New T2 Diagnosis - Conflicting Info

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Just done his BG and he's now 26.8....more than a little concerned...told him to wash his hands just to double-check....22 on re-check...within normal variance so high!

Question is, at what point do I tell him to go to A&E? Is this unnecessarily worrying? He, of course, is unaware that this is quite a severe situation (or is it?), so I don't want to make more of it than is needed.

Thanks all 🙂
 
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If he peed on a stick it would tell him whether he is on his way to DKA or not, having said that though, 22 is still brutally high..... He should be drinking a lot of water at this stage..... IMHO A&E
 
Martin Canty said:
If he peed on a stick it would tell him whether he is on his way to DKA or not, having said that though, 22 is still brutally high..... He should be drinking a lot of water at this stage..... IMHO A&E
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Interestingly...he tells me that over the weekend he was really thirsty, but isn't now...update...4:45pm - 19.3 (347).
 
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NickC said:
Hi all,

I'm T1 for 10 years, so this question is not related to me, but a colleague. I'm an admin on the Freestyle Libre Users group on FB, in case anyone knows me 🙂

A colleague has come up to me and told me that he's been informed that he's got D (16mmol/l spot test). He was prescribed Gliclazide by the doctor. He then went to see nurse and told not to take them (she couldn't work out why he was prescribed). He's going for a blood test tomorrow (A1C, I think). Nurse said that he's unlikely to be seen again before Christmas. His levels were 18.6 and 20.2 when I took them for him this morning. He's also got blurred vision. His symptoms came on rapidly (polyurea over weekend and some weight loss in the last month), but I would have thought he is probably prime T2 (slight worry about speed of onset).

I'm telling him that he needs to get himself into the doctor and on medication pre-Christmas...do you think this is the right advice and does he need to be forceful? What should he be saying?

Thanks for your help and have a great Christmas.

Nick
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I would get to see someone, The sooner you find out the less damage to oneself, Good luck 🙂
 
I have little personal experience as not Type 1, but my dad was and at those levels I/he would have worried. I would go to A&E because if he becomes unwell over Christmas it may be difficult to get to see someone quickly. You are a good friend. I wish there were more people like you around!
 
The story continues - thanks all for support - I'm determined not to let my colleague go into Christmas untreated:

My colleague saw another doc (the third he's seen), who did take his levels this time - 17.6 (317). Colleague said, aren't you going to treat it? Doctor said, he could give him tablets, but wasn't prepared to as he didn't know whether it was diabetes (I thought a random BG over 11.1 was equivalent to a diagnosis?). He has convinced them to speed his blood results through and has another doctor appointment tomorrow. Colleague asked what else it could be apart from diabetes and the doctor wouldn't say. He's not on any other medication, legal or otherwise 🙂
 
NickC said:
The story continues - thanks all for support - I'm determined not to let my colleague go into Christmas untreated:

My colleague saw another doc (the third he's seen), who did take his levels this time - 17.6 (317). Colleague said, aren't you going to treat it? Doctor said, he could give him tablets, but wasn't prepared to as he didn't know whether it was diabetes (I thought a random BG over 11.1 was equivalent to a diagnosis?). He has convinced them to speed his blood results through and has another doctor appointment tomorrow. Colleague asked what else it could be apart from diabetes and the doctor wouldn't say. He's not on any other medication, legal or otherwise 🙂
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I too thought at that level it was defination, and a HBAC1 does not take for ever to come through.
 
If a random BG was 17, and the doctor wasn't sure it was diabetes, then he must be a bloody idiot. Nothing else could be the cause with that history. He sounds very much like a T1 to me. Age and weight?

But if he shows any ketones, it's off to A&E, where you might come across doctors and nurses who know what they are doing. The shoddy treatment so far is dangerous.
 
He's around 6'6" and 50 years old and probably overweight, but not 'fat'...so not typical T1 territory...but in my mind, I can't rule it out. He's lost weight recently and not been on a diet. I've told him to get some Ketostix...but as the doctor has not made him worried...he doesn't think it necessary. He's had random BG on my meter between 17 and 26 (I retested the 26 and it came back 22 after he washed his hands again).
 
Those are very high numbers. I know I would be worried if I went that high again. Lets hope he gets somewhere with the Dr and quickly!
 
Do GPs in this country routinely do c-peptide? I know I didn't have that test, but that was back in 2007 (when they posted my 37mmol/l lab result from the GP to the hospital and I wasn't called in for 48 hours!!).
 
NickC said:
Do GPs in this country routinely do c-peptide? I know I didn't have that test, but that was back in 2007 (when they posted my 37mmol/l lab result from the GP to the hospital and I wasn't called in for 48 hours!!).
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Not even when people's diagnosis is not clear cut and cost is often brought up, and it can take weeks to get a result.
 
Evidently....the doctor this morning couldn't work the lancing device, so took the lancet out and used the lancet without the device...ouch - makes me wince just thinking about it!

Good news is that lab results are back...but receptionist wouldn't give him the results over the phone. Appointment tomorrow am...have given him a list of questions to ask 🙂
 
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Hi I have been diagnosed T2 recently,my reading at the docs was 20+,he imedeatly gave me 60mg of Gliclazide & a free test meter,which I thought was very good.I am 6ft 6" and was peeing like mad,so im not sure why these docs are being so cautious,it sounds pretty obvious.
I hope they sort your friend out at next visit
regards dan.
 
Just for instance, I was 51 when I was diagnosed. GP assumed I was Type 2 because of my age. After several months of levels unresponsive to Metformin and Gliclazide, I finally got a hospital appointment, was given a GAD antibody test which was positive, but they didn't wait for the result of that to assume I was Type 1 because of the way I was presenting, and started insulin straight way. I had an HbA1c of 16 ( in old money, don't know what that equates to in the new system) at diagnosis, and my finger prick tests when I started doing them were often in the 20s. I didn't know just how bad that was! The comment by the hospital DSN was 'I'm surprised you were still walking round, with those levels!'
 
Well given the results would not be given over the phone it's obvious the hospital tests have confirmed the diagnosis. Hopefully he will get the right treatment now
 
Thank goodness lancing devices are no longer like this one:
worst_lancet_device.jpg

😱
(The same image search turned up a lancing device which looks a bit like a flying saucer; rather attractive, except that the green bits are in a yellow-green I find a bit yucky...)
 
robert@fm said:
Thank goodness lancing devices are no longer like this one:
worst_lancet_device.jpg

😱
(The same image search turned up a lancing device which looks a bit like a flying saucer; rather attractive, except that the green bits are in a yellow-green I find a bit yucky...)
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Boy this brings back memories. . At my old work we were switched to that device from something very similar to this little beauty.
Imagine holding out your hand to have this thing jabbed into it
IMG_0244.JPG
 
Hi Nick C . It a good job you are there for him. It is such a worry when you know things are not right. I'm often shocked at how little some professionals know about diabetes .
 
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