Possible LADA dx after Gestational diabetes?
I was diagnosed early on in my pregnancy with gestational diabetes. I controlled it well with diet etc. Now my dtr is almost 11 months old, and I had an A1c done... 6.2 When I first got pregnant my A1c was 5.3. Has anyone else had this happen? I do have a mom with Type I and a dad with type II. Should also mention I'm not overweight, low BP, and good cholesterol. Totally not a typical type II. I have an appointment tomorrow... I hope I don't have to argue with them about the antibody tests :-(
Thanks for any advice!
Tags: Gestational, I, LADA, Type, diabetes
Replies to This Discussion
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Permalink Reply by Melitta on
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An interesting study on German patients with GD, now considered an older study (~1998 I think), found that almost 100% of women with GD who had to be treated with exogenous insulin during pregnancy then developed Type 1 diabetes post-pregnancy. It's referred to as autoimmune gestational diabetes. TuD member Kelly, who had GD, was misdiagnosed as Type 2, then later correctly diagnosed as Type 1 after insisting on autoantibody testing, says "I would add that a sign of autoimmune GDM is being diagnosed under the age of 30, having no or little family history of Type 2, and being diagnosed (or testing positive for sugar in urine tests) before 25 weeks gestation."
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Permalink Reply by MKSSS on -
Yes, my OB didn't even give me a choice with the oral meds. She wanted me on insulin asap. My blood sugar was very high though. I didn't know enough about diabetes to ask why. Wish I had.
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Permalink Reply by Shawnmarie on -
Jumping in to reply to Ron about his wife's concern re injecting. You can get needles for the pens that are very very tiny. I almost never even feel it when I inject.
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Permalink Reply by Holger Schmeken on -
The problem is to differentiate gestational diabetes (hormonally induced) from being pre-diabetic (T1 or T2). If you are indeed on your way to T1 (T1.5 is just a slower developing T1) then the pregnancy will reveal that. From an article I have read I have the impression that pregnancies need more beta cell mass (the cells that produce insulin). With T1 in pre-diabetic stage the capability to extend this mass is limited. As a result these women show all the signs of being pre-diabetic. After the pregnancy this might revert to normal levels. But more likely the autoimmune condition will gain more momentum with time leading to a sure T1/T1.5 diagnosis within 1 to 2 years after birth.
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