- Messages
- 38
- Type of diabetes
- LADA
- Treatment type
- Insulin
I had my first consultant appointment today following referral for possible LADA and move onto insulin in July. Turns out I am LADA after seven years thinking I was type 2: islet cells positive for antibodies, GAD>2,000, HBA1c of 107, down to 85 within a couple of weeks of starting insulin, but pretty confident it will have come down much further since then.
Consultant enthusiastic and positive with my progress, which is always nice on a human level! But she does seem to be of the view that I will need to move on to bolus and basal regime within a year or so (currently on basal only - 9 units Humulin 3). I had been hoping to avoid this as long as possible. I know Dr Berenstein is a great advocate for low carb and little and often insulin, so this is probably the way to go just not sure it will ever feel normal injecting.....In the mean time a few tweaks to my current regime:
Consultant enthusiastic and positive with my progress, which is always nice on a human level! But she does seem to be of the view that I will need to move on to bolus and basal regime within a year or so (currently on basal only - 9 units Humulin 3). I had been hoping to avoid this as long as possible. I know Dr Berenstein is a great advocate for low carb and little and often insulin, so this is probably the way to go just not sure it will ever feel normal injecting.....In the mean time a few tweaks to my current regime:
- Split dose of Humulin to 6 units at night 4 in the morning (or vice-versa). This was based on the fact that my bed-time readings tend towards high (range 7.2-13.2 since start Sept), with a significant overnight reduction (range 3.8-8.6 over the same time period)
- Stop taking Glimeperide
- We had a discussion re continuing metformin, Dr mostly mentioned benefits as an aid to prevent possible weight gain on insulin. I seem to think I have read there are benefits over and above that for type 1/1.5s (?) But as I have had some very good results with metformin and no adverse effects I am happy to continue
- Start taking statins....apparently my tri-glycerides are very good (0.78) but total cholesterol high (6.5). Must admit I am still sitting on the fence here....