Do you have Latent Autoimmune Diabetes in Adults? Need support in having this type of Diabetes. Do not understand much about it? Join us as we discuss, support and learn more about LADA!
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Yes, I'm certain.
(1) I don't use any basal insulin. Don't need it. If I don't eat, my BG stays in the 80s. It's only food that causes problems.
(2) C-pep (tested quite recently) says I have some remaining beta cell function. Just not enough.
(3) I've been using insulin for less than a year. And here is a direct quote from something you wrote during a discussion we had last summer: "IMHO, it is highly unlikely you are Type 1. The typical length of time for LADA's to manage without insulin is anywhere from a few months to about 4 years; some people have gone a bit longer, but a 17-year onset of type 1 (needing insulin) seems very unlikely. It is however, a typical period of time before Type 2's go on to need insulin."
Here's what it amounts to. There are different T2 patterns. Some have high BG because they have high IR. Others, because they have very little insulin of their own. Still others suffer from both. I am in the second category.
I will just add, as a personal and highly subjective postscript, that using insulin has given me a degree of control I was never able to achieve before, diet and exercise notwithstanding. I wish I had done this years ago.
Cute cat, David! You are absolutely right that there is an enormous variation in Diabetics, and I also admit to knowing more about Type 1 than Type 2, but since Insulin Resistance is the very definition of Type 2, are you sure you are not in fact, LADA? Back when you were diagnosed (and a lot more recently than that) many people were automatically diagnosed as Type 2 if they were over a certain age.
Hi, Mike. I was dxed with the low c-peptide and high GAD antibodies three years ago. I had an Endo for another condition, so when I developed symptoms of diabetes, I got tested earlier than most of you. I went ultra low carb immediatedly and have always exercised more than most. I really play games to keep my A1c at 5.1-5.2, but I've been able to do this without insulin. There was a theory going at the time of my dx that you may preserve function if you could rest your pancreas. I thought it was worth the gamble, but I was used to not eating certain foods because of food allergies. So, the food allergy thing helped! Right now, I'm icing my poor knees, so this isnt' for everyone.
Hi Zoe --
As you pointed out to Mike, it's dangerous to generalize because every case is different. Now, I have one to point out to you . . . not all T2s are highly IR. I am a "classic" T2 with some (but not much) beta cell function remaining, and my typical bolus is about 4 units of regular; much more than that and I risk a serious low. We're all individuals. :)
I'm sorry Mike, but there are a few inaccuracies in your post. LADA is Type 1; it is just a slower onset form. It has no connection to Type 2 at all. Most LADA's do not have insulin resistance; it is not a characteristic feature of Type 1, though it can be developed later on for various reasons (usually related to high carb, high insulin use and weight gain) and it sounds like in your case, the medication you take may have contributed. The chief evidence of lack of insulin resistance is that we take very low doses of insulin the same as any other Type 1 (in comparison to type 2's who take high doses due to IR).. The amount of insulin LADA's still produce varies, as does the amount of insulin produced by any Type 1; many type 1's still produce a small amount of insulin even after years, even decades. Ultimately, for most LADA's our management after a few years is virtually indistinguishable from other Type 1's. You say that your LADA behaves very differently from regular Type 1; we are all different, but for most of us that is not the case. I don't even believe there is a diagnostic code for LADA,(I could be wrong about that, maybe it has been developed now) so we are all classed as Type 1; we have an autoimmune type of diabetes.
Oh, and by the way, Type 2, when you count all the ones who were misdiagnosed LADA's is only about 75% of the total Diabetes population.
Please don't be offended, I just think it's really important to put out accurate information for those who might be new and still learning.
Actually, around Edmonton there aren't many, according to my Endo, and he is one of the leading Endos in Canada & in charge of the University of Alberta Endocrinology dept and a PhD. After 11 years, my lada behaves a lot differently than Type 1.....a lot of the time. Of course it is exacerbated by the psych illnesses and psych meds. LADA is distinctly different from Type 1 or 2, and is not true Type 1, possesses characteristics of 1 & 2, but is in a category of it's own. One unique characteristic of LADA is that one must possess " GAD " antibodies to be LADA. LADA also has a responsivity problem, as we still produce our own pancreatic insulin ( I still do after 11 years ) but it doesn't get released as required. Type 1's produce 0 insulin and have 0 insulin resistance. LADA's have insulin resistance similar to type 2 or higher...mine is higher due to being on antipsychotic drugs. LADA is definitely in it's own category for a reason. Many ( most ) people haven't heard of LADA because it is quite uncommon versus 1 and particularily 2,( which is about 95% of diabetics. )
Welcome, Mike. There may be more than you think; you might try posting in the Canada group. Many people don't use the term LADA. After awhile, our Diabetes is pretty identical to any other Type 1.
Greetings from Edmonton Alberta Canada !
I can't find any fellow LADA's around here ! My Endo said there are maybe a handful. I am taking Humulin "R", "N", Humalog & Metformin. Also have bipolar, ocd anxiety & it and meds impact LADA.
Hi Kurt; welcome to the club. Just curious, I see you are not on insulin?
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(Head of Communities, has type 1)
(EsTuDiabetes Community Manager, mother of a child with type 1)
(Head of Experience, has type 1)
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Desiree Johnson (Administrative and Programs Assistant, has type 1)
Brian (bsc) (has type 2)
Gary (has type 2)
David (dns) (type 2)
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