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how long before medication should start to work?
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<blockquote data-quote="xyzzy" data-source="post: 312099" data-attributes="member: 40343"><p>Hi Geoffry</p><p></p><p>There are tests the doctor can ask for to show if you are T1 or T2. Ask him to organize a c-peptide and GAD test. It is simply not good enough for him to just guess you are going to need insulin "soon" that's totally outrageous and out of order in my opinion. The bottom line is you do not sound as if you meet a lot of the T2 criteria, yes you are mid 40's but you are not overweight and are currently losing weight which is a classic symptom of late onset T1. Did your GP test for ketones in your urine as that would also be an indicator. If you are losing weight AND you are an undiagnosed late onset T1 then the disease is damaging you and needs to be dealt with as swiftly as possible. </p><p></p><p>All of us who use Metformin see that it will reduce levels by at most 1 or 2 points. Glicazide acts by stimulating your pancreas to produce more insulin. If it is having little effect then it would imply you are not producing a lot of insulin. In the initial stages of T2 insulin production is normally not the major issue and the pancreas is producing insulin but the body fails to use it effectively. Consequently by taking Glicazide the pancreas is told to produce more insulin which compensates somewhat for the bodies inability to use the insulin its producing correctly.</p><p></p><p>As Fraddycat has said you can help yourself by reducing your carbohydrate intake BUT effectively this will only work if you are really T2 and producing some insulin. <u><strong>Trying to control late onset T1 by diet is not an option</strong></u>. You need to get the doc to resolve what kind of diabetic you are first in my opinion. If it turns out you are bog standard T2 then a low carb regime is undoubtedly the best option in mine and many other members opinion as it allows us to control our T2 condition with minimal medication. </p><p></p><p>If your doc doesn't seem to want to take the issue seriously then ask to be referred to a consultant at your local hospital.</p><p></p><p>Good luck, keep asking questions and let us know how you are getting on.</p></blockquote><p></p>
[QUOTE="xyzzy, post: 312099, member: 40343"] Hi Geoffry There are tests the doctor can ask for to show if you are T1 or T2. Ask him to organize a c-peptide and GAD test. It is simply not good enough for him to just guess you are going to need insulin "soon" that's totally outrageous and out of order in my opinion. The bottom line is you do not sound as if you meet a lot of the T2 criteria, yes you are mid 40's but you are not overweight and are currently losing weight which is a classic symptom of late onset T1. Did your GP test for ketones in your urine as that would also be an indicator. If you are losing weight AND you are an undiagnosed late onset T1 then the disease is damaging you and needs to be dealt with as swiftly as possible. All of us who use Metformin see that it will reduce levels by at most 1 or 2 points. Glicazide acts by stimulating your pancreas to produce more insulin. If it is having little effect then it would imply you are not producing a lot of insulin. In the initial stages of T2 insulin production is normally not the major issue and the pancreas is producing insulin but the body fails to use it effectively. Consequently by taking Glicazide the pancreas is told to produce more insulin which compensates somewhat for the bodies inability to use the insulin its producing correctly. As Fraddycat has said you can help yourself by reducing your carbohydrate intake BUT effectively this will only work if you are really T2 and producing some insulin. [u][b]Trying to control late onset T1 by diet is not an option[/b][/u]. You need to get the doc to resolve what kind of diabetic you are first in my opinion. If it turns out you are bog standard T2 then a low carb regime is undoubtedly the best option in mine and many other members opinion as it allows us to control our T2 condition with minimal medication. If your doc doesn't seem to want to take the issue seriously then ask to be referred to a consultant at your local hospital. Good luck, keep asking questions and let us know how you are getting on. [/QUOTE]
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