Hi Little Sue & Trinkwasser,
Thanks again for your helpful and supportive comments. I did mention the possibility of LADA to the first consultant I was posted to, their comment was that it didn't matter because they treat all diabetics the same anyway (clearly counter to the literature).
I agree with Sue's comment re stability and spikes, esp. given Trink's comments on micro vs macro complications . At the risk of being obsessed with insulin (and/or with my BGs!!) there is though still something I really don't understand.... please bear with me here, as I value your comments which are far more insightful than any medics so far...the available research evidence including large trials and also evidence direct from the insulin manufacturers (who would want to give the best possible picture) says that insulin only takes blood sugar down by an average of just over 1mml/l (1% HBA1c), in combination with other 'diabetes' drugs it can (mainly in poor quality uncontrolled trials) take it down by up to 3. If, as I and no doubt many others seem to experience, one's blood glucose averages around 13 or higher and frequently spikes into the 20s, a reduction on average of just 1 or even 3 mml/l simply cannot prevent eventual adverse outcomes. Since the effect of insulin injection/drugs is not cumulative, what exactly is the mechanism for the assumed prevention of complications by taking insulin/drugs ? I can see that taking an average reading of say 8 mmol/l down to 7 might, but not 13 down to 12, or 23 down to 20..... What is it that I am missing here, since everyone seems to take drugs (although there is not, as far as I am aware, a single study which tests the assumed benefits of taking drugs in terms of either micro or macro vascular complications). Please help if you can - I want to get my head round whatever it is that I have not understood here....
many thanks again :?