Am I leaning towards or already, Type 1 Diabetic or LADA?

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adz81

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Hi.. i can't find much information. I had two, private, blood tests this week. My results were - Fasting Insulin <2 uIU/mL, which was noted a 'low' (lower than range) and Fasting Blood Sugar / Glucose of 5.68 mmol / 102.4 mg/dL, which is higher than the norm, shown above and on Google, but according to the lab it was ok, as the range with them was 4.1-5.9.

My HbA1C in February, was 32mmol / 5.1%. All my hbA1c have been under 35mmol. I've had a few. Does this mean I'm more Type 1 Diabetic or LADA? I'm worried now, with my lower than low, Fasting Insulin.

Thanks
Adam
 
With levels like that it sounds like you are very unlikely to have Diabees of any for,. All your results are in range. What makes you think that you have diabetes?
 
SB2015 said:
With levels like that it sounds like you are very unlikely to have Diabees of any for,. All your results are in range. What makes you think that you have diabetes?
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Hi

Because my fasting insulin is lower than the norm and my fasting glucose is borderline high.

I forgot to mention, i wake up to pee, every night, once-twice a night too and have for 3 years.
 
Welcome @adz81 Your fasting blood sugar is in range and your HbA1C results are normal. I’d look for other causes for your nighttime toilet visits.

To give you a bit of comparison as you asked if you were already Type 1 LADA, when I was diagnosed my blood sugar was approaching 30 and I’d lost a huge amount of weight in a very short time and was on the verge of DKA. I was weeing quite literally every 5 or 10 minutes.
 
You are neither LADA nor type 1- your hba1c results (which are what is used to diagnose diabetes) are well within normal range. I would suggest you speak to your doctor if you have concerns about your symptoms
 
Those levels all look pretty normal as far as diabetes is concerned but you need to talk to your GP about the peeing at night if it is affecting your life. They are in a better position to advise and work out whether further investigation is warranted.
 
The kidneys don't start to remove surplus glucose from the blood until your BG levels are consistently mid teens mmols/l. This is what causes the frequent need to urinate and an unquenchable thirst, which are the symptoms of diabetes which only occur when things have reached a very serious stage, but those symptoms don't happen in the early stages of diabetes and you are not even in diabetes territory at all with those results, so diabetes is not causing your issue.
I don't know what the insulin test was that you had done but your body is clearly producing enough insulin to keep your blood glucose within normal levels, so there is no problem. Perhaps it was low because you are not diabetic and therefore had no need to produce more insulin, otherwise you would have been hypo. Balancing BG is a very complex system but there is nothing about your results which suggest there is a problem.

I too suggest you need to see your doctor about other causes for your trips to the toilet at night. Prostate gland problems are a much more likely cause, but I am sure there are plenty of other possible causes. Are you also weeing more during the day?
 
adz81 said:
I forgot to mention, i wake up to pee, every night, once-twice a night too and have for 3 years.
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These visits can depend on your age. I may well visit twice in a night but definitely once.
Worth getting other things checked to see if there is another cause.
 
adz81 said:
My HbA1C in February, was 32mmol / 5.1%. All my hbA1c have been under 35mmol. I've had a few. Does this mean I'm more Type 1 Diabetic or LADA?
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Try not to worry about diabetes @adz81

The diagnostic threshold is 2x readings above 47mmol/mol, amd you are comfortably below that.

Your fasting glucose looks perfectly normal too. The US used to have rather lower fingerstick glucose suggestions than we did in the UK. But fingerstick values aren’t really intended for diagnostic purposes - the HbA1c is a better measure.
 
I would agree with looking for other causes, for example even though you are a but young prostate issues may occur, having a sensitive bladder which over reacts to stimuli like caffeine, in both tea and coffee and coke. You could try decaffeinated drinks to see if it helps.
 
If a fasting insulin test is like a cpeptide test and tells you how much insulin you make then there’s no point having that test if glucose levels are fine and I certainly wouldn’t be worried if all other tests are normal. Your body doesn’t need to make loads of insulin when your blood sugar is in range. If your body is keeping your bg in range without needing to make much insulin then that’s a good thing.

If your blood sugar was very high when your insulin production was low, that would be a concern that your body isn’t making enough insulin (possible T1). If your insulin production was very high and glucose was high that would be a concern as could indicate T2 diabetes.

Your results suggest no concern other than that you might need some help for anxiety or some other symptoms looking into?
 
Hi I agree with the other posts that you appear to not have diabetes. Note that fasting blood tests for glucose are pretty meaningless which is one reason annual blood tests are no longer fasting tests.
 
Inka said:
Welcome @adz81 Your fasting blood sugar is in range and your HbA1C results are normal. I’d look for other causes for your nighttime toilet visits.

