Newly diagnosed type 2 on insulin pen

[Immy1961]

Hello, I am very newly diagnosed after being admitted to hospital following routine blood tests I was informed I was a diabetic and started immediately on insulin, then on a sliding scale for surgery now on the novo pen 30 twice a day.
It has been a terrific shock I am 54 only half a stone over weight have high blood pressure for 4 years and kidney problems.
I am still trying to work out what I can and can't eat so any advice would be truly appreciated. Thank you

 

[Immy1961]

My hba1c was 90 I was told it should be<48 I also test my blood 4 times a day and ring my results through to the hospital twice a week. My sugars are I think erratic they fluctuate between 9.2 and 19 at the moment. I have also been told my sugars will be elevated due to the problem with my kidney.

 

[tim2000s]

@Immy1961 Have they done any C-Peptide or GAD tests? You may not be type 2. It is very unusual for a newly diagnosed Type 2 to be put straight on Insulin.

 

[Immy1961]

@Immy1961 Have they done any C-Peptide or GAD tests? You may not be type 2. It is very unusual for a newly diagnosed Type 2 to be put straight on Insulin.[/QUOTE

@Immy1961 Have they done any C-Peptide or GAD tests? You may not be type 2. It is very unusual for a newly diagnosed Type 2 to be put straight on Insulin.

To be honest they have not actually said I was type 2 I just thought that was what I was since I am older getting it ? As for any other tests I do not know everything that was done as I was pretty ill when I was admitted for my kidneys, the day after I was admitted a consultant came to see me knelt on the floor next to me with his entourage around him and asked how long I had been diabetic, I said I wasn't to which he responded I am a diabetic specialist and I am telling you that you are a diabetic.
I have only just come out of hospital and have to ring the diabetic nurse with my numbers and since I have three more surgeries scheduled I am being seen each time I go into hospital.
I now know I need to ask questions such as which type I am and if they have carried out the tests you mentioned.

 

[tim2000s]

To be honest they have not actually said I was type 2 I just thought that was what I was since I am older getting it ? As for any other tests I do not know everything that was done as I was pretty ill when I was admitted for my kidneys, the day after I was admitted a consultant came to see me knelt on the floor next to me with his entourage around him and asked how long I had been diabetic, I said I wasn't to which he responded I am a diabetic specialist and I am telling you that you are a diabetic.
I have only just come out of hospital and have to ring the diabetic nurse with my numbers and since I have three more surgeries scheduled I am being seen each time I go into hospital.
I now know I need to ask questions such as which type I am and if they have carried out the tests you mentioned.

The actions of the medical team are not coincident with a normal Type 2 diagnosis. They are more in line with type 1, MODY or LADA (type 1.5) diagnosis. The usual course of action for type 2 is to offer diet treatment or to start someone off on Metformin.

However you have a complicating factor in that you have some form of Kidney dysfunction and they may have decided to use insulin straight away to ensure that your blood glucose levels have been reduced to the right level ahead of surgery and to ensure that no further damage occurs to your kidneys.

It's certainly worth having a conversation with the DSN regarding this and everything else you've mentioned.

 

[Immy1961]

The actions of the medical team are not coincident with a normal Type 2 diagnosis. They are more in line with type 1, MODY or LADA (type 1.5) diagnosis. The usual course of action for type 2 is to offer diet treatment or to start someone off on Metformin.

However you have a complicating factor in that you have some form of Kidney dysfunction and they may have decided to use insulin straight away to ensure that your blood glucose levels have been reduced to the right level ahead of surgery and to ensure that no further damage occurs to your kidneys.

It's certainly worth having a conversation with the DSN regarding this and everything else you've mentioned.

Thank you for you reply

The actions of the medical team are not coincident with a normal Type 2 diagnosis. They are more in line with type 1, MODY or LADA (type 1.5) diagnosis. The usual course of action for type 2 is to offer diet treatment or to start someone off on Metformin.

However you have a complicating factor in that you have some form of Kidney dysfunction and they may have decided to use insulin straight away to ensure that your blood glucose levels have been reduced to the right level ahead of surgery and to ensure that no further damage occurs to your kidneys.

It's certainly worth having a conversation with the DSN regarding this and everything else you've mentioned.

thank you for you replies and advice i certainly have a lot to find out and ontend focussing my energy on doing just that i will post on here when i find anything out.

 

[Daibell]

The actions of the medical team are not coincident with a normal Type 2 diagnosis. They are more in line with type 1, MODY or LADA (type 1.5) diagnosis. The usual course of action for type 2 is to offer diet treatment or to start someone off on Metformin.

However you have a complicating factor in that you have some form of Kidney dysfunction and they may have decided to use insulin straight away to ensure that your blood glucose levels have been reduced to the right level ahead of surgery and to ensure that no further damage occurs to your kidneys.

It's certainly worth having a conversation with the DSN regarding this and everything else you've mentioned.

I agree with this. Despite your age you can still be a late onset T1. If, as you say, your weight is only slightly above 'normal' then the likelihood increases. Have you lost weight recently without trying? Whatever the diagnosis, being on insulin is no doubt good treatment. If over the coming weeks the twice a day mixed insulin doesn't manage the blood sugar well enough then do ask to be changed over to the Basal/Bolus regime. This uses two insulins and more injections but gives better control. As always, a low-carb diet is the way to go assuming it doesn't conflict with your kidney problem.

 

[Immy1961]

I agree with this. Despite your age you can still be a late onset T1. If, as you say, your weight is only slightly above 'normal' then the likelihood increases. Have you lost weight recently without trying? Whatever the diagnosis, being on insulin is no doubt good treatment. If over the coming weeks the twice a day mixed insulin doesn't manage the blood sugar well enough then do ask to be changed over to the Basal/Bolus regime. This uses two insulins and more injections but gives better control. As always, a low-carb diet is the way to go assuming it doesn't conflict with your kidney problem.

Thank you for your reply, in answer to your question I have not lost any weight prior to the diagnosis if anything in the last six months I put on the extra little bit of weight mostly due to inactivity as I have been pretty much unable to do anything but struggle to the bathroom. Prior to becoming unwell in may I was very active and have always looked after myself.