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How long would type two diabetes have to go undetected before being put straight on insulin

Grumpy Porridge

Well-Known Member
Messages
103
Type of diabetes
Type 1
Treatment type
Insulin
Sorry, know I have asked a few questions on the same thing , I’m just really worried I have type 2!

I lost weight unexpectedly ( over 2 stone ) over how long I am not sure , but I think it may be under 2 months ?

I’ve also always liked to drink lots of water ( years ) so again , this just confuses matters .. but I do remember about a month ago and other times , drinking lots, yet still needing much more not long after

My HBA1c was 118. I went to the hospital , with high ketones and high blood glucose ( not sure of the exact numbers ) I DIDNT have acid in my blood ( is that common to type 1 , having high blood glucose and ketones but not DKA?

I am taking 3 novarapids a day plus Lantas at night , plus checking bloods before each meal

my ketones in hospital were varying from 2 / 3 and at the highest ( that I know of ) 4.9

the diabetes doctor says he is 90% it’s type 1... wonder why this is . Another doctor also seemed to think it’s type 1



I was overweight
I was sedentary ( I’ve been getting so so stressed over knowing what exercise to do , that in the end I done nothing !)
My waist measurement was over 40

I used to eat LOADS of unhealthy snacks . One evening I could easily eat 1 bag of haribo , plus 1 bag of chocolate , half a pack of biscuits , half a trifle etc

but for the last few months ? I stood in the supermarket sweet aisle struggling knowing what I wanted. Nothing seemed tempting , and in the last 2 ( or just under) months , I was even feeling put off my food in general :(

I no longer eat massive amounts of junk like that , and haven’t for quite a while

I have been asked to keep an eye on my ketones levels and they have been reducing and just recently had a normal reading of 0.7 ( was 0.2 last night )

Is it conman to be a newly type 2 and put straight on insulin ? I read somewhere here if it’s undetected , then insulin may be needed to get levels back to normal

I really appreciate the support on this forum , what do you think ?

Thank you ! And sorry if I havnt yet replied to to my comments , will do :)
 
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My ( I’m guessing ) GAD test results are due in 2 weeks ..

Also I feel I don’t get hypos and hypers ... hmm

my blood glucose before breakfast ( I’m having breakfast now ) was 11.2
 
Hi,

Up until you where diagnosed as diabetic in general. Had you been tested at any other time, prior?
 
Hi,

Up until you where diagnosed as diabetic in general. Had you been tested at any other time, prior?

Hi ,

nope .. this was my first blood test in over 6 months .. interestingly ( that HBA1c test has shown a slight increase to 40 something whereas the one prior to that was 30 something

may mean nothing though ...! :)
 
Hi ,

nope .. this was my first blood test in over 6 months .. interestingly ( that HBA1c test has shown a slight increase to 40 something whereas the one prior to that was 30 something

may mean nothing though ...! :)

So, you've had HBA1c tests done before...? What were you advised when the results came back? (Regarding the "40 something.")
 
Diagnosis later in life seems to throw up more questions. If your GAD results come back as positive you know for sure it’s T1 but if they come back negative that doesn’t necessarily mean your not T1.

They were so sure I was T1 in hospital they gave me a Libra on prescription straight away but it turns out I’m antibody negative, still producing some insulin but with no definitive diagnosis either way yet.

Both T1 & T2 present with similar symptoms. I had a hba1c of 97, BG of 25 & ketones of 3 on diagnosis but didn’t go into DKA. Your not having hypo’s because your BG is still high this becomes more of a risk when you are closer to ‘normal’ levels & then you risk going low.

Whether you are T1 or T2 if you are motivated to change your lifestyle go for it. It won’t do you hard to cut back on sweets & snacks if that’s what you want to do. Of course if you are instead T2 it will be much more in your benefit to do so.
 
Those results were normal so nothing was needed

( they were standard / check everything blood tests

( I’ve always drank lots in the evening and as a result getting up more at night , my days are pretty random !)/ I get up quite late sometimes
 
Those results were normal so nothing was needed

( they were standard / check everything blood tests

( I’ve always drank lots in the evening and as a result getting up more at night , my days are pretty random !)/ I get up quite late sometimes

Have you been prescribed any other diabetes medication, other than insulin?
 
