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Diabetes Discussion
Type 1.5/LADA Diabetes
Should I push for a LADA diagnosis?
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<blockquote data-quote="oldgreymare" data-source="post: 549588" data-attributes="member: 20373"><p>Hi Pinkerbell, </p><p></p><p>Following this thread with great interest - I think you touch on many important aspects of how to get to optimal treatment for interim diabetics most efficiently. Sadly NHS is struggling on this front.</p><p></p><p> I'm in same camp as Phoenix and Spiker - at diagnosis (age 51) I was classified Type 1 (based on almost 0 c peptide and +++ GAD antibodies), so straight to insulin treatment. But with hindsight probably a few years of LADA. That said, both endocrinologist in Asia and diabetic nurse specialist in UK said to me that they believe immediate aggressive insulin therapy is key to extending any diminishing beta cell function. Obviously only works with comprehensive bg monitoring...so you must have access to as many test strips as necessary....catch 22 under NHS if not already classified type 1? </p><p></p><p>BTW do note it is known (at least in USA) that some diabetics can show very positive GAD antibodies, but still have insulin production - full blown autoimmune Type 1 should show almost zero c peptide (insulin marker) as well.</p></blockquote><p></p>
[QUOTE="oldgreymare, post: 549588, member: 20373"] Hi Pinkerbell, Following this thread with great interest - I think you touch on many important aspects of how to get to optimal treatment for interim diabetics most efficiently. Sadly NHS is struggling on this front. I'm in same camp as Phoenix and Spiker - at diagnosis (age 51) I was classified Type 1 (based on almost 0 c peptide and +++ GAD antibodies), so straight to insulin treatment. But with hindsight probably a few years of LADA. That said, both endocrinologist in Asia and diabetic nurse specialist in UK said to me that they believe immediate aggressive insulin therapy is key to extending any diminishing beta cell function. Obviously only works with comprehensive bg monitoring...so you must have access to as many test strips as necessary....catch 22 under NHS if not already classified type 1? BTW do note it is known (at least in USA) that some diabetics can show very positive GAD antibodies, but still have insulin production - full blown autoimmune Type 1 should show almost zero c peptide (insulin marker) as well. [/QUOTE]
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Type 1.5/LADA Diabetes
Should I push for a LADA diagnosis?
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