New type 2 diagnoses

Jackie0022

Well-Known Member
Messages
50
Type of diabetes
Type 2
Treatment type
Insulin
Exactly! If you are comfortable injecting, and would feel uncomfortable with Gliclazide, it's a no-brainer IMO. Hopefully you are T2, and in that case you can work towards getting off insulin completely, assuming you do produce enough of your own, or at the very least, injecting less.

Thanks, from what I understand, and again it’s something for the doctor, that I’ll always be taking or injecting something so I guess I’m producing very little.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
Thanks, from what I understand, and again it’s something for the doctor, that I’ll always be taking or injecting something so I guess I’m producing very little.

Get the results of the tests, with measurement units, and then post on here and someone will help you.
 

HSSS

Expert
Messages
7,476
Type of diabetes
Type 2
Treatment type
Diet only
Thanks, from what I understand, and again it’s something for the doctor, that I’ll always be taking or injecting something so I guess I’m producing very little.
Possibly. Some drs think all type 2 will progressively get worse and need more. Whilst to some extent this has been typically true on past medical and dietary advice regimes many of us in here and elsewhere are proving that assumption wrong. It doesn’t have to be progressive for us all as a given.

Reducing carbs can reduce insulin resistance so the abundance of insulin many of us have then actually works properly. Of those that don’t produce so much it means what they do have is still sufficient because demand is reduced. For those that produce none at all having fewer carbs means insulin doses are typically smaller and more consistent and the associated risk of hypo is less if dosage is less. In this case whilst insulin is still used a lower hb1ac is the goal with less highs and lows giving a more level profile of bgl.
 

Freema

Expert
Messages
7,346
Type of diabetes
Type 2
Treatment type
Diet only
hi, I’m new to this forum so after some help and advice please.
5 weeks ago I went to my GP as I had lost 1 1/2 stone in 6 months, and I’d tested my bloods on my husbands machine which were 18.8 going up to 22.5 that evening. he sent me for blood tests and then I went back to see him only to be told I have diabetes. He checked my ketones which were 4 so the next thing I know he is phoning and sending me to the hospital. Here I had more bloods taking for testing and insulin given. They sent me home but I had to return the next day for another dose of insulin. I saw the diabetic specialist and have been injecting insulin ever since whilst I waited for confirmation of which type. Anyway 5 weeks later it has been confirmed as type 2. I inject 9 units morning and 10 unit evening. They are now talking about changing the insulin to Gliclazide but are saying that they may not work as the insulin I am taking is on ‘the cusp’! My husband takes this and has terrible on and off side effects. I have my reservations about taking this and am looking for advice and views about this. I am waiting to speak with the nurse but what are the pros and cons of staying on insulin against changing to Gliclazide.

(Warning not suitable as long as you are injecting insulin or taking insulin affecting medications) well in theory you could try to count the number of grams of carb you eat in each meal and never eat more than 30 grams of carbs in each meal and no more than 100 grams of carbs in total in a day, this works for many type 2 diabetics, But some have to go even lower... but try that first... but as you are now injecting insulin it can be dangerous , so maybe only do it in cooperation and with supervision from the diabetes team/ nurses that instruct you
 

HSSS

Expert
Messages
7,476
Type of diabetes
Type 2
Treatment type
Diet only
I don't know what the 1A-2 bloods are.
Nor did I . I found this that seems to give a reasonable explanation


IA-2 antibodies
Islet antigen-2 (IA-2), previously known also as ICA-512, is a major target of islet cell autoantibodies. The protein is found in neural tissue and cells of the pancreatic islets, and its gene has been localized to chromosome 2q35. The cDNA encodes a 979 amino acid transmembrane protein which is enzymatically inactive, and a related PTP-like molecule termed IA-2β or phogrin is also a major islet autoantigen whose location and intracellular domain are 74% identical to IA-2. Autoantibodies to IA-2 are present in up to 80% of children and adolescents at diagnosis of type 1 diabetes. Testing for IA-2A complements GADA measurement, since more than 90% of children have antibodies to at least one of these proteins at diabetes onset. IA-2A generally develops later in the process leading to type 1 diabetes and is therefore associated with more rapid progression. These antibodies do not persist as long following diagnosis as GADA, and are less common in patients who are diagnosed with type 1 diabetes over the age of 30 years. They are therefore less useful than GADA for characterising diabetes in longer term or older patients.