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<blockquote data-quote="ME_Valentijn" data-source="post: 1394641"><p>Unfortunately there isn't a lot known about what type someone is at diagnosis. Despite what nationalized health care likes to think, being older and overweight isn't the vaccine against Type 1, LADA, flatbush, or MODY <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite11" alt=":rolleyes:" title="Roll Eyes :rolleyes:" loading="lazy" data-shortname=":rolleyes:" /> Finding out requires testing, and that often take a while, assuming that it's done at all. And even with confirmed Type 2, there's indications that ketoacidosis can sometimes be a risk during unusual circumstances, such as with an infection, at diagnosis, and when insulin-producing drugs (gliclazide) needed for that patient have not been taken.</p><p></p><p>My doctor assumed Type 2 at diagnosis. But after another week at around 15.0 on average I started testing and had detectable levels of ketones in my urine constantly. That was frequently elevated to levels where ketoacidosis is a risk. The only way to know if it's a problem is to check, but most newly diagnosed with Diabetes have no way to check, and might not even have a blood sugar monitor. To quote the American Diabetes Association (Emphasis in bold italics is theirs, conversion to mmol/L is added by me.):</p><p></p><p>This is another reason I think it's incredibly stupid that new patients presumed to have Type 2 aren't given a meter and a prescription for testing strips. Not only can they not figure out what foods work for them, they can't even determine if it's safe to exercise, especially at the beginning when they're very likely to be hyperglycemic.</p></blockquote><p></p>
[QUOTE="ME_Valentijn, post: 1394641"] Unfortunately there isn't a lot known about what type someone is at diagnosis. Despite what nationalized health care likes to think, being older and overweight isn't the vaccine against Type 1, LADA, flatbush, or MODY :rolleyes: Finding out requires testing, and that often take a while, assuming that it's done at all. And even with confirmed Type 2, there's indications that ketoacidosis can sometimes be a risk during unusual circumstances, such as with an infection, at diagnosis, and when insulin-producing drugs (gliclazide) needed for that patient have not been taken. My doctor assumed Type 2 at diagnosis. But after another week at around 15.0 on average I started testing and had detectable levels of ketones in my urine constantly. That was frequently elevated to levels where ketoacidosis is a risk. The only way to know if it's a problem is to check, but most newly diagnosed with Diabetes have no way to check, and might not even have a blood sugar monitor. To quote the American Diabetes Association (Emphasis in bold italics is theirs, conversion to mmol/L is added by me.): This is another reason I think it's incredibly stupid that new patients presumed to have Type 2 aren't given a meter and a prescription for testing strips. Not only can they not figure out what foods work for them, they can't even determine if it's safe to exercise, especially at the beginning when they're very likely to be hyperglycemic. [/QUOTE]
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