Hi! Wondering if I should talk to my doctor about Type 1.5 or just accept that I'm a Type 2 diabetic.
A little background, I'll try to keep it short! Diagnosed Celiac in 2010 at 33yo. I've had issues with hypoglycemia all my life as long as I remember until going gluten free. I'll still get them but not near the frequency they were. Two pregnancies, 17 years apart, both with gestational diabetes. First pregnancy I was very underweight, second (very recent) I am 50lb overweight. First pregnancy was diet controlled.
A1C had always been good until late 2015 when I got into pre-diabetic territory at 5.9. Doctor chose no treatment. Tested in first trimester mid 2016 and A1C has climbed up to 7.1. This shocked me as to how fast of a progression took place. Nothing had changed and my diet had gotten a lot better. Went on insulin right away and had a heck of a time with it, it just seemed to not want to work well. Every time the insulin was raised, my BG went crazy after meals for a day or two. Up over 200 after 3 hours! Could never get fastings in order despite strict adherence to the GD diet until glyburide was added in the 3rd trimester. Baby has been born and all meds discontinued BUT my OB has proclaimed me a Type 2 diabetic with no follow up OGTT or A1C (which would be off until 12 weeks postpartum anyway) Numbers on monitor are OK, sometimes good, rarely over 200 with high carb meals. I have noticed that my high levels occur between hours 2-3 and go down to around normal by hour 4.
Due to the long term hypoglycemia issues, Celiac, GD and possible Type 2, would it be in my best interest to try and convince my doctor to order the tests for Type 1.5? I can accept the diabetes diagnosis but I want to be sure I'm diagnosed with the right type. Thanks for reading!