First of all, hello to everyone. I am new to this forum as I am newly diagnosed. I look forward to listening, learning, and sharing all things diabetes related.
It all began in the middle of last month (Nov). I randomly received a free cholesterol/glucose screening in the mail from a local pharmacy. My health insurance through my company wasn't going to be activated until December first, so I figured I would take advantage of the freebie. I fasted for about ten hours before the test. My fasting glucose came back 299 mg/ml. The pharmacist said I need to see a doctor because obviously that is not normal. I'm 29 years old with no family history of any diabetes. I'm 6'2" and I weigh 165 lbs.
I had been experiencing dry mouth, frequent urination, constant thirst, weight loss, all the tell tale signs, but I was foolish and in denial about my health. Not to mention uneducated about diabetes.
So I see an Urgent Care doctor because I still have about 2 weeks before my insurance kicks in. He basically tells me I have diabetes and that I don't fit the profile for type 2. He gives me some dietary tips and sends me on my way. I immediately purchase a glucose meter and begin monitoring my blood sugar very closely. I quickly realize that my blood sugar in general was out of control, but especially after meals. Postprandial spikes as I now know they are called. I was getting up to the 600 range. I became very nervous. I started reading about ketoacidosis, and all the other horrible things that can happen from such elevated levels. I immediately cut out all sugar and had hardly any carbs. I was basically eating nothing but string cheese and peanuts, and drinking only water. I'm thinking to myself if I can just buy some time I can get all this straightened out once my insurance kicks in. As you probably could've guessed, a few days later on the string cheese and peanut diet I was feeling horrible. I was denying my body/brain vital fuel it needed to function properly. What did I know? I was winging it at this point. I began losing more weight, and turning pale. At my girlfriend's sister's constant pleading, I reluctantly agreed to a visit to the ER.
I was scared to death that they were going to hospitalize me. It was, at that point, 8 days until my insurance kicked in. I started pounding water and was able to get my sugars down to 260 prior to seeing the ER doc. He gave me an IV, and ran my blood followed by insulin injection. He diagnosed me as type 2 and put me on 500mg of Metformin 2x a day. He then told me I had ketones in my blood and urine (+3) but was not acidotic. I got smarter with my diet and began to exercise daily.
Fast forward to December 2nd. I made it! My insurance was activated and I began seeing a nurse practitioner. She did a metabolic panel and thank god everything came back normal (besides the ketones and high blood sugar). My A1C came back 14.3. She told me I was type 1, and within a few visits I was shooting 20 units of lantus before bed, and 4 units of Novalog before each meal. Plus the metformin twice a day.
Now the adventure had really begun. The insulin, while very effective in controlling my postprandial spikes, had presented a whole new set of challenges. I quickly learned that if I didn't have enough carbs in my meal, I would go hypo. I would shake then sweat, followed by headache.
The next 2 weeks went by. I was beginning to adjust to my new routine. I was learning what to eat with my insulin. I was learning when to snack in between meals. I started to feel normal again. I started gaining some weight and my body was getting stronger.
The day before my first appointment with the endocrinologist, the insulin turned on me. Around 2 to 3 hours after my shots my blood sugar would crash. Only this time I was not having symptoms. I chalked it up to maybe I just wasn't on the right dose yet, and was extra careful about checking my sugars before/after my shots, and during/after my workouts.
Today I met with the endocrinologist and she started talking to my about type 1 and how I was going to manage it. I had a list of questions for her. I realized that even though I had requested a C-peptide test I had never gotten the results. She quickly left the room and had the lab fax it over. The results came back 1.23 ng/mL. This means that my pancreas is producing insulin. At least a small amount. She immediately takes me off of the Lantus and only wants me to use the Novalog on a sliding scale. She then increases my metformin to 500mg 3x daily, and writes me a scrip for Glyburide, an oral pill taken 2x daily.
I feel like I'm a walking experiment. I don't know what to make of all of this. My body responded so well to the insulin injections that I thought I was type 1 like I had been told. Now I don't know what is going. If you've read this far, I thank you very much for your time and would appreciate any insight, opinions, comments into this bizarre disease.
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