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<blockquote data-quote="HSSS" data-source="post: 2031833" data-attributes="member: 480869"><p>It sounds like they’ve already done the required tests but you are still waiting on results. These will be c peptide which is used to work out if your pancreas is producing insulin and in what sort of amounts and Gad which checks if you have antibodies destroying insulin making cells. </p><p></p><p>Your age, weight loss and high levels do make type 1 quite possible. I’ve got limited type 1 knowledge but I don’t think you have to have ketones to be diagnosed. In fact you don’t want them at high glucose levels as that could indicate dka, potentially extremely serious.</p><p></p><p>You should have a blood meter if they’ve given you glicazide. It actively lowers glucose. Are you using it? Have your levels come down from 27?</p><p></p><p>If you’re type one you will need insulin, but there is more than one type and various ways it’s used. If you’re type 2 there are options primarily diet as a first line and biggest controllable factor. The crux of it all is carbs. Eating low carb reduces blood glucose levels. In type 2 it may be all that’s needed. In type 1 some people find it helps minimise insulin and helps prevent the real highs and lows some struggle with. But insulin will still be needed.</p><p></p><p>If your levels are still pretty high whilst you’re waiting maybe try slowly cutting some carbs each day or just at one meal at a time whilst closely monitoring levels to avoid hypos to see if it helps at all. You should have been told what to do about hypos when given the glicazide. Tell your team what you’ve done and the results it gives though. If they are pretty good I’d wait on results before changing anything.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2031833, member: 480869"] It sounds like they’ve already done the required tests but you are still waiting on results. These will be c peptide which is used to work out if your pancreas is producing insulin and in what sort of amounts and Gad which checks if you have antibodies destroying insulin making cells. Your age, weight loss and high levels do make type 1 quite possible. I’ve got limited type 1 knowledge but I don’t think you have to have ketones to be diagnosed. In fact you don’t want them at high glucose levels as that could indicate dka, potentially extremely serious. You should have a blood meter if they’ve given you glicazide. It actively lowers glucose. Are you using it? Have your levels come down from 27? If you’re type one you will need insulin, but there is more than one type and various ways it’s used. If you’re type 2 there are options primarily diet as a first line and biggest controllable factor. The crux of it all is carbs. Eating low carb reduces blood glucose levels. In type 2 it may be all that’s needed. In type 1 some people find it helps minimise insulin and helps prevent the real highs and lows some struggle with. But insulin will still be needed. If your levels are still pretty high whilst you’re waiting maybe try slowly cutting some carbs each day or just at one meal at a time whilst closely monitoring levels to avoid hypos to see if it helps at all. You should have been told what to do about hypos when given the glicazide. Tell your team what you’ve done and the results it gives though. If they are pretty good I’d wait on results before changing anything. [/QUOTE]
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