin at some point. This sounds like a good moment to start looking into that.
tried the multi testing - not helped the inability of the local pharmacy (within the GP surgery ) to provide test strips - keep supplying beta ketone not Optium. - last ketone test (not today) was 0.2 so will need to check that also. I have contacted the diabetes specialist at the local NHS trust (no the one that the GP surgery is associated with)I’d be testing more than just the once a day and making an appointment to ask for insulin.
No need to fast. For GAD it doesn't make a difference, for C-peptide they take in account it's a non fasting test. Metformin shouldn't affect either test.Hi. Sorry. Didn’t know how to start a new thread. I am having the GAD and C peptide test next week. I haven’t been told to fast or come off metformin, but forgot to ask the GP. Does anyone have any idea? It’s to see if I am LADA. Thanks.
No need to fast. For GAD it doesn't make a difference, for C-peptide they take in account it's a non fasting test. Metformin shouldn't affect either test.
To start a new thread, click on 'Forums', select the forum you'd like to post in, for instance 'Ask a question' and use the green 'Post new thread' button at the top (right).
This works on PC or phone, but not sure if you use the app.
I hope yours will be firmer than mine!Thanks. I use my phone. Thanks for the information regarding the test. Will be good to have a firm diagnosis.
I hope yours will be firmer than mine!
I had my GAD come back negative and my C-peptide inconclusive (slightly below low-normal). My internist and I debated testing further for other antibodies, as GAD are not the only ones, but in the end we decided to go for a T1 stamp based on 'circumstantial evidence'.
Good luck!
The C-peptide test will tell you if you have an absolute shortage of insulin, regardless of positive or negative GAD test. I think that's the most important part.The nurse keeps telling me she doesn’t think I produce enough insulin. So asked GP for this test before trying all type 2 drugs.
The C-peptide test will tell you if you have an absolute shortage of insulin, regardless of positive or negative GAD test. I think that's the most important part.
My history is a bit different, as I started insulin under my GP care very soon after diagnosis, and had been on a basal/bolus regime with very good results for 2 years before even asking for a test and a switch to hospital care by a specialist.
So the test didn't have an impact on my treatment. Even if they had decided I wasn't T1, anybody would have had a hard time takin my insulin away from me, as it obviously works very well for me.
I have been on gliclazide for a short time, and in combination with lowering my carbs it never gave me a number below 10 so I practically begged for insulin after a month
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?