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Type 1.5/LADA Diabetes
Trying to find out if I'm diabetic
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<blockquote data-quote="EllieM" data-source="post: 2335816" data-attributes="member: 372717"><p>Disclaimer: T1 here so not an expert on LADA, I expect they will post when we're back in UK daytime.</p><p></p><p>Well, <strong>if </strong>you are LADA (and we're not allowed to diagnose on these forums), it sounds as though you have reduced the carbs in your diet to a level at which your reduced insulin consumption can cope.</p><p></p><p>Some endos seem to leave LADA folk off insulin until they tip over into full blown T1, others like to start them on low doses of insulin earlier, which may keep their islets producing insulin longer. It's not unknown for LADA folk to keep their pancreases working for years on a low carb diet.</p><p></p><p>I see your point about the OGTT but will leave others to comment on whether one high carb meal will make any difference to the health of your pancreas. I find it puzzling that your endo thinks you don't have diabetes but tells you you can't eat oatmeal....</p><p></p><p>And also note that MODY is a rarish variant of diabetes often seen in people with multiple diabetic family members. It's a bit weird, and doesn't always require insulin, and there are genetic markers for it (I think). T3c occurs when there is physical damage to the pancreas, so insulin production is reduced but not necessarily destroyed completely. So there are other options than LADA. </p><p></p><p>But if you're not happy with your endo, have you considered getting a second opinion?</p><p></p><p>Many of the folk on here have plenty of energy of keto/low carb diets, so am concerned that you are not feeling well. I assume you've had thyroid tests? (OK clutching at straws here.) </p><p></p><p>If it is LADA then you need to keep a bit of an eye on your glucose and ketone levels, as if they suddenly go up you'll need insulin. (High sugar plus high ketones = time for insulin).</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2335816, member: 372717"] Disclaimer: T1 here so not an expert on LADA, I expect they will post when we're back in UK daytime. Well, [B]if [/B]you are LADA (and we're not allowed to diagnose on these forums), it sounds as though you have reduced the carbs in your diet to a level at which your reduced insulin consumption can cope. Some endos seem to leave LADA folk off insulin until they tip over into full blown T1, others like to start them on low doses of insulin earlier, which may keep their islets producing insulin longer. It's not unknown for LADA folk to keep their pancreases working for years on a low carb diet. I see your point about the OGTT but will leave others to comment on whether one high carb meal will make any difference to the health of your pancreas. I find it puzzling that your endo thinks you don't have diabetes but tells you you can't eat oatmeal.... And also note that MODY is a rarish variant of diabetes often seen in people with multiple diabetic family members. It's a bit weird, and doesn't always require insulin, and there are genetic markers for it (I think). T3c occurs when there is physical damage to the pancreas, so insulin production is reduced but not necessarily destroyed completely. So there are other options than LADA. But if you're not happy with your endo, have you considered getting a second opinion? Many of the folk on here have plenty of energy of keto/low carb diets, so am concerned that you are not feeling well. I assume you've had thyroid tests? (OK clutching at straws here.) If it is LADA then you need to keep a bit of an eye on your glucose and ketone levels, as if they suddenly go up you'll need insulin. (High sugar plus high ketones = time for insulin). Good luck. [/QUOTE]
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