To give you a bit of comparison as you asked if you were already Type 1 LADA, when I was diagnosed my blood sugar was approaching 30 and I’d lost a huge amount of weight in a very short time and was on the verge of DKA. I was weeing quite literally every 5 or 10 minutes.
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Thanks. Wow, 30 mmol? I was worried as I read T1 is one of the 3 main reasons for 'Lower than minimum range' of 2 Insulin, mine was below 2. And I leaned towards T1 as i pee at night more than I should, I eat a lot of carbs (weight ttraining) and my Fasting Glucose is just above the norm. Yes, just over, but on the way up......
 
rebrascora said:
The kidneys don't start to remove surplus glucose from the blood until your BG levels are consistently mid teens mmols/l. This is what causes the frequent need to urinate and an unquenchable thirst, which are the symptoms of diabetes which only occur when things have reached a very serious stage, but those symptoms don't happen in the early stages of diabetes and you are not even in diabetes territory at all with those results, so diabetes is not causing your issue.
I don't know what the insulin test was that you had done but your body is clearly producing enough insulin to keep your blood glucose within normal levels, so there is no problem. Perhaps it was low because you are not diabetic and therefore had no need to produce more insulin, otherwise you would have been hypo. Balancing BG is a very complex system but there is nothing about your results which suggest there is a problem.

I too suggest you need to see your doctor about other causes for your trips to the toilet at night. Prostate gland problems are a much more likely cause, but I am sure there are plenty of other possible causes. Are you also weeing more during the day?
Click to expand...
Thanks. I had my prostate checked, I'm 43, apparantly, it's fine. I wee every 3 hours during the day, quite normal, sometimes i feel a little pee in my bladder, but not enough to go. Sometimes I wake up and feel a little pee in my bladder, 50-100ml ( I measured it when I went to pee) which the Doctor said, shouldn't be enough to wake me, but I do pee a decent amount around twiced a night too, which led me to think Pre-Diabetes or Insulin Resistance was the cause, then after my 'too low' Insulin fasting test, I was swayed more towards T1 or LADA.
 
SB2015 said:
These visits can depend on your age. I may well visit twice in a night but definitely once.
Worth getting other things checked to see if there is another cause.
Click to expand...
Thanks. I'm 43. I wake up to pee about twice, but wake up 2-3 more times, where I feel a little pee in my bladder (which I measured when peeing) it was only 50-100ml, the Doctor says that amount shouldn't wake me. it's been 3 years and i eat a lot of carbs and gaining weight (weight training), so with my Lower than the minimum range on the fasting insulin test and slightly about the norm on BS test, I started over-thinking.
 
adz81 said:
Thanks. I had my prostate checked, I'm 43, apparantly, it's fine. I wee every 3 hours during the day, quite normal, sometimes i feel a little pee in my bladder, but not enough to go. Sometimes I wake up and feel a little pee in my bladder, 50-100ml ( I measured it when I went to pee) which the Doctor said, shouldn't be enough to wake me, but I do pee a decent amount around twiced a night too, which led me to think Pre-Diabetes or Insulin Resistance was the cause, then after my 'too low' Insulin fasting test, I was swayed more towards T1 or LADA.
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Sometimes waking in the night and going to the bathroom can become a habit rather than an actual need. So if you do go then bladder capacity can decrease. If you try to restrict fluids because you think it will help then it may not as the urine becomes more concentrated so will irritate the bladder. Urinary tract infections can also increase the need to go.
You may be better having more protein rather than carbs to support your weight training.
 
Leadinglights said:
Sometimes waking in the night and going to the bathroom can become a habit rather than an actual need. So if you do go then bladder capacity can decrease. If you try to restrict fluids because you think it will help then it may not as the urine becomes more concentrated so will irritate the bladder. Urinary tract infections can also increase the need to go.
You may be better having more protein rather than carbs to support your weight training.
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Thanks. I should add, the waking up to pee issue started 1 year BEFORE I actually started with my current carbs and weight training, but I did weight train / eat lots of carbs 1 year before that too (then took 1 year off), so If it was the excess carbs, it would have been from my first year of doing it, that perhaps caught up with me. I'm a little confused, as you can tell. I will visit the doctors again and I appreciate all the replies, it has eased things a little.
 
adz81 said:
Thanks. I should add, the waking up to pee issue started 1 year BEFORE I actually started with my current carbs and weight training, but I did weight train / eat lots of carbs 1 year before that too (then took 1 year off), so If it was the excess carbs, it would have been from my first year of doing it, that perhaps caught up with me. I'm a little confused, as you can tell. I will visit the doctors again and I appreciate all the replies, it has eased things a little.
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Hello Adam, I think you might be googling the wrong stuff? Carbs don’t cause type one. It’s widely understood amongst academics an auto immune response destroys beta cells that produce insulin in the pancreas.
I’d kill for HbA1cs like yours, even with type one. Good luck getting back to your doctor.
 
Satan’s little helper said:
Hello Adam, I think you might be googling the wrong stuff? Carbs don’t cause type one. It’s widely understood amongst academics an auto immune response destroys beta cells that produce insulin in the pancreas.
I’d kill for HbA1cs like yours, even with type one. Good luck getting back to your doctor.
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I know carbs don't cause type 1. Originally I thought the carbs may be making me IR and Pre-diabetic, I didn't think of T1 at all. Only after my very low Fasting Insulin, it made me think of T1. I should haver been clearer. Anyway, Thansk for your time.
 
Nothing to worry about I reckon diabetes-wise - I hope you get to the bottom of the issue though - good luck
 
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