Also I feel I don’t get hypos and hypers ... hmm
Not quite sure I get what you mean here. a hyper is a BG level of over 14mmol and a hypo a BG level under 4mmol, I can go months without either even longer, just because you haven't/don't experience them doesn't mean your not Type 1
 
Not quite sure I get what you mean here. a hyper is a BG level of over 14mmol and a hypo a BG level under 4mmol, I can go months without either even longer, just because you haven't/don't experience them doesn't mean your not Type 1
Hi,

Hope yer good. :)
Hypos in any insulin dependent diabetic, in short means too much insulin & a near depleted BG level. ;)
 
i don't think there is ant specific time period, you could go many years and still do well on tablet/diet

in my case i was diagnosed t2, in july, just 6 month or so after a hba1c saying i wasn't diabetic... i was not able to tolerate metformin, so was put on insulin

everyone is different..

i have now been classed t1, and until going on the pump a few months ago i had only had 1 hypo in 10 years
 
Hi ,

nope .. this was my first blood test in over 6 months .. interestingly ( that HBA1c test has shown a slight increase to 40 something whereas the one prior to that was 30 something

may mean nothing though ...! :)
You said in your first post HbA1c was 118 now its 40?
 
Hi,

Hope yer good. :)
Hypos in any insulin dependent diabetic, in short means too much insulin & a near depleted BG level. ;)
Sorry? Not sure what you mean? I don't see it as that, many other factors can play a part, my most stubborn hypo wasn't caused by too much insulin as I'd trialled everything the previous day but the stress and worry og my partners grans funeral was the cause so it does not always mean too much insulin

I was querying why they thought because they had a feeling they didn't get hypo's or hypers why they thought that was odd and I didn't state it didn't happen to other insulin dependants just the poster seems to want to rather be Type 2
xx
 
Diagnosis later in life seems to throw up more questions. If your GAD results come back as positive you know for sure it’s T1 but if they come back negative that doesn’t necessarily mean your not T1.

They were so sure I was T1 in hospital they gave me a Libra on prescription straight away but it turns out I’m antibody negative, still producing some insulin but with no definitive diagnosis either way yet.

Both T1 & T2 present with similar symptoms. I had a hba1c of 97, BG of 25 & ketones of 3 on diagnosis but didn’t go into DKA. Your not having hypo’s because your BG is still high this becomes more of a risk when you are closer to ‘normal’ levels & then you risk going low.

Whether you are T1 or T2 if you are motivated to change your lifestyle go for it. It won’t do you hard to cut back on sweets & snacks if that’s what you want to do. Of course if you are instead T2 it will be much more in your benefit to do so.

Hi :)

thank you for your very informative answer ,

Diagnosis later in life seems to throw up more questions. If your GAD results come back as positive you know for sure it’s T1 but if they come back negative that doesn’t necessarily mean your not T1.

They were so sure I was T1 in hospital they gave me a Libra on prescription straight away but it turns out I’m antibody negative, still producing some insulin but with no definitive diagnosis either way yet.

Both T1 & T2 present with similar symptoms. I had a hba1c of 97, BG of 25 & ketones of 3 on diagnosis but didn’t go into DKA. Your not having hypo’s because your BG is still high this becomes more of a risk when you are closer to ‘normal’ levels & then you risk going low.

Whether you are T1 or T2 if you are motivated to change your lifestyle go for it. It won’t do you hard to cut back on sweets & snacks if that’s what you want to do. Of course if you are instead T2 it will be much more in your benefit to do so.
 
Hi , me again :)



Thank you if you have answered my questions previously ! Really appreciated

could type 2 diabetes have developed in those months ?? I was over weight with a waist over 40 waist

I had high ketones ( went to hospital , found out there ) , they are now back to normal

I’m really hoping I do NOT have type 2 , it’s just on my mind , knowing I was over weight etc

Thank you
 
My doc did tell me it can come on quickly, all my previous HbA1c's were in the 30's before I registered a 52.
The diagnostic level for diabetes is 48 & above so with 118 your definitely in that zone.
If you are confirmed as a Type 2 you will have great potential for improvement by low carbing & resulting weight loss.
Those who make changes the earliest post diagnosis appear to have the best results.
 
Hi , me again :)



Thank you if you have answered my questions previously ! Really appreciated

could type 2 diabetes have developed in those months ?? I was over weight with a waist over 40 waist

I had high ketones ( went to hospital , found out there ) , they are now back to normal

I’m really hoping I do NOT have type 2 , it’s just on my mind , knowing I was over weight etc

Thank you

Being overweight is a symptom of insulin resistance and Type 2. not the other way around.

Having too much insulin will make a person gain weight usually around the stomach.
 
I’m really hoping I do NOT have type 2
I'm a bit confused here. Do you mean you're really hoping you do not have diabetes or do you mean you hope you have a different type of diabetes?
With a hba1c of 118 you definitely have diabetes. To determine what type it is you'll need more tests.

Let us know how you are doing!
 
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