Hrmm, it is a bit of a quandary, and one I’ve found myself in. A lot of seems a crapshoot as to what doctors are available in your area. The only endocrinologist in my area just doesn’t believe that those with LADA should be on any insulin therapy until all orals are exhausted (so basically, she treats LADA as if its Type 2).
When I was initially diagnosed, I was diagnosed as Type 2, and so one of the doctors I started seeing was a metabolic specialist (since she specializes in Type 2 diabetes). She and my PCP know each other (small community), and unlike the endocrinologist, she is a strong proponent of aiming for “normal blood sugars” for all diabetics. So, between her and my primary care doctor, I’m pretty well taken care of, despite the lack of a competent endo here.
That being said, I fired my first PCP (the guy who diagnosed me) for the very reasons you’re talking about: he insisted I take a statin even though my lipids were good; he wanted my A1c to be between 6.0-6.5, and never lower than 6.0; he wanted me not to do any exercise other than walking. The guy was a well-meaning idiot, honestly. We tend to put doctors on pedestals in this country, and many of them don’t deserve such treatment.
So I went looking for new doctors, and I basically interviewed them. I made an appointment with the metabolic specialist and told her about my case. She suggested serious carb restriction and insisted I get tested for antibodies, so she was the main reason I found out I was LADA. I was so impressed with my wife’s OB (who is also a family doctor and now our son’s pediatrician) that I asked her if she would be my PCP, and she agreed. She freely admits to not knowing much about diabetes, but is happy with where I’m at and perfectly willing to support my treatment decisions.
I’m sorry it is so hard to get the “right” kind of doctors, but it really is important. So my suggestion is: start shopping and ask the tough questions. We pay doctors to help us; we don’t need to be obsequious or shy about our needs.