rfcpatrick
Member
- Messages
- 8
- Location
- Newcastle upon Tyne, United Kingdom
Hi,
it has been almost 2 months since I have been diagnosed with diabetes.
At diagnosis, my A1c was 11.9%, hit around BG level of 24 mmol/l and had a symptom of somewhat like DKA.
Today, I was back at the diabetes centre and my A1c was down at 8.1% which is not very good either but all my doctors agreed that I am on a right track as it has been improved substantially. I was associated with extreme triglycerides (I am not sure what unit it uses but all I know was that the doctor saying the normal range is about 2-3 whilst I was around 80) and high blood pressure (somewhere about 175/130). It almost seem to be very much like a type 1 diabetes. As soon as an overnight stay at the hospital with a course of insulin, I was able to drop down my BG to 10.5, truglycerides to 35 and blood pressure around 130/105.
Ever since, I was on insulin. Doctors mentioned it would be safe to be on insulin rather than waiting till what type it may be just in case it's a type 1 which I would need insulin constantly.
Few weeks back, my blood results came back. It was negative for antibody and post meal c-peptide was around 0.9. Fasting one was about 0.6.
Now the dilemma is this. I was prescribed with metformin 500mg just to see if it's going to help as doctors were unsure about my type. Metformin basically didn't do much. For three days, I was off novorapid and was on metformin+lantus only just to see how it would help. When I was on novorapid, I was managing under 10 but for those three days, I couldn't even get close to 15. I was in and out of 20+ and had to get back on novorapid, hopelessly.
Today, I had a follow up check at the centre. My A1c came out to 8.1% as I mentioned above but they suspected quite a bit of protein in my urine. Also after a quite lengthy chat with doctors, they classified me as a difficult case to determine what type it is. I am presenting all typical type 1 symptoms with a okay c-peptide level and no antibody. They sent another blood samples to make sure, again.
I have been snooping around web and found something called diabetes type 1B, known as idiopathic diabetes. It kinda sounds like what I have but I wouldn't be too sure as I am no where near an expert at diabetes. However, I am not a caucasian. I am a Korean American (Korean parents) living in the UK and sounds like I fit into the ethnicity criteria for the start. Also, it says type 1b does not present as antibody positive, too. I am not sure as this drives me crazy at the moment. I need to know if I have to take metformin or not as I have heard that it would result in an adverse effect if I have a type 1.
Are there any definite measure to determine the type? My doctors say it's hard to determine it definitely as every case differs. I do trust them as they are very professional and very helpful but I just desperately want to know what type I have so I can accordingly manage it as I acknowledge management and treatment for each type are quite drastically different even though they share fair bits of similarities.
By the way, I am no way skinny but I am not overweight either by appearance nor BMI.
Would anyone be able to help? Also, seems like there are not many info on type 1b.
Thanks in advance!
it has been almost 2 months since I have been diagnosed with diabetes.
At diagnosis, my A1c was 11.9%, hit around BG level of 24 mmol/l and had a symptom of somewhat like DKA.
Today, I was back at the diabetes centre and my A1c was down at 8.1% which is not very good either but all my doctors agreed that I am on a right track as it has been improved substantially. I was associated with extreme triglycerides (I am not sure what unit it uses but all I know was that the doctor saying the normal range is about 2-3 whilst I was around 80) and high blood pressure (somewhere about 175/130). It almost seem to be very much like a type 1 diabetes. As soon as an overnight stay at the hospital with a course of insulin, I was able to drop down my BG to 10.5, truglycerides to 35 and blood pressure around 130/105.
Ever since, I was on insulin. Doctors mentioned it would be safe to be on insulin rather than waiting till what type it may be just in case it's a type 1 which I would need insulin constantly.
Few weeks back, my blood results came back. It was negative for antibody and post meal c-peptide was around 0.9. Fasting one was about 0.6.
Now the dilemma is this. I was prescribed with metformin 500mg just to see if it's going to help as doctors were unsure about my type. Metformin basically didn't do much. For three days, I was off novorapid and was on metformin+lantus only just to see how it would help. When I was on novorapid, I was managing under 10 but for those three days, I couldn't even get close to 15. I was in and out of 20+ and had to get back on novorapid, hopelessly.
Today, I had a follow up check at the centre. My A1c came out to 8.1% as I mentioned above but they suspected quite a bit of protein in my urine. Also after a quite lengthy chat with doctors, they classified me as a difficult case to determine what type it is. I am presenting all typical type 1 symptoms with a okay c-peptide level and no antibody. They sent another blood samples to make sure, again.
I have been snooping around web and found something called diabetes type 1B, known as idiopathic diabetes. It kinda sounds like what I have but I wouldn't be too sure as I am no where near an expert at diabetes. However, I am not a caucasian. I am a Korean American (Korean parents) living in the UK and sounds like I fit into the ethnicity criteria for the start. Also, it says type 1b does not present as antibody positive, too. I am not sure as this drives me crazy at the moment. I need to know if I have to take metformin or not as I have heard that it would result in an adverse effect if I have a type 1.
Are there any definite measure to determine the type? My doctors say it's hard to determine it definitely as every case differs. I do trust them as they are very professional and very helpful but I just desperately want to know what type I have so I can accordingly manage it as I acknowledge management and treatment for each type are quite drastically different even though they share fair bits of similarities.
By the way, I am no way skinny but I am not overweight either by appearance nor BMI.
Would anyone be able to help? Also, seems like there are not many info on type 1b.
Thanks in advance!
