What do you think?

I can't predict what your doctor will want you to do, but i can say that you could still cut your carbs further if ytou want to go that route. Very low carb breads are available at a price as is pasta.
If you don't already have it, get the Collins Calorie guide or the carb guide. they you can check each food and set your own targets.

Hello goanna, Insulin is not a magic bullet that is going to cure all your problems with high blood glucose, especially people who are type 2 diabetic. Many type 2's seem to hold the belief that if they cannot control their bg quickly, the last resort is insulin.

This is because many, but not every type 2's problem is caused by them being to a lesser or greater extent resistant to the insulin that their pancreas still produces, there is a need for you to increase your metabolism through exercise, this reduces any resistance that you may have, combine this with a improved diet containing lower amounts of carbohydrates; do you count your carb intake? Then the metformin that you are taking which helps stimulate natural insulin production will be able to do it's work.

If you were to move quickly on to insulin without reducing any resistance you may have, you would probably end up having to inject vast amounts of insulin daily, (which is also not a good thing to do, as the non diabetic persons pancreas only needs to produce small amounts on demand), and still not not archive improvements in your control.

My advice is to improve your diet and exercise, you do not need to run 15 miles a day, just walk more often than taking the car etc, and try to reduce 5 to 10% of your present body weight, most of us are over weight so it is no bad thing to try and reduce some of it. Do this and I can guarantee that by this time next year you will see big improvements in your condition.

Hi Geoff,

If you really are a LADA it is only a matter of time before you need insulin. Honestly, you will get the hang of it very quickly and with the short, narrow gauge needles available they are almost always pain free.

As already stated, you do have some carbs in your diet that could be usefully replaced by protein/ low starch veg/ and healthy enjoyable fats. This would help your blood sugars a lot.

Breakfast ideas:

vegetable omlette
bacon and eggs
scrambled egg /smoked trout/tomato

Lunch:

meat/cheese/egg salad
fruit and cheese


Dinner:
meat/cheese/egg dish with lots of veg.

You will be amazed at the variety of low carb meals and baking you can produce.

Go on, give those beta cells a Christmas break!

Frankly I think you need a more proactive doctor, you may be a skinny Type 2 like me and about 20% of Type 2s but if you actually *are* LADA then the Type 2 meds are a waste of time.

Meanwhile have a read here (fellow Australian)

http://loraldiabetes.blogspot.com/2006/10/d-day.html

Blood pressure check and full lipid panel would be a good plan if you can't get GAD or c-peptide done, they might be indicative of insulin resistance - or not