I’ll give a bit of background. I’ve been lurking around the site for just over a year on and off. I have a 10m Old, my third child and during that pregnancy I was diagnosed with gestational diabetes. My first hospital didn’t recognise the symptoms and consultant refused to accept it was GD after I was put in the bariatric maternity clinic - I had severe hyperemesis (extreme vomiting in pregnancy) and a BMI of 19 despite being 26 weeks Pregnant, compared to the other women, the diagnosis was difficult for the clinic to accept despite sugar in my urine and elevated blood sugar, extreme baby growth and very high fluid levels (I had 6 litres of excess baby fluid..)We then moved 200 miles away and the care was excellent! Diagnosed, given metformin, apidra and humulin. Gradually increased my units until I was stable and baby delivered at 37 due to concerns over his size. We both passed the blood glucose tests and were discharged . We’ve had a really successful breastfeeding relationship and a baby that grew rapidly 25th to 98th percentile in 6 weeks. lol good except for one thing - recurrent mastitis - on antibiotics for 7th time at the moment. I’ve been feeling unwell for 3-4 weeks with the very familiar feeling of high and low blood sugar - so I tested my BG - all my readings have been in the prediabetes and diabetes range. My personal opinion is that breastfeeding has been keeping my levels down - my readings can drop 3-5mmol by feeding. He’s a big boy but now eats more solid food and has dropped feeds - this is where the feelings of high and low started. Because I’m feeding I cannot do OGTT because feeding will alter the readings - my Hab1c came back as 37 but as GP agreed, levels have been kept even by feeding and take a 2-3m average and I’ve been feeling unwell for 3-4 weeks, not months. I’m also celiac and have elevated rheumatoid levels but no rheumatoid arthritis. I’ve lost weight, permanently hungry, sweat like an athlete, have weird dreams and recurrent nightmares. I’ve had GAD test this week - how long for the results - both GP and I think LADA. PN was not very helpful, she thought I was coming for a prediabetes type 2 diet chat and it’s quite clear there is something more complicated going on. I’m 43, BMI 21, cook everything from scratch. I’ve been trying to restrict my carbs over the last few weeks but this has resulted in lows of 3.5mmol so I’ve stuck with eating a whole food diet and living with the highs instead. Advice, high fives? How long do I need to wait before I’ll start medication?