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Type 2 or late onset Type 1

J

JBSop

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I was diagnosed with type 2 diabetes 4 weeks ago and put on 2,000mg (I was originally put on 500mg a day and have built up to the full dose over 4 weeks). I had my first check up appointment this week and at the end of the appointment the diabetes nurse arranged to see me again in 2 months and said that she would be checking to see if I was Type 2 or late onset Type 1.

I am male, 27, have always been overweight (I have a BMI of 38 and it has been as high as 44 - I am larger build and my target weight gives me a BMI of around 30) and was diagnosed with pre diabetes 3 years ago so I assumed it was difinitely Type 2 but this has now confused me.

Has anyone else had this? Is there anything I should be looking out for that would tell me if I am Type 2 or Type 1 or are there any danger signs to look out for?

Thanks in advance for your help!

John
 
Hi,
It is good that you're nurse is looking into all possibilities.
You might like to look at the info on this site.
As you can see this form of T1 takes a while to progress to insulin dependence.
http://www.locallada.swan.ac.uk/faq.html

I have LADA but was probably diagnosed later on in the progression and was very thin at diagnosis (lost a lot very quickly) . The site above says that though most people with LADA have a lower BMI than people with T2, it isn't always the case.
 
Hi. Yes, confusing isn't it. It is possible to be both LADA and T2. You are very young to be just T2 but your high weight could point to T2 but it would normally occur later in life. It's good the nurse is considering options. The treatment regime is similar for both, but progression will be faster if LADA. The possible danger with LADA is ketones resulting from excess blood sugar combined with the body metabolising fat to glucose for energy as it hasn't the available insulin to do it. If you feel unwell and with a meter have very high sugar then be prepared to visit A&E urgently.
 
Thanks for your replys! The website and advice have been very useful!!

One other thing that came to mind was that the possible LADA diagnosis seemed to be prompted when reviewing my cholesterol and blood pressure readings (these weren't done at my initial appointment as the cholesterol test had clotted). Would normal blood pressure and cholesterol in someone my size lean them towards the possibility of LADA?
 
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