Thank you, for both the scan details and your fuller explanation, providing context. I understand the stress about the 2 week wait; we waited 6 weeks between first being seen and a preliminary diagnosis. I was heavily jaundiced, very debilitated from a blocked bile duct and the NHS web page answered a question about blocked bile duct with a no nonsense PC diagnosis. No nicety or softening the response, straight in with PC and treatment options.
I've never seen so much detail from any of my CT scans (c. 15 since Dec 2019). I guess that says a fair bit about the lack of consistency in NHS practices. My situation is more complex, in that I used to live in Bucks and was sent to Oxford for my Whipples Procedure, then Oncolgy sponsored by Oxford but done in Bucks and initial Endocrinology from Bucks, but adopted by Oxford once it became clear that Bucks didn't know how to manage my pancy'less T3c. Then Trusts didn't trust, so data sharing digitally was blatantly poor. It seems that despite Integrated Care Systems Trusts still don't know how (or don't want) to share. Now I'm in Berks. A recent Berks Urology Consult from my Berks GP ended up by being referred back to Bucks for review of the prostatectomy that seems to not be behaving properly. Not sure if this should reassure, or worry me! I've digressed.
Even without any feedback from your GP, that report is clear enough: nothing malignant! Well done to your GP for at least registering that your elevated BG was possibly unusual and eliminating one cause. Also this provides one clear answer to that query about what tests are possible to identify T3c.
So now T1 or T2? You've already heard that it would be normal for further blood tests for T1 antibodies and C-peptides. I know very little about these, other than members saying the results tend to take weeks, rather than days, for results from specialised lab testing. Sometimes those results sustain an ambiguous diagnosis, despite the time needed for that result.
My blood sugar "score" was 81 so not as high as others I've seen, the other thing is I could do with putting on weight definitely not losing it,any tips on that on a diabetic friendly diet? Any help appreciated.
There is a potential conundrum about diet. Right now you've previously described some of the classic consequences of periods of high BG. An Hba1c at 81mmol/mol, would leave almost anyone feeling well off par (ie like rubbish). This elevated BG can even lead to changing vision, because of increased salinity within the eye ball and a different shape. Naturally anyone, in the absence of a magical medication, would want to look for an "improved" or different diet as one way of getting to just feel better. Plus putting on weight.
The normal routes for T2 would be try and lose weight (not desirable for you), exercise more (not applicable to you) and cut back on carbohydrates (which are the easiest way for our metabolism to create BG). Plus, possibly oral meds. We know that insulin availability within one's BG is the key to allowing the transfer of glucose from one's blood into individual cells and thus organs and muscles. A significant factor with insulin availability is one's own natural insulin resistance; we all have a certain amount of that resistance: usually T2s have this resistance in spades and for those T2s most might naturally make loads of insulin but their metabolism simply can't cope because of high insulin resistance.
The conundrum is by going low (or lowish) carb might give you some respite for now but might also be masking the T1 reality and lead into an assumption that you are T2 and now managing. From your GP's response to date, this seems unlikely; but worth keeping it slightly in mind. Above all do document what changes you have or are making in respect of diet. Whatever you do, in case eventually T2, your lifestyle changes need to be sustainable for possible long term T2. Meanwhile how are you now getting on?
Incidentally a diabetic friendly diet doesn't exist as such. T2 needs different solutions to T1: for T1 (or full insulin dependency) we eat a normal healthy diet and take insulin to mitigate for the carbs being counted. No need to go low carb if T1, unless there are other medical reasons or that is simply what we choose to do.