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Diabetes Discussion
Type 1.5/LADA Diabetes
Newly diagnosed - some questions. Thanks.
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<blockquote data-quote="Swillbos" data-source="post: 2203261" data-attributes="member: 395397"><p>It does take a while to get your head round a change of diagnosis from T2 to T1/1.5. The huge positive is that you already have an excellent understanding of how you react to different amounts of carb and exercise. Combining these with some form of insulin regime when you feel ready, should bring even better control. The one tool in your blood sugar armoury you may have to let go of when on insulin would be the intermittent fasting. But I am sure others can advise better on this.</p><p></p><p>After seven years as a T2, things deteriorated quite rapidly for me last year; try as I might I just couldn't get my BS below 14. At re-diagnosis my ketones were 4+, I was really quite poorly and I think I did well to avoid ketoacidosis. You aren't at this point, and would do well to avoid it. Even though it wasn't what you wanted to hear, I am quite impressed by the way your GP and consultant have cut to the chase, at least you have avoided trying and failing on the other T2 drug options along the way.</p><p></p><p>Last July I started on basal (long-lasting) insulin and am on a split dose of 10 units a day ie I take 5 units two times a day. So far I have managed not to have to start on the bolus (short-acting) insulin as my low carb active lifestyle generally keeps me in an OK range, but I have now come to accept I'll probably need to move on to that in the next year to get better control - T1.5 is a bit erratic in the honeymoon period as your production of insulin can vary considerably. I am still on Metformin as I actually had very good results both in terms of T2 control and weight loss.</p><p></p><p>I am not saying resistance is futile, I think you are doing brilliantly with your current approach and should congratulate yourself on your success, but I too am firmly in the T1.5 happy to be on insulin camp! while still hoping to manage a very gradual approach to insulin intensification, by continuing to do the lifestyle stuff I learned in my time in the T2 gang <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="Swillbos, post: 2203261, member: 395397"] It does take a while to get your head round a change of diagnosis from T2 to T1/1.5. The huge positive is that you already have an excellent understanding of how you react to different amounts of carb and exercise. Combining these with some form of insulin regime when you feel ready, should bring even better control. The one tool in your blood sugar armoury you may have to let go of when on insulin would be the intermittent fasting. But I am sure others can advise better on this. After seven years as a T2, things deteriorated quite rapidly for me last year; try as I might I just couldn't get my BS below 14. At re-diagnosis my ketones were 4+, I was really quite poorly and I think I did well to avoid ketoacidosis. You aren't at this point, and would do well to avoid it. Even though it wasn't what you wanted to hear, I am quite impressed by the way your GP and consultant have cut to the chase, at least you have avoided trying and failing on the other T2 drug options along the way. Last July I started on basal (long-lasting) insulin and am on a split dose of 10 units a day ie I take 5 units two times a day. So far I have managed not to have to start on the bolus (short-acting) insulin as my low carb active lifestyle generally keeps me in an OK range, but I have now come to accept I'll probably need to move on to that in the next year to get better control - T1.5 is a bit erratic in the honeymoon period as your production of insulin can vary considerably. I am still on Metformin as I actually had very good results both in terms of T2 control and weight loss. I am not saying resistance is futile, I think you are doing brilliantly with your current approach and should congratulate yourself on your success, but I too am firmly in the T1.5 happy to be on insulin camp! while still hoping to manage a very gradual approach to insulin intensification, by continuing to do the lifestyle stuff I learned in my time in the T2 gang :) Good luck! [/QUOTE]
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