Do you know any articles that talk about thin type 2? My doctor seems baffled about my situation, since my sugars have not improved with loss of 30 pounds. They spike after meals to 225 and then plummet to the 70s or even the 60s.
I am convinced that thin T2 is one of 3 things. It could be misdiagnosed LADA, which could be proved by getting antibody tests (not that expensive), or it could be undiagnosed MODY (Maturity Onset Diabetes of the Young -- Google it), which can be diagnosed by a strong family history and by genetic testing, although that's pretty expensive, and is not common, or it's another disease which hasn't even been noticed or described by the medical field. This type would be antibody and genetically negative, and so far as I can tell, NOTHING is known about it.
I've taken to calling the third form Type Weird, because it's NOT classic T2, although it can affect people who are initially overweight (not usually obese?) but when they lose weight, they observe no improvement in their diabetes. T2 drugs sometimes work and sometimes don't, and insulin is often the best choice of treatment, but as usual, YMMV.
I personally have called myself Type Weird for years, because I'm CLEARLY not classic T1 OR T2, and I never had the testing necessary to confirm either LADA or MODY (and at this point, it's not worth it to me). I was on Glucotrol, a sulfonylurea for 5 months and it did absolutely nothing for me, and then I went on insulin and never looked back, so I never tried metformin or any of the others, and at this point refuse to do so, because I have enough GI problems as it is.
I had a coma in Sept. 2010, for various reasons, including major depression, bingeing on sweets, and not taking enough insulin (i.e. didn't omit it completely, but didn't take enough), and in the hospital, the T2 protocols didn't work for me at all, and my BG was going up and not down. The CDE had to fight with the hospitalist to get him to use T1 protocols. (There's no such thing as Type Weird protocols!). Then I started getting better.
So, for reasons of safety, we decided that I should tell medical folks that I'm T1, because I need T1 treatment protocols, regardless of what else is going on medically. And in fact, my diabetes acts more like T1 than T2, and so I'm comfortable with the oversimplification, even though I KNOW it's not quite the whole picture. I truly don't fit precisely into any of the known boxes, so I decided to go for proper treatment, and not worry about labels.
I wonder if you might consider trying insulin. What that would do is prevent the spike, and if your pancreas is not overstimulated by the high, it won't secrete insulin inappropriately which is what is causing the lows. I don't know if you've tried other meds, or what their effect is, but seems to me you must be uncomfortable! Good luck!
Thanks, Natalie. This is really helpful to hear about. Your situation sounds a lot like mine. Lost 32 pounds, no improvement in symptoms. Until recently I have always been at the upper end of normal BMI; now I'm a little below normal. For the last week I've been eating more carbs to keep the lows from hitting and have definitely been feeling better. The 2 hour pp readings have not been as high as they were earlier on this amount of carbs.
My c-peptide levels are high, so apparently I don't have LADA. I will have to read up on MODY. I looked at it superficially and dismissed it because I am 57. But my mother did have symptoms like mine apparently. She's not around any more to ask about it and she apparently refused to take medication for it.
I will ask about insulin when I can get into an endocrinologist in April. (I went to one who was a terrible match for me -- I felt emotionally battered and could not stop crying, so won't go back to him.) Will have to drive 90 miles to see the new guy.
I tried metformin for a month and it made the lows worse and was terrible for my gastro problems. So currently I'm not on anything.
Anyway, thanks for chiming in. I really appreciate the company in Type Weird.
I use Whey Protein shakes as part of my daily diet to help control my blood sugars without medications.
I found that I have to be fairly selective on what brands I can buy....
Many have added sugars as a sweetener,
but a few use sucralose (Splenda) - and end up being only 3g of carbs per scoop.
For a shake, I typically mix 8 ounces of water, 1 ounce of heavy cream and a scoop of protein shake.
If my blood sugar is running just a little bit lower than I like (mid 70's), I might use milk instead of water.
I've tested pp's after drinking a shake, and never seen a spike from them.
Overall, I follow a low carb diet - and eat 6 times (meals/snacks) a day.
In a typical day, I target somewhere around the following:
Carbs 100g (400 calories ~15%)
Protein 160g (640 calories ~25%)
Fat 175g (1575 calories ~60%)
My blood sugar has been in good control - between 75-115 at all times lately.
(Well - aside from some poor judgement the day after Thanksgiving while eating out, the squash that I ate must have been sweetened with brown sugar.)
So far as weight gain....
It is hard for me to say if it has any impact there....
I changed my diet and exercise routine so much that I've been loosing weight (body fat) all year....
That said, the rate of loss has slowed - and I'm actually up 1 pound in December.
My dietician gave me this recipe. I have not tried it because I don't like bananas in things. It is not quite a milkshake, but might help you gain weight. Probably to gain weight you should use regular tofu, not low fat.
6 oz Crystal Lite - orange or strawberry flavor
6 large frozen strawberries
6 oz low-fat tofu
1/4 c yogurt, plain, nonfat
Place all ingredients in blender and blend until smooth.
Total carb: 30 g, protein 17 g
comment to Natalie--wow, I'm so sorry you have another setback. You are one of my favorite posters on Tudiabetes because your insights are so useful!
About your Type Weird, at least as for myself, I think thin Type 2 can come out of having low muscle mass and perhaps jump started by having had a bad infection. In my case, lung and heart lining. (I'm fine now, that was nearly two years ago.)
I'm still losing weight, but very slowly. Since A1C is about the same, slightly lower, and i can live without meds now more often than before, my doctor would say I'm improved. But to me, I see I gotta eat less carbs to get the same results. So I don't know if we can call it improved if you gotta peddle harder.
About body building milkshakes, I've tried a few, such as Muscle Milk, and I just HATE the taste of them. I just got a new one off of Dr. Oz but I'm having trouble finding tofu in my area. What can I sub for tofu?