Change of diagnosis

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Type 1
Hello,
I was diagnosed with Type 1 on 27th December 2008. I’ll never forget this date as it changed my life forever.
I was re-diagnosed with Type 2 in 2019, nearly 11 years of living with what I thought was Type 1.
When I was diagnosed I rebelled, I was 21 and at university. I didn’t want the illness, hadn’t asked for it, and I didn’t want to live with it. I sporadically took my medication, sometimes not injecting insulin for days. I didn’t believe the horror stories and didn’t think it would ever kill me so I just got on with life like I didn’t have an illness that was threatening it. I then graduated university, got married and grew up!
In 2013 I attended the DAFNE course. My HbA1c was around 13 and I knew I had to do something about it if I ever wanted to be a mother, a healthy mother. I attended the course in July and in the October my HbA1c was just under 7. I was so proud of myself and I continued to follow the principles. I was pregnant by March, with a HbA1c of 5.9!!!
Fast forward a year and I now have a newborn baby who is taking all of my attention. I’m focusing on him and, at times, acting like I don’t exist. I’m forgetting my insulin doses, missing tablets and generally not looking after myself. My HbA1c is soon back to around 13. I knew this wasn’t good and I’d be no good to my son if I didn’t look after myself but I didn’t have the energy. In 2016 I finally asked to be seen by a consultant so I could have regular check ups and advice, something I hadn’t received since the pregnancy. I knew I could get my diabetes back under control as I had done it once before.
It didn’t happen. I dropped out of the clinic, stopped going to appointments and generally stopped caring about myself. The diabetic nurse at my GP left, someone who had encouraged me to go on the DAFNE and supported me through pregnancy and the months after. Someone I had come to trust, and like… I did not like her replacement! In 2018 this diabetic nurse made me question everything I had been told on my near to 10 year journey with Type 1 diabetes. She told me things didn’t add up, that my results at the time of diagnosis and my recent results (blood work I assume) didn’t match to type 1 and she thought I was actually type 2. I was in shock - all these questions floating around my mind; could I have avoided insulin, have I been managing with the wrong medications, could I have lost weight and been healthier years ago???
In 2019, after joining a new consultants clinic, I was tested and re-diagnosed with Type 2 Diabetes. I was already taking Metformin so nothing was changing there but I thought maybe I’d be off the awful injections as my body was showing signs of producing its own insulin. Nope, I was wrong - I am an insulin dependant type 2… so nothings changed, or so I thought.
I was no longer a priority for a pump, or other award worth technology that was being developed and targeted at Type 1 diabetics. I was still on insulin, and still at risk or hypos and hypers but I was being treated differently by lay people who didn’t understand the disease. I’ve had so many ‘but you’re type 2’ comments that it will take a lot of strength not to punch the next person in the nose!!
I have been some form of diabetic for nearly 14 years and I am as clueless as the day I was diagnosed. In all honesty, I’m not interested anymore. I wanted to get healthy so I could have a second child, but it’s been 4 years since they started investigating the change in classification and my HbA1c is still around 13. I’ve tried a number of different medications, alongside the insulin and tablets, but good control is not coming.
I want to give up. It’s quite clear that my son is going to be an only child - only child in the wider family too, not just our immediate. I desperately wanted to be a mother of 3, but my son is 7 now and I’m in my mid-30s. You’re supposed to work in life towards the things you want, and what I want most I can’t have.
I didn’t ask for this disease, didn’t ask for the confusion in diagnosis or for the resistance to insulin I’ve built up over the years. I didn’t ask for anxiety or depression. I did ask for the opportunity to have a large family, with kids I can support to grow and achieve.
I want to give up.
 
Welcome to the forum, sorry to hear of your traumatic situation. I notice you live in Leicestershire, can I suggest you ask for referral to the Leicester diabetes centre as they are at the forefront in developing training for diabetes or at least look at their website to see if anything they offer would help you. https://www.leicesterdiabetescentre.org.uk/
If you can get your diabetes sorted out there is no reason why you cannot fulfil your dreams of more children, my daughters didn't even start having their families until mid thirties, and many people do have big gaps in age between them for all sorts of reasons.
There is evidence that insulin resistance affects all cells in the body including the brain which can cause depression and anxiety so getting your blood glucose managed well should improve that.
There are many people here who have been misdiagnosed but usually the other way round but also may who are Type 2 on insulin so hopefully they will be able to help you with some suggestions for finding a way forward that will help to stabilise your levels.
 
Hi and welcome.

I am so sorry to hear that you are going through such a tough time and that you are, not just not getting the support you need, but even worse, it sounds like negative support is being offered.

I would be interested to know the tests they did to change your diagnosis and what the results of those tests were. You should be able to access those results, either online or via a request.

Can we ask which insulins you are using and what difficulties you notice with your BG levels.
It is very much a case with diabetes of managing your own condition day to day and meal by meal so you do need to make time for yourself to do that but your medical professionals should be giving you the support you need and even as a Type 2 (which I very much doubt you are) you should be given support and technology to enable you to have a safe pregnancy. Is there any chance you can change GP surgeries as obviously this nurse is a physical and mental barrier to you getting the support you need and as a now classified Type 2 you will be under her care. I know that won't be an ideal situation but when your first line support is not supporting you and controls your access to secondary care, you are a bit snookered. Alternatively, is there a GP you have a good rapport with who could possible do you a referral to a different clinic? You may need to be quite pushy in a polite way..... but you do also need to make more of an effort with managing your BG levels yourself and that is something we can help you with here on the forum.

