I have type 1 and my sister was just diagnosed with diabetes. But they put her on a anti-diabetic pill and it normalized. She went off the pill after a week or so and with a low carb diet she has decent control with no meds.
I think she might have LADA considering all the elements. Finding a good endo for this has been challenging because she wants to preserve her beta cell functionality and most endos just want to start her on insulin right away.
Can anyone recommend an endo that specializes in this in the DC area?
Many, many endos believe that starting a person with LADA on insulin immediately WILL preserve beta cell function. Not all agree with this and like to push off insulin because of the lows, but if she's looking to preserve her beta cells, getting her started on insulin will protect them rather than tax them like other drugs.
There are some who believe that starting a person with LADA on insulin early won't do much. There is evidence to support both claims, but there is no evidence that starting a person on insulin will decline beta cell function. Therefore, there is possible benefit to the beta cells and no risk to the beta cells for starting insulin.
Thanks Guitarnut. I only can speak of my own experiences. I was diagnosed with T1 through intense ketacidosis so most likely I did not have LADA. However, when they put me on Novolog and Lantus- I noticed that I did get some beta cell function back. In fact, I could go days without taking Lantus.
I sometimes wish that I had only taking the rapid acting insulin. Maybe it could of preserved my beta cell function better.
Thanks for the suggestions!
Where in the DC area is she?
She is in Falls Church, VA
Thx, sorry I don't have a good one to recommend there. Mine is in Annapolis, MD
When I lived in Falls Church I went to see Dr. Christine Go in Arlington. Not too far. I liked her (but I like my endo here in Colorado better - in fact I like him better than the endos I saw at the Joslin Center in Boston).
I really don't think any endo "specializes" in LADA. What you really want is an astute endo and one who will listen and work with you. If find one and your sister asks for the proper tests then you will get a proper diagnosis. I am in the DC area and if you send me a private message, I will give you the info for my endo in the area.
First question: if she has good control, why do they want to start her on insulin? If her A1C is too high, she stopped takingthe meds... Anyway
He has not gotten the best reviews here, but I use Northern Virginia Endocrinolgists in Fairfax, and see Dr. Ross. They are rated well, and I only use my endo for pump and cgm supplies. He is a bit gruff, but his advice is generally very good and I called yesterday for an appointment and got one for Monday.
There are other docs in the practice, but I choose him based on the reviews. I would call and ask about the beta cell protection angle.
George Washintion hospital has a fantastic endo department and is easy access from Falls Church. They do tons of research and are always up to date. My wonderful endo left the area, and I no longer needed that kind of care, but they were great, but hard to get an appointment... I am sure they would love to see an LADA whose goal is the protect beta cells. It has research written all over it!
Thanks everyone for your advice so far.
Spock, I am a type 1 myself and actually Dr Ross is my endo too.
I like him and would give him good reviews.
I like him better then my endo is Europe (where i am living now) But, we could not get her an appointment with him because he was not available. She met with Langley I believe.
The Doctors are little clueless on her case because of she restored her normal blood sugars with a pill and a low carb diet. The only problem is that she is loosing too much weight eating that way. She has lost 20lbs or so and she was lean to begin with..
Your sister is one of those in the outlying arenas. Her goals are great and wonderful, but not on the radar of the typical endo. I am not surprised they seem clueless.
When I visit endo offices, I just see a lot unhappy and unhealthy people. I find it a very sad place to be. I think endos work with those people a lot, not so much those of us who care and accept diabetes.
It is actually quite reasonable to restore normalized blood sugars with LADA. But that doesn't make you ok. It simply means that you can control things temporarily. I have seen Dr. Ross as well, and agree he is gruff but competent. He helped me with my endocrine problems related to over medication from the cardiologist, but basically threw me out on my diabetes, having no interest in helping my diabetes problem unless it was "really bad."