Puzzled following a Consultant review

Hi there

I am just looking for a little advice following an initial appointment with a consultant to review my diabetes.

In early August when I was diagnosed following elevated BG levels in a routine medical with work i was promptly diagnosed with diabetes as my fasting BG was 14.8. The only symptom at the time in looking back at things was the way the weight was falling off me but apart from that I was feeling fine. Because of the severe impact on my employment as an air traffic controller I immediately unloaded my system by diet, which has been since reviewed as fine by an NHS dietician and I am also on 500mg of extended release Metformin a day.

A couple of weeks after diagnosis the first A1c came back at just 5.7% but I had been warned this would be much higher and this surprised my GPs who then sent me to see a consultant because of the still question mark hanging over Type. Anyway I saw a consultant last week who without letting me even speak diagnosed me as a Type 2 beacuse I am overweight with a BMI of 27 and my cholesterol was just under 6. I tried to ask why I was getting very high post prandial peaks e.g 14 some 2 hours after eating say porridge and was told to just ignore these and not to test. Also my A1c had now dropped even further to just 4.9% and the only explanation offered as to the initial A1c and very high levels I was picked up on was that I was luckily just diabetic for a couple of days before my medical and it was just fortunate it was picked up.

Now the question I ask is does this all sound to good to be true for a Type 2? The consultant did end the conversation stating that he might in the months to years ahead have to rediagnose me as a Type 1, now investigating C-Peptide and insulin levels. The intial weight loss was more characteristic of that Type thus giving some doubts but I just feel slightly uneasy that as a supposedly well controlled now Type 2 I will be hospital monitored every couple of months which seems very strange thus putting a lot of pressure on regaining my medical certification for my employment.

Please excuse me long story but would be grateful for some thoughts.
Many thanks David

Thanks very much for your replies. That pretty much sums up my thoughts on the matter. The consultant concerned could not even grasp how diabetes could be effecting my medical licensing. As well as blood glucose levels kept low it also has to be proved that there is no heart issues, kidney, eye and neurpoathy involvement and it will maintain that way. There is very strict criteria laid down by the Civil Aviation Authority which is fully understandable and I suspect my employers will be seeking a second opinion themselves on the way forward. At 39 I have to many years ahead in my work but before all else for my own health perspective need to fully understand what is happening. A couple of people have recently mentioned things like LADA or MODY, could that be why he is keeping his options open but not clearly stating the point to me?

Thanks
David

Thanks again for the replies. I have been very closely monitoring my figures from the time of initial diagnosis, even though my GP will not write a prescription for test strips ( Ebay is a saviour ). What I find strange is the fact that the lowest pre meal figures I will see and those first thing in the morning prior to any food are in the regions of 6 to 7. Post meal spikes are considerably higher yet I still come out with the A1C at 4.9%. By running averages through the convertors this does not seem to tally with what I am seeing from my own monitoring.

Cheers
David