Another "new-to-all this"

Status
Not open for further replies.
Hi Nikki, The Dr diagnosed me as a Type 2 in April (levels running at 7 or 8) after a regular 6-monthly review and I was put on a diet regime. However just recently they've run tests and my liver function test results were a bit odd so they did a blood sugar reading in the surgery at the end of Oct and the nurse found it was 25 (2 hours later I was admitted to our local hospital for "monitoring"). There I saw the endocrinology Consultant regarding the liver resulsts and the diabetic Consultant who told me that I was "evolving into a type 1". I saw the Diabetic chap again last week and he is still of the opinion that I shall soon need to be injecting and he is sure I was misdiagnosed in April (I'm 61 which indicated Type 2 but at 5ft I had lost a stone in weight - now 8 stone 6lbs and had the raging thirst, thrush, eyes acting up etc). He's allowing me to be on 320 Gliclazide and 500 Metformin a day to see what happens but my levels are still very erratic and, when he sees me in February, he says I shall have to go onto insulin. Although this seems a bit haphazard I do think he's right and I hope I shall feel better when I am more in control of my levels - at present the blood sugar levels are controlling me instead of the other way around and I am being SO GOOD - it's sick-making at this time of the year !!

Anyway I am getting great support from people on this site which helps a lot.
 
vince13 said:
Hi Nikki, The Dr diagnosed me as a Type 2 in April (levels running at 7 or 8) after a regular 6-monthly review and I was put on a diet regime. However just recently they've run tests and my liver function test results were a bit odd so they did a blood sugar reading in the surgery at the end of Oct and the nurse found it was 25 (2 hours later I was admitted to our local hospital for "monitoring"). There I saw the endocrinology Consultant regarding the liver resulsts and the diabetic Consultant who told me that I was "evolving into a type 1". I saw the Diabetic chap again last week and he is still of the opinion that I shall soon need to be injecting and he is sure I was misdiagnosed in April (I'm 61 which indicated Type 2 but at 5ft I had lost a stone in weight - now 8 stone 6lbs and had the raging thirst, thrush, eyes acting up etc). He's allowing me to be on 320 Gliclazide and 500 Metformin a day to see what happens but my levels are still very erratic and, when he sees me in February, he says I shall have to go onto insulin. Although this seems a bit haphazard I do think he's right and I hope I shall feel better when I am more in control of my levels - at present the blood sugar levels are controlling me instead of the other way around and I am being SO GOOD - it's sick-making at this time of the year !!

Anyway I am getting great support from people on this site which helps a lot.
Click to expand...
i was nervous at the thought of insulin- i hate needles!! i didnt think i would be able to do it, it is amazing what you can do when your health depends on it. i also had all the symptoms you described. the best thing i did was going on insulin, i felt 100% better within a few days, thats when you realise how s*it you felt before. dont worry too much im sure it be ok. if you need to talk, ask questions or just moan we are all here and willing to help if we can.
 
Thank you annemarie, I have got so much feedback in a very little time from all you people on this site. It is good to know that people feel better after taking the insulin step - gives me hope for 2009. Happy Christmas and a very healthy 2009 to all.
Faith (Vince13)
 
thanks for the info Vince. I don't really understand what your consultant means by 'evolving into a type 1' it doesn't make alot of sense. If he means you have type 1.5/LADA then maybe he meant that your would eventually become type 1. But I think that letting someone you believe has type 1 only take tabletes is very dangerous as you are risking DKA. you'll read the stories here of mis-diagnosis and people ending up in DKA.

I would ask for the antibodies blood test and a c-peptide to determine correct type.

I love being on insulin, I find it more flexiable and easier than tablets.

have you mad any changes to your diet? are you following a high or low carb approach?
 
Saw my Dr and the Diabetic nurse today and they seem happy for me to continue up to my next appointment with the Consultant on 16th Feb when they all seem sure I will start injecting. I've only been advised to have a "healthy diet" which I thought I had anyway (yes, honestly, I do eat well - no junk food, love cooking etc). No-one has given me any other guidance on this at all.
 
A dietician informed me that Type 2's can evolve into Type 1s. Apparently Type 2s may initially have very high levels of insulin circulating but it cannot get into the cells due to insulin resistance which is helped by metformin and exercise. Eventually the pancreas then reduces the amounts of insulin it produces so Type 2s get drugs to stimulate it (in my case, gliclazide) along with treatment for insulin resistance. However, the pancreas may then fail to produce any insulin and so Type 1 becomes as if Type 2. Doesn't mean the insulin resistance disappears though

Type 1s can also develop insulin resistance ...... !

As long as Type 2s produce some insulin they won't progress to DKA but, like Type 1s, when no insulin then are at risk
 
That makes more sense to me, Vanessa. My Consultant explained last week (first follow-up after being diagnosed appointment) that I am making some insulin and the gliclazide and metformin will help me for a very little while and my levels are still in the 10.9-14.3 range early mornings fasting. He expects me to need to inject from when I see him next February when he thinks my pancreas will have given up producing insulin itself. Happy 2009 eh ?
 
vince13 said:
That makes more sense to me, Vanessa. My Consultant explained last week (first follow-up after being diagnosed appointment) that I am making some insulin and the gliclazide and metformin will help me for a very little while and my levels are still in the 10.9-14.3 range early mornings fasting. He expects me to need to inject from when I see him next February when he thinks my pancreas will have given up producing insulin itself. Happy 2009 eh ?
Click to expand...
hi vince13, don't worry too much about going on insulin, you will feel 100% better health wise.Idid'nt think i would cope having to inject,( i hate needles) it's not that bad, the needles that most people(myself included) use nowadays are very tiny mine are 6mm they are also very fine so most of the time are painless unless you keep injecting in to the same site, you have to rotate sites.
 
Status
Not open for further replies.
Back
Top