- Messages
- 250
- Type of diabetes
- LADA
- Treatment type
- Insulin
I actually feel pretty deflated.....having gone into the phone consult with a clear view about what the next steps should probably be, I asked my key question - when would it be appropriate to add short-acting insulin into my treatment plan? Dr replied they don't recommend short-acting insulin for T2 due to weight gain. I said but I'm T1.5, he asked about my recent numbers and said I could ask for a short-acting insulin trial and to arrange an HBA1C at my GP surgery (it's a system of shared care with hospital managing medical review).
To me it was one thing for the consultant to look at my blood records and results and say what I was doing was good enough not to need short-acting insulin back in Sept, but she was very clear LADA is treated as a variant of T1 resulting from failure (gradual in my case) to produce enough insulin. My take on yesterday was that this Dr viewed LADA is a variant of T2, where (please someone correct me if I'm wrong) insulin resistance is the key - quite a big difference in how you go about treatment
This is definitely a marathon not a sprint, so I'm not panicking, just annoyed. I'll put that energy into my exercise routine and being honest and addressing a bit of lockdown carb-creep and see what difference that makes.
Glad to hear you are getting you head round things - it is amazing just how much difference things like weather can make - one of only two hypos ever so far for me was on holiday abroad last year, a surprise 3.8. The lack of hypos is definitely a plus on my current regime, but the lack of control is a clear negative. At the current rate of progress you will be a super-expert insulin user long before I get on to 'the hard stuff'!!! Best of luck x
PS as a matter of interest, is anyone else on a slow-release only insulin regime?
Oh no, that sounds so muddled for you - yes LADA is type 1, I’m surprised the dr thought type 2. Poor you, that can’t help. Are you managing with low carb diet/exercise and the basal to keep blood sugar in range?
I’m afraid my good control has gone wrong already and the beta cells seem to be going to sleep?! I’m now sitting too high and after getting myself into a sort of routine it’s all gone haywire again. I’m going to increase my basal as I’m higher through the night and in the morning. 3 units isn’t enough anymore, even with bolus. I still feel anxious about meals, especially dinner as the rise doesn’t start until 3-4 hours after eating and I can’t start carb counting as I have no set ratio. Aargh, this is all so tricky isn’t it?!? So, back to square one - see how new basal works and how that affects bolus! Ugh x