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<blockquote data-quote="Daibell" data-source="post: 1638278" data-attributes="member: 21149"><p>Hi. There are various LADAs on this forum including [USER=32394]@catapillar[/USER] who may also wish to add comments. If you are diagnosed as LADA then you will be somewhere along the honeymoon stage where, sadly, the pancreatic cells are failing. Some tablets such as Gliclazide can help for a while but not advisable long-term as they are suspected of speeding failure. I was on full dose Gliclazide for more than 5 years which was not a good idea. The honeymoon period can last weeks into years and you can't tell how long. The HBA1C test will guide the GP/DN. You will need to go onto insulin when the HBa1C goes above, say, 7.5% (see NICE guidelines). You should be put onto the 'Basal/Bolus' regime which means two insulins one '24 hour' one (Basal) and one meal-time one (Bolus). This means 4 to 5 injections per day. This may sound awful but it isn't and it's a relief as insulin really does give good blood sugar control with very little side effects apart from the risk of hypos which can be serious. With experience and balancing the insulins and matching to meal-time carbs you can avoid the worst hypos. Keeping the carbs down helps reduce swings into hypos and avoids weight gain thru too many carbs. Hope that helps a bit and do ask any specific questions.</p></blockquote><p></p>
[QUOTE="Daibell, post: 1638278, member: 21149"] Hi. There are various LADAs on this forum including [USER=32394]@catapillar[/USER] who may also wish to add comments. If you are diagnosed as LADA then you will be somewhere along the honeymoon stage where, sadly, the pancreatic cells are failing. Some tablets such as Gliclazide can help for a while but not advisable long-term as they are suspected of speeding failure. I was on full dose Gliclazide for more than 5 years which was not a good idea. The honeymoon period can last weeks into years and you can't tell how long. The HBA1C test will guide the GP/DN. You will need to go onto insulin when the HBa1C goes above, say, 7.5% (see NICE guidelines). You should be put onto the 'Basal/Bolus' regime which means two insulins one '24 hour' one (Basal) and one meal-time one (Bolus). This means 4 to 5 injections per day. This may sound awful but it isn't and it's a relief as insulin really does give good blood sugar control with very little side effects apart from the risk of hypos which can be serious. With experience and balancing the insulins and matching to meal-time carbs you can avoid the worst hypos. Keeping the carbs down helps reduce swings into hypos and avoids weight gain thru too many carbs. Hope that helps a bit and do ask any specific questions. [/QUOTE]
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