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Neither one or the other

E

emac

Member
Messages
13
Hello,

I was diagnosed with diabetes a couple of months ago and have steadily been put on more and more meds.

I am 28 and am in reasonably ok shape and originally had a BS of 27 when they diagnosed me. I am now on 4 gliclazide and two metformin (soon to go up to 4), and my BS is now down to 8-13 on average. I am still awaiting some GAD anitbody results.

Anyway I asked my doctor what type of diabetic I am and he said I am neither classic type one or two, but somewhere in between. Is anyone else in the situation and do they know the long term inplications of being in this strange limbo land?

cheers Euan
 
Hello Euan,

This is often referred to as "double diabetes" because your mixed symptoms could be attributed
to both Type 1 and Type 2 diabetes, making it hard for your doctor to make an exact diagnosis
and therefore give the correct treatment.

A positive result for GAD antibodies might suggest that LADA (Latent Autoimmune Diabetes of Adulthood) was to blame.

Good luck,
timo.
 

Some other possibilities especially if there's a familial chain of strange diabetics

http://projects.exeter.ac.uk/diabetesgenes/index.htm

Another test which could help would be a full lipid panel which would suggest your degree of insulin resistance, also c-peptide which would establish your level of insulin production.
 
Thanks very much for that. My dad and grandad have type 2 and I have had what felt like hypos for ten years, but was never diagnosed - so I may have one of these more unusual types of diabetes.
cheers for the help
 
emac said:
Thanks very much for that. My dad and grandad have type 2 and I have had what felt like hypos for ten years, but was never diagnosed - so I may have one of these more unusual types of diabetes.
cheers for the help
Click to expand...

There are others, we seem to have a familial insulin resistance syndrome even or especially among slim fit people but not all actually progress to diabetes. Some forms of LADA (Type 1) actually progress comparatively slowly, some forms of Type2 progress very fast. I'd press for the GAD, c-peptide and full lipid panel, you'd probably be lucky to be able to get the genetic tests for MODY though.
 
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