Anyway, those are my initial thoughts but I don't have time to type more at the moment. Hang in there and we will hopefully be able to steer you in the right direction.
 
I don’t have any particular words of wisdom and probably can’t make you feel any better. Just wanted to say hi, from a fellow previously mis diagnosed now undiagnosed D word person. Also with A&D. I’ve only endured this for nearly 2 years, exhaustion takes over most my days. I’m not saying any form of diabetes is easy but there is something very unsettling about not knowing what you are, what treatments will work or even if they ever will. Can I ever feel human again? Will I ever stop being angry about it ? Worst thing is the longer you have it the more those around you feel you should be coping better by now the attitude in my house is ah well, that’s just mum, she’s always miserable and never wants to do anything anymore. Let’s leave her to it. I’d love to be more uplifting and there will be many on here that are, but my order of big girl pants must of got lost in the post, because I don’t cope either. Just wanted you to know your not alone. Xx
 
@Wife_Mother_Diabetic Have you spoken to your hospital team about how you’re feeling? Diabetes is relentless. You say you’ve given up on yourself - please don’t. You’re the only You in the whole world and you’re worth just as much as anyone else. You have worth in yourself not just as a mum or a daughter or a partner. xx

You had very good control before and you can do it again. You’re not old and if you get back to the good control you had before your last pregnancy, there’s no reason why you shouldn’t have another child.

If you can explain a bit about your control problems, you’ll get some good suggestions here from people who understand what a drag diabetes is.
 
Hi @Wife_Mother_Diabetic

I'm sorry you are having a tough time, diabetes is a relentless condition.

As you were diagnosed relatively young for what your team now consider to be Type 2, do any of these descriptions for MODY - maturity onset diabetes of the young - tick any boxes with you. It's quite rare but does exist and doesn't fit the usual diagnosis boxes. Here's the link from Diabetes UK site

https://www.diabetes.org.uk/diabete...MI_JPOwYSe-AIVhaZ3Ch2PrA0vEAAYASAAEgJuUPD_BwE

It may not apply to you but worth a read.
 
My sister had trouble conceiving but came for a couple of weeks holiday with me just after I realised I was pregnant. I joked that it was infectious. She complained bitterly about the low carb foods I was serving up but my baby was born in early November, and hers in late January so it did prove infectious. There is an almost 9 year gap between her two.
I have been eating low carb from my youth and been pushed into high carb low fat diets over and over, always with an abrupt drop in wellbeing. On low carb I went through menopause, but could not tell you when, as it went unnoticed.
I am a really boring and ordinary type 2, and need no medication, but the low carb diet which my mother's family tends to eat has resulted in a very high fertility rate in the female line.
My sister was always on a low fat diet having been brainwashed into it being healthy and now she is getting on, she is hugely overweight.
 
Oh my. You have been through the mill, @Wife_Mother_Diabetic . No wonder you feel a bit disengaged.

I'm also in Leicestershire and have a bit of involvement at the Leicester Diabetes Centre, in their research arm. I haven't ever been under their care or any other for my diabetes, but I am under the care of the Endocrinologists for my thyroid.

I'm not at all typical for my hypothyroidism and it took a long time to get to the bottom of it, via a consultation which left me wanting to do the consultant mortal harm. My GP was sympathetic to my frustrations and offered me a second opinion, and asked me to choose someone to see.

After that, I had a chat with a fried who has since retired, but was a specialist diabetes nurse, who gave me the name of the consultant who allegedly sees "all the tricky cases", so I went to him. It still took a while to get to the bottom of things, but he kept working at it.

In your shoes, I would be asking for a second opinion on the re-diagnosis. If you do decide to do that, you don't have to have it at the same clinic/hospital, or even in the same trust. The only guidance I was given was if I chose to go out of area, and got on with the person I saw, I would have to consider ongoing care if they were too far away.

I think you need answers in order to have confidence in those who should be helping you live your best life. Don't give up. You deserve better.
 
Hi @Wife_Mother_Diabetic

I'm sorry you are having a tough time, diabetes is a relentless condition.

As you were diagnosed relatively young for what your team now consider to be Type 2, do any of these descriptions for MODY - maturity onset diabetes of the young - tick any boxes with you. It's quite rare but does exist and doesn't fit the usual diagnosis boxes. Here's the link from Diabetes UK site

https://www.diabetes.org.uk/diabete...MI_JPOwYSe-AIVhaZ3Ch2PrA0vEAAYASAAEgJuUPD_BwE

It may not apply to you but worth a read.
This also crossed my mind. I was tested for all strains of MODY over 2 months ago. Still awaiting my results. However this testing only happened because I paid privately to see a consultant who then suggested the testing and pushed it immediately through the nhs. Can be quite difficult to get tested otherwise.
 
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