Newly diagnosed 19 yrs old type 2DM

Hello and welcome @Teddy pink

You’re definitely in the right place for advice and support. It must be a worrying time for you. Is your doctor doing tests to try and sort out your type? Have you been referred to a specialist?

I’m posting a link to some handy information but do come back with questions and hope you get a definitive diagnosis soon.

http://www.diabetes.co.uk/forum/threads/basic-information-for-newly-diagnosed-diabetics.26870/

Hi! The slight positive on the antibody test means it might be type 1. There is type 1 and type 1 LADA. Type 1/LADA is slow progressing and because of that, your body attacks your beta cells at a slower pace, You just might not have a huge amount of antibodies yet. And in the early stages your pancreas is still making some insulin so your c-peptide won't necessarily be abnormal yet. Your BG is too high once you stopped insulin it looks like and it is common to gain weight when you start insulin as you are using food better. Hopefully you get an answer from the awaiting tests.

You might contact your doctor about the higher BG levels for maybe a smaller amount of insulin still?

Hi @Teddy pink ,

Welcome to the forum.

Nobody can or should diagnose your condition on the forum.
But once you find out what's happening from your HCPs, there will be plenty of relative experince from members to help you on your way..

All the best.!

Hi @Teddy pink
You need to run through the results with your doctor.
Whichever way your body is headed diabetes is manageable.

Welcome. No one here can help with a diagnosis. You must be feeling worried and confused about what's ahead.

You really need a referral to a specialist to help you with a clearer diagnosis. There are two additional antibodies, other than the GAD and Zn transporter, that a specialist will test for: IA2, ICA, ( and a fifth IAA may be tested also because of your age).

Your c-peptide needs to be under 0.2 nmol/l, on diagnosis, for type 1 and high levels of antibodies. This means you would require insulin straight away. A c-peptide greater than 0.5 is normal which is causing the diagnosis question mark. I really hope they can get to the bottom of what is happening soon.

Hi @Teddy pink sorry to read you have diabetes at such a young age too. I hope you get a proper diagnosis soon, with the correct medication, as no one here can say what type you are.
Take care

ert said:

Your c-peptide needs to be under 0.2 nmol/l, on diagnosis, for type 1 and high levels of antibodies.

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In the early days of T1 a higher C-peptide is very well possible, especially with LADA. As for antibodies, as far as I know they're either positive or negative, and when positive it's T1.
Good luck, @Teddy pink !

Teddy pink said:

Hi. I am 19 year old female. found through a routine blood work that I am diabetic.
Last April during diagnosis.
Fasting bg-15.6
Post prandial-21
Hba1c - 10.6
C peptide - 0.5-1
Gad antibody-11.4(slightly positive)
Zn transporter - negative
After 3 months of jalra m(vildagliptin and metformin combo) - 50/500mg.and lantus 14 units per day
Hba1c was 6.8
Since I gained 8 kgs in 3 months I was asked to stop on insulin. (current weight 68kg but 3 months earlier it was 60.)
I am asked get a blood workdone next month. But the doctor isn't Sure if it is type 2.
Currently after stopping insulin my BG is always around 8-16.(i check using glucometer at home)
I am actually scared whether it will turn out to be type 1.what do you think is it type 1?

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Hi!
If you ask me, you're a bit young and slim for T2... Though everyone here knows there are exceptions to rules, especially when test results are inconclusive. So there's no way of knowing what you are without further testing, and we're certainly unable to diagnose you. But @ianf0ster has a good point; this is the point where your life changes, but it doesn't have to be a bad thing. I was very ill when diagnosed, and had been for years. I didn't have a life to speak of, so then I finally got some answers, they were quite the blessing, because I could finally do something about it. I got my life back, basically, so yeah, I do celebrate my diaversary. You got part of the answers, at least, so you don't have to get to that low point before things start to get better. You can head it off. And with T1 for instance, people are often not diagnosed until they're in hospital with DKA. So in a way, you were lucky. You didn't have the slow decline a T2 has prior to diagnosis, nor the sudden rush to the ER a T1 usually is confronted with just before diagnosis. I know, right now it certainly doesn't feel like luck. But there are silver linings here. You'll see them eventually.

For now, the only thing that is certain, is that your life is about to change. How you do that is up to you. Yeah, okay, T1 would require insulin, T2 oral meds and/or diet changes.... But I mean how you handle it in your head, and your daily life. When diagnosed I was really, really depressed at first, cried a lot... Then I got angry and demanded control of this condition. I did that by reading everything I could get my hands on, and experimenting every day, seeing how the read advice worked for me. Now, my T2 is the only condition I have a say in, I'm not a victim to my genetics, like I thought I was. I wish all my medical issues were this relatively easy to cope with, honestly. (Yeah, I have an actual laundry list of conditions.) It's different for everyone, and in the beginning it certainly is a kick in the head, but how you proceed is entirely up to you. You have the power here.

Good luck, and big hugs,
Jo

Hi. From what you say T1/LADA sounds quite likely but in it's early stages. Gaining weight on insulin will normally arise thru eating too many carbs but there could be other reasons. I can see why the HCPs are not sure of the diagnosis. How many daily carbs do you have typically?