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<blockquote data-quote="Daibell" data-source="post: 782871" data-attributes="member: 21149"><p>Hi. First a GAD test isn't a conclusive statement of your own insulin production capability. There are many causes of islet cell death and a c-peptide test is needed to measure insulin production. GAD is just one indicator of why. The number of carbs defined as 'low-carb' varies a lot. I have around 150gm/day and would describe that as low-carb. Some go way below 100gm/day and that I would describe as very low-carb. It's your choice, but if your insulin production is low then medication will be needed earlier the higher the carbs you have. If you are overweight then Metformin will help a bit but injected insulin may not due to insulin resistance; do discuss that with the consultant. You may or may not have a good level of natural insulin. If you are thin then you may well be LADA despite what you have been told. More tests are needed to exclude it so do ask for a c-peptide test. Many of us before taking insulin, if natural insulin is low, have taken Gliclazide and Sitagliptin to stimualte the pancreas before moving to insulin. As my diabetes GP said 'insulin is a last resort'. I didn't agree but it shows how much medics vary in their opinions. Note that in the latest NICE Diabetes DEC 2014 draft document they say that if tested early at diagnosis GAD result can be reliable but c-peptide not. Later after diagnosis GAD test can be quite unreliable but c-peptide becomes more reliable.</p></blockquote><p></p>
[QUOTE="Daibell, post: 782871, member: 21149"] Hi. First a GAD test isn't a conclusive statement of your own insulin production capability. There are many causes of islet cell death and a c-peptide test is needed to measure insulin production. GAD is just one indicator of why. The number of carbs defined as 'low-carb' varies a lot. I have around 150gm/day and would describe that as low-carb. Some go way below 100gm/day and that I would describe as very low-carb. It's your choice, but if your insulin production is low then medication will be needed earlier the higher the carbs you have. If you are overweight then Metformin will help a bit but injected insulin may not due to insulin resistance; do discuss that with the consultant. You may or may not have a good level of natural insulin. If you are thin then you may well be LADA despite what you have been told. More tests are needed to exclude it so do ask for a c-peptide test. Many of us before taking insulin, if natural insulin is low, have taken Gliclazide and Sitagliptin to stimualte the pancreas before moving to insulin. As my diabetes GP said 'insulin is a last resort'. I didn't agree but it shows how much medics vary in their opinions. Note that in the latest NICE Diabetes DEC 2014 draft document they say that if tested early at diagnosis GAD result can be reliable but c-peptide not. Later after diagnosis GAD test can be quite unreliable but c-peptide becomes more reliable. [/QUOTE]
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