Hi. A blood sugar of 14 could be either T1 or T2. A strong pointer to which one is your weight. Can you let us know your BMI/weight. If overweight T2 is the most likely and the Metformin will help reduce insulin resistance. If you are slim and/or have lost weight unexpectedly recently then Late onset T1 is more likely. Yes, the GAD test and c-peptide tests will help but many GPs won't do them or have never heard of them. Yes, headaches can be caused by high blood suagr but even when I had readings in the 20s I didn't suffer headaches.
I am generalising but even NICE now tells GPs to assume the possibility of T1 when a thin person presents. Has your MIL been tested for GAD or had a c-peptide test to eliminate T1; T2 is assumed by default by GPs often without any tests? Were you over weight when originally diagnosed as a T1 although I realise that could have been a long time ago?I'm not sure the weight thing equates, my MIL is very very thin and has type 2 (and severe neuropathy), I on the other hand am overweight and have type 1. I am pretty sure she has type 2 she eats more carefully and has a great HbA1c, I on the other hand am definitely type 1 as proved by the massive amounts of antibodies found at my diagnosis and high ketones and requirement for insulin after 3 months honeymoon.
The wording in your first post is accurate. You made no mention that that is ALWAYS the case, and of course there are exceptions.I am generalising but even NICE now tells GPs to assume the possibility of T1 when a thin person presents. Has your MIL been tested for GAD or had a c-peptide test to eliminate T1; T2 is assumed by default by GPs often without any tests? Were you over weight when originally diagnosed as a T1 although I realise that could have been a long time ago?
This is why undiagnosed T1 can be so dangerous, of course, as the body starts burning fat (ketosis) to get some energy the blood sugar is high and ketoacidosis starts which can be a killer. I was pleased to see NICE add this point about being slim at diagnosis. My stupid diabetes GP told me to carry on losing weight when I presented as stick thin at diagnosis (and he weighed me) because he just assumed I was an overweight T2 without even looking.The wording in your first post is accurate. You made no mention that that is ALWAYS the case, and of course there are exceptions.
It is incredibly difficult to gain weight with undiagnosed type 1. Prior to my diagnosis, I was eating as much as 5000 calories a day and still losing weight.
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