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Type 1.5/LADA Diabetes
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<blockquote data-quote="messy" data-source="post: 1920832" data-attributes="member: 124391"><p>I read your post with interest. I'm in same position.</p><p></p><p>I was diagnosed 4 years ago with type2, went onto a low carb diet circa 100g per day and 1000mg metformin per day, all ok for 2 years, then my blood sugars started to rise, put onto alogliptin and metformin increased to 2000mg per day, helped a little further reduced carbs to 60g per day.</p><p></p><p>During the spring I changed surgeries and went for a review, my HbA1c was 97, prescribed trucility pen, don't reduce my blood sugars at all, just kicked off my crohns disease, so after 2 injections my GP stopped it and put me on Canagliflozin blood sugars still very high, ranging from 12 to 23 mmol, I reduced my carbs to 30g per day over a month, lost 10 kg of weight, but blood sugars remained over 12'or higher, average 14.5. I spoke to my GP and asked for insulin, was told I don't need it.</p><p></p><p>Well I bought some ketones strips early last week, urine ketones 16 mmol, blood sugar15.6, I panicked and called 111, told to go to a&e. Blood gases done. Not in DKA, but my blood was becoming acidic, given IV fluids and discharged, told to go back to GP, at that point I had lost confidence in him, so on Wednesday morning I registered with another practice. By thursday the ketones were rising again, called new practice and spoke to the nurse, gp appointment with 2 hours. He was horrified by my ketone level of 2.6 mmol and sugar level of 14.3, by this time I hadn't eaten for 21 hours just felt so sick. He admitted he wasn't an expert in diabetes and can't get me an appointment within the practice until Monday to see anyone with expertise. So sent me to the ambultory emergency centre at the local hospital.</p><p></p><p>Saw a diabetic nurse who told me a eat 50g of carb and to came back of friday, bloods taken for c peptide and GADS testing.</p><p></p><p>Now on levimar 10 units twice a day and nova rapide 5 units per meal to be review this coming friday, blood sugars still high, but apparently my body needs to adjust to insulin and we need to find my.level.</p></blockquote><p></p>
[QUOTE="messy, post: 1920832, member: 124391"] I read your post with interest. I'm in same position. I was diagnosed 4 years ago with type2, went onto a low carb diet circa 100g per day and 1000mg metformin per day, all ok for 2 years, then my blood sugars started to rise, put onto alogliptin and metformin increased to 2000mg per day, helped a little further reduced carbs to 60g per day. During the spring I changed surgeries and went for a review, my HbA1c was 97, prescribed trucility pen, don't reduce my blood sugars at all, just kicked off my crohns disease, so after 2 injections my GP stopped it and put me on Canagliflozin blood sugars still very high, ranging from 12 to 23 mmol, I reduced my carbs to 30g per day over a month, lost 10 kg of weight, but blood sugars remained over 12'or higher, average 14.5. I spoke to my GP and asked for insulin, was told I don't need it. Well I bought some ketones strips early last week, urine ketones 16 mmol, blood sugar15.6, I panicked and called 111, told to go to a&e. Blood gases done. Not in DKA, but my blood was becoming acidic, given IV fluids and discharged, told to go back to GP, at that point I had lost confidence in him, so on Wednesday morning I registered with another practice. By thursday the ketones were rising again, called new practice and spoke to the nurse, gp appointment with 2 hours. He was horrified by my ketone level of 2.6 mmol and sugar level of 14.3, by this time I hadn't eaten for 21 hours just felt so sick. He admitted he wasn't an expert in diabetes and can't get me an appointment within the practice until Monday to see anyone with expertise. So sent me to the ambultory emergency centre at the local hospital. Saw a diabetic nurse who told me a eat 50g of carb and to came back of friday, bloods taken for c peptide and GADS testing. Now on levimar 10 units twice a day and nova rapide 5 units per meal to be review this coming friday, blood sugars still high, but apparently my body needs to adjust to insulin and we need to find my.level. [/QUOTE]
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