Is it possible that I am not a Type 2, but perhaps a LADA?

Annie Banannie
By Annie Banannie Latest Reply 2011-12-03 07:16:43 -0600
Started 2011-11-26 04:34:28 -0600

I was diagnosed with Type2 Diabetes in March, 2003. I have seen my numbers race all over the map. I have had good days, and certainly very ugly days (days with no energy and days of complete frustration due to the numbers) For years I was taking oral medication, until 3 days ago. My doctor prescribed insulin (morning/evening dosages) coupled with HALF of what I was taking before (Metformin & Glipizide) Since taking the insulin I have noticed that my numbers are far worse than they ever were. I cannot get out of the high 200's range. I did some research, and I see that there are people who are insulin resistant. Yikes! I need some advice!

10 replies

kdroberts 2011-12-03 07:16:43 -0600 Report

LADA doesn't have an official definition, some use it as straight up type 1 diagnosed in adults, some use it as a kind of type 1/type 2 hybrid. Usually though people with it can go a very long time without insulin, sometimes several years. It can take a while to get insulin doses correct but it sounds like you are on levemir (maybe lantus) which is more of a background one that is designed to keep your blood sugar stable rather than lower it so its possible that you are expecting it to do things it can't actually do.

annesmith 2011-12-03 00:42:35 -0600 Report

I don't think you're LADA because you would not have had it controlled with oral medication. However, I would be careful if I were you, and go back to taking the Metformin in full. I know I can't take Metformin at all, as my pancreas rejected it…it just did not work…it set me seriously low, yet when I have had insulin it leveled my numbers out beautifully—-only problem I think I find with insulin is the weight gain—I gained about 8 lbs from it…not too happy about that…ha,ha…ANNE

KellyJo76 2011-11-28 10:41:44 -0600 Report

LADA is adult onset Type 1. If you have been in control with oral medications for years then I don't think that's the case. I was diagnosed as LADA because I was 28, but originally they treated as type 2 and I had the opposite effect happen. I was on meds for 2 weeks and could not get my numbers under control because I needed insulin. As soon as I saw and Endo and got my true diagnosis I was put on Insulin right away and within 3 days I was under control. I think your body is just adjusting to the fact that you cut your meds in half and may not be taking enough insulin. Definitely, talk to your doctor.

Annie Banannie
Annie Banannie 2011-11-28 14:42:04 -0600 Report

Thanks you! :) Still waiting to hear from my doctor! I went back to taking my regular doses and my number are back to the low 100's!

MEGriff1950 2011-11-26 09:31:07 -0600 Report

Annie before being given a meal plan at a diabetes education class by a dietican my numbers too were all over the place. I was taking 40 units of insulin a day, 4 glyburide and 6 metformin. Within a month I no longer needed the insulin then within another month I went off of the glyburide also.
Along with following the dieticans meal plan I started keeping a journal. In this I noted the amounts of what I ate and when I tested my blood. Very shortly I learned what foods I could eat, what ones to limit and which ones to avoid completely.
During the diabetes education class I learned that eating 3 meals a day helps to level out the blood sugars and helps the medications work. I also learned that friut juice is very high in carbs, I had always thought that juice is healthy. Many fruits are very high in carbs too. I cannot eat breads even the healthiest, some diabetics can eat breads. I cannot eat any rice but some diabetics can. I do very well with any potato but many diabetics cannot eat them at all.
As diabetics we are each individuals and have to learn how our bodies will react to food and exercise.
I highly recommend attending a diabetes education class and a visit with a dietican. If you have a local American Diabetes Association office near you they may help you get on track.
My diabetes is now under control. My BG's range between 100 and 125 that is both fasting and 2 hours post meals unless I eat the wrong food such as pasta.

Annie Banannie
Annie Banannie 2011-11-26 10:46:27 -0600 Report

p.s. I was fortunate to be given "Diabetes Awareness" classes in September. I went to those classes each Tuesday for 3 hours for the entire month. I was also informed about foods to eat, exercise, medications and what they do! I was still taking oral meds and was able to apply my information and my A1C was so much better on my next visit this past week. However, they still considered placing me on insulin and now my numbers are so out of control. I am going to try a new diet of no "WHITE" of anything and see where it takes me. Thank God I am not a big fan of bread.. LOL However, my biggest weakness is sweets! :/ Wish me luck!

Kirla 2011-11-26 08:05:57 -0600 Report

Its possible. Lots of people are misdiagnosed. Your doctor should be able to run some test to determine if your type 2 type 1 or LADA. A lot of doctors don’t run all the tests and just diagnose by age. Most Adults getting diabetes are type 2, but not all.

Insulin resistance. Most if not all type 2 people have or once had insulin resistance. After reading lots of stories here and on dlife, I’m starting to think that lots of type 1 people later in life and maybe some young people might be getting insulin resistance also.

I believe that drinking lots of water and eating lots of low carb vegetables helps reduce insulin resistance. When diagnosed my A1C was 14.1 and fasting blood sugar was 366. By making some changes to my diet I was able to get my blood sugar under control in about 6 weeks and A1C dropped to 5.9 in about 4 months. Making the changes necessary is hard for some people. For me when I test 1 or 2 hours after eating and see my blood sugar spiked 100 plus points was motivation for me to stop eating certain foods. Not everyone has the will power to make the changes.

Well this is what I post for people having trouble controlling their blood sugar. This is what I did and it helped me a lot. It may or may not help you but I believe that drinking the water, eating the vegetables and reducing or eliminating high carb starchy foods will help most people.

Feb 2009 I was diagnosed with a fasting blood sugar of 366 and A1C of 14.1. Started to eat a salad every day at supper. Also started to eat lots of low carb vegetables like broccoli, cauliflower, cabbage, cucumbers, spinach, pickles and sauerkraut. Started to drink 8+ glasses of water every day.

I then bought a meter and started to test my blood sugar before and after each meal. At first I was testing 2 hours after each meal and when my numbers dropped a lot I started testing 1 hour after meals. I was testing 5-7 times a day. I cut back or eliminated foods that spiked my blood sugar more than 50 points after eating.

By testing I found that foods like bread and most foods made of grains along with pasta, rice, corn, potatoes, oatmeal, cereals, chips, crackers, cakes, cookies, candy, soda, fruits, fruit juices, milk and most foods that contain more than 5-6 net carbs per serving as found on the package label all spiked my blood sugar. Some people can cut back on these foods and some people like me have to stop eating them.

After about 6-8 weeks my blood sugar readings were almost normal levels.

I found by reducing and eliminating high carb starchy foods helped me a lot. By adding small amounts of chicken, beef, pork or a hard boiled egg to my meals helped reduce blood sugar spikes also.

Good luck

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