I don't know which I am!

Anyone ever suggested testing your endogenous insulin production via a c-peptide test?

Hi and welcome by the way.

 

Go back to your GP and ask what your GP is thinking what is happening to you!
Then if your GP is not sure, guessing, following guidelines, ask for a referral to a specialist endocrinologist.
Clearly something is going on through your changes in medication, it would have been nice or even courteous for him to explain!

It's your health, you need the right answer, you have a right!

 

A dsn in my experience is a trained nurse for those who do know the reason why they are diabetic, also to do six monthly, yearly tests, hba1c, take bloods etc.
They are not diagnosticians. Did your dsn recommend the change in meds?
But, I would still ask what is happening.

 

If you are T2 and overproducing your own then the last thing you need is more. However if T1 or a variant then yes you will need it. That's why testing is important.

 

That's fine then.

I was in same degree of not understanding what was going on and my surgery including a specialist diabetic doctor and dsn, still had no idea what was happening to me. It wasn't until I had a referral, did a true diagnosis of not being diabetic and quite a number of tests to prove it!

Always remember, that other than hba1c tests, a surgery has little scope for tests, even diabetic tests such as c-peptide, GAD, and glucose tolerance tests have to be done in hospital. And even the basic insulin tests are only done very rarely!

Hope you get sorted.

Best wishes

 

If a Diabetes Specialist is saying "suspicion of type 1" and is treating you with insulin, then that sounds like a type 1 diagnosis to me, albeit is a puzzlingly ambivalent one! Yes - do get the Diabetes Specialist to be clear with you, and discuss the insulin-production tests you have had, (I have to believe they have tested this... I mean...) and, what the results are.

It is in fact very important that they and you know which disease it is, as one is an autoimmune disease, and the other is metabolic, and the treatments, and management plans are lifelong, and different. This is your well-being and your life at stake here. It really is important that you have the right diagnosis.

 

@JPW1 .
Hi you are not alone in your oddity, its quite possible you are like me a "Non-producer" especially as you are a skinny skinny as I am, my specialist admitted he'd no idea as to why I'd become a non-producer so he did every test he could think of but they posed more questions than they answered, but unlike you I was put on insulin immediately as oral meds were out of the question and things have been a lot more settled..
You will be fine once you've worked out your ratio's and got to grips with carb counting, its a bit daunting at first but once it clicks you'll be up and running again.

 

Hi. Same story as me i.e. always slim and full dose Gliclazide finally did nothing. Get a C-peptide test done if you can, I had mine done privately. From what you say you are almost certainly LADA but I can only guess. You will need to start counting the carbs shortly and adjusting the Fiasp dose to suit at mealtimes; ask the DN for guidance. Be aware that Fiasp is one of Novo's newer insulins and very fast acting; more so than the NovoRapid that many of us use. There are pros and cons between these two but be aware that you need to eat fairly soon after injecting to avoid hypo risk