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<blockquote data-quote="LadyPT" data-source="post: 2683946" data-attributes="member: 585166"><p>I am totally at a loss as to what to do. We obviously need to see what his CT (with contrast - thorax/abdomen/pelvis) shows as this will check out his pancreas, as well as having a general look around for a tumour (strong family history of cancer) to try to explain away the weight loss.</p><p></p><p>In the meantime, he has no ketones in his urine when they dip and normal range GAD, so his diabetes nurse says “your bloods confirm you have Type 2 diabetes”. No option to get a hospital referral. No mention of there being other conditions that can cause a high HbA1c (that has, admittedly, responded well to taking Metformin and cutting the carbs) and BG that spikes when he eats and drops when he does any kind of activity. Making me feel like I am looking for something that isn’t there… “he isn’t T1, so he’s T2” is the general vibe.</p><p></p><p>I am starting to wonder if I they are right and I am overthinking this… he was only diagnosed last year, yet he has had many diabetic issues: skin infection, peripheral numbness in fingers and toes, wounds are slow to heal, plus they confirmed background retinopathy in both eyes at his diabetic eye check in December. But - by the diabetic nurse’s own admission - he is not a typical T2 diabetic at all.</p></blockquote><p></p>
[QUOTE="LadyPT, post: 2683946, member: 585166"] I am totally at a loss as to what to do. We obviously need to see what his CT (with contrast - thorax/abdomen/pelvis) shows as this will check out his pancreas, as well as having a general look around for a tumour (strong family history of cancer) to try to explain away the weight loss. In the meantime, he has no ketones in his urine when they dip and normal range GAD, so his diabetes nurse says “your bloods confirm you have Type 2 diabetes”. No option to get a hospital referral. No mention of there being other conditions that can cause a high HbA1c (that has, admittedly, responded well to taking Metformin and cutting the carbs) and BG that spikes when he eats and drops when he does any kind of activity. Making me feel like I am looking for something that isn’t there… “he isn’t T1, so he’s T2” is the general vibe. I am starting to wonder if I they are right and I am overthinking this… he was only diagnosed last year, yet he has had many diabetic issues: skin infection, peripheral numbness in fingers and toes, wounds are slow to heal, plus they confirmed background retinopathy in both eyes at his diabetic eye check in December. But - by the diabetic nurse’s own admission - he is not a typical T2 diabetic at all. [/QUOTE]
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