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this might be a stupid question....

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macast

macast

Well-Known Member
Relationship to Diabetes
Type 2
this might be a stupid question 🙄........... but............. how does the Doc know which type diabetes you are from your test results? :confused:

after you've finished laughing could you post a reply please? :D
 
Certainly not a stupid question - I must admit that despite being diabetic for 40 years I don't know the answer to this question, but I'm sure someone will post soon who does know!!
 
A lot is based on clinical judgment on how the patient presented, with a dash of medical history in the main...

Clinical judgement is pretty good most of the time, but does have the odd failing when somebody actually got LADA, which can at the begining present itsefl more like T2 etc..
 
Seen it around but what is LADA?
 
And what is 1.5?
 
thanks guys..... I'm learning so much here 🙂
 
T1.5 is LADA

The tests for insulin production is C-peptide and there is also GAD which is a anti-body test..

The more they understand about diabetes the more they realise that there is more than just T1 and T2 diabetes, sub catagory's are being discovered..

Exeter do a lot of research around genetics of diabetes here's a link

http://projects.exeter.ac.uk/diabetesgenes/
 
macast said:
this might be a stupid question 🙄........... but............. how does the Doc know which type diabetes you are from your test results? :confused:

after you've finished laughing could you post a reply please? :D
Click to expand...

Hi No it's not a stupid question, I'm type 1, so my diabetic symptoms were losing weight, incredible thirst, infections, very tired and doctor could smell pear drops on my breath and blood glucose was near 40. But what I know of type 2 there can be very few symptoms as the pancreas is still producing some insulin. Hope this is useful to you. Sheena
 
Catwoman76 said:
Hi No it's not a stupid question, I'm type 1, so my diabetic symptoms were losing weight, incredible thirst, infections, very tired and doctor could smell pear drops on my breath and blood glucose was near 40. But what I know of type 2 there can be very few symptoms as the pancreas is still producing some insulin. Hope this is useful to you. Sheena
Click to expand...

I'm type 2 and knew nothing about it until doc did a routine blood test so I don't know how long I'd had it.
 
Catwoman76 said:
Hi No it's not a stupid question, I'm type 1, so my diabetic symptoms were losing weight, incredible thirst, infections, very tired and doctor could smell pear drops on my breath and blood glucose was near 40. But what I know of type 2 there can be very few symptoms as the pancreas is still producing some insulin. Hope this is useful to you. Sheena
Click to expand...

hi Catwoman.... thanks for the explanation. I am type 2 and have incredible thirst, fatigue, tingling fingers and toes bordering on pain, and disgusting breath lol. so I wondered if I was definately type 2 and how the doc knew. seems it isn't an exact science🙄
 
No question is stupid and a lot has been answered for me here, so thank you from me for all the answers.

I'm Type 2 and having been backwards and forwards with loads of symptoms my GP didn't diagnose me until I presented him with a sheet of test results from a health awareness even at work. I had been going to and fro for ages.
 
macast said:
hi Catwoman.... thanks for the explanation. I am type 2 and have incredible thirst, fatigue, tingling fingers and toes bordering on pain, and disgusting breath lol. so I wondered if I was definately type 2 and how the doc knew. seems it isn't an exact science🙄
Click to expand...

Hello again, have you been back to your doctor with those symptoms? It could be Diabetes related or it could be something else, an underactive Thyroid can make you tired and did you know what your blood glucose was when you were told you had type 2? Does your breath smell(sorry) of pear drops or a nail varnish smell? :( best wishes Sheena x
 
Catwoman76 said:
Hello again, have you been back to your doctor with those symptoms? It could be Diabetes related or it could be something else, an underactive Thyroid can make you tired and did you know what your blood glucose was when you were told you had type 2? Does your breath smell(sorry) of pear drops or a nail varnish smell? :( best wishes Sheena x
Click to expand...

hi Sheena..... bg test was 8.5 when I was diagnosed last week... I've seen the doc twice and the dsn once and due to see her again on wednesday next week. not sure about the breath smell... I think it is a weird sweet smell but my other half says that it is like acrid cabbage 😱 all I know is that it tastes disgusting!!! thanks for your concern 🙂
 
Oh my word macast you have seen you doctor/nurse way more than me. I was diagnosed in November 2010 she gave me my pills and statins said take these and come back in 3 months. The only time I've seen the nurses at the practice is because I made the appointments so I could ask questions ( a lot of them still unanswered) I've learnt so much more from using this forum.
 
alisonz said:
Oh my word macast you have seen you doctor/nurse way more than me. I was diagnosed in November 2010 she gave me my pills and statins said take these and come back in 3 months. The only time I've seen the nurses at the practice is because I made the appointments so I could ask questions ( a lot of them still unanswered) I've learnt so much more from using this forum.
Click to expand...

hi Alisonz..... I'm surprised that you haven't seen your dsn yet.

I saw the doc before christmas with a complaint about my tingling toe which was complecated because I had knocked it badly last year and it didn't seem to be improving. he was a locum and didn't seem too worried about it and said come back if it gets worse or you get symptoms of diabetes. of course being stupid I didn't ask what those symptoms might be 🙄 so looked on internet when I got home. I realised I had all the symptoms but thought they were due to other medical conditions. tried to get an appointment with the doc but as it was christmas I couldn't get one for a week and that was with a nurse because I said I thought I needed a diabetes test. I had all the tests and then went away on holiday :D when I got back I discovered that the doc had been ringing me since christmas eve to come in 🙄 so had an appointment next day with doc and another 10 mins with dsn.... then the day after had a whole hour with her. due to see dsn again next wednesday

isn't this standard proceedure? can others please comment 🙂
 
I don't think doctors can tell what type of diabetes you have from blood tests...coz they can get it wrong, lots of people here were diagnosed with the other one (to whatever they actually have) for hours, weeks or years. They tend to looks for clues, like how old you are (younger people tend to be assumed to have type 1, although this is often wrong), what kind of build you have (the larger you are the more likely it is you have type 2, although this is sometimes wrong), and whether you have any protein in your urine (yes usually means type 1). They also tend to assume that type 1 is a sudden onset and type 2 is slower in setting in.

I walked into a drop in clinic (coz i work in a hospital anyway) with what i thought was a urinary tract infection which had gotten suffiecently scary that it was messing with my eyesight (my vision had been blurry for a couple of days). They asked for a urine sample and did a glucose test, and then ushered me across to A&E. People asked me how long i'd been diabetic for, and my answer was that i didn't know i was. They assumed at this stage that i was type 1, it seems like the late twenties and early thirties is the one time where nobody expects you to get any type of diabetes, you're too old to be a classic type 1 and too young for a classic type 2. It was only when i came on this site that i realised i wasn't a complete freak of nature, or had the body of a 50 year old. I got a quick intro to insulin injecting and sent home with some pens. The next day i turned up at the diabetes clinic (still in a state of shock) and given some Metformin, that seemed to work and i got rebranded as type 2.

Appologies to everybody who has read that story at least three times now.😉
Rachel
 
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