Type 1.5 ~ LADA

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frombc
Regular Member


Date Joined Oct 2006
Total Posts : 219
   Posted 10/10/2007 5:03 PM (GMT -7)   
Hi there. Does anyone here know anything about type 1.5 (LADA)? I just had my blood glucose tests done recently and they came back in high normal range just like they did in early 2006. Even though I'm not even in the prediabetic range, I wonder if I'm heading that way. I don't fit the profile of a type 2 though. I'm 48, 5'6", 125 lbs, blood pressure 90/60 and excellent cholestorol.

I know you're going to say I shouldn't worry, but I do. I was reading about LADA and was wondering how it progresses. Would my numbers have gone up in the 1 1/2 years since my last tests if I was headed towards LADA? Thanks for any information.
48 year old female
Dx'd with proctosigmoiditis?? July/06
Asacol 9/day
Salofalk enemas 4(g) at bedtime
...Aloe
Vit B complex/folic acid
fish oil (pharmaceutical grade)
VSL#3


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 10/10/2007 6:35 PM (GMT -7)   
Peeps with LADA usually start out as being diagnosed as Type2 diabetics and then after trying for a few years to get their sugar under control with meds, diet, exercise and more meds and more meds the conclusion is reached that their pancreas isn't doing it's job.

It's more likely that you are a healthy pre-diabetic who would go downhill fast if you lived a life of low fat and high carbs (can you say snackwells?). Keep on doing what you are doing and if you are concerned about becoming diabetic, substitute more vegetables for your starches, lower your pasta intake, eat more fish and just keep on doing what you are doing. Oh, and walk or swim or do some kind of moving for about 30 minutes a day. Hope all stays well with you.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
==================
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


frombc
Regular Member


Date Joined Oct 2006
Total Posts : 219
   Posted 10/11/2007 9:23 AM (GMT -7)   
Thanks Jeannie, I mentioned the C-peptide and anti-body test to my Dr. the other day to see if I was heading towards LADA. I know type 2 can possibly be avoided with a healthy lifestyle, but LADA can't and thought it would be good to know. I do walk everyday and eat a healthy diet with lean protein, veg and limited carbs.

I imagine LADA also has a "prediabetic" stage, but I can't find anything online that talks about how it progresses compared to type 2. I'm mostly interested in knowing whether I can prevent/delay type 2 or if I'm going to get it no matter what because it's actually type 1. I know it shouldn't matter, but to me it does.
48 year old female
Dx'd with proctosigmoiditis?? July/06
Asacol 9/day
Salofalk enemas 4(g) at bedtime
...Aloe
Vit B complex/folic acid
fish oil (pharmaceutical grade)
VSL#3


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 10/11/2007 9:46 AM (GMT -7)   
Hi frombc, I think you're very wise and on top of things to learn as much as you have about LADA.  And it does matter!  It's about your health!  At this point, you're probably doing everything you need to do: low carbs (because that will keep your blood sugar lower) and exercise which is good for overall health in any case.  I believe diabetes will always be lurking in the background but it's possible to keep it at bay with this life and eating style.  Whether or not it's type 1, 1.5, 2 or pre-diabetic, the low carb diet is beneficial for your blood sugar.  Good luck!

Lanie
forum moderator - diabetes
 
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 10/11/2007 9:51 AM (GMT -7)   
I'm not picking on you, honest, but you are doing what my Irish grandmother used to call "borrowing trouble". She used to say this when I was worried about something that might happen. If you go LADA what's the worst that could happen? You would start on insulin. Millions of people all over the world have done this, some from the age of 3 or less and they have gotten on with life.

You are practicing a healthy lifestyle and other than eating walnuts on a daily basis I don't see what else you can do. Increased walnut consumption has had promising results in preventing Type1 onset in children possibly because of their anti-inflammatory effect. Might work for you... Or not. In either case I wish you well.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
==================
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 10/11/2007 12:52 PM (GMT -7)   
Hi frombc,
What's your doc's suggested course of action? Did he schedule you to have the C-Peptide or GAD65 tests? Did he suggest/prescribe a glucose monitor for you to check your own blood sugar levels? Was the test you had done (that indicates you're on the high side of normal) a fasting glucose test and/or and HBA1C? There is a test that also measures your insulin levels (indicates how much insulin is in your system; helping to determine Type 1 or 2).

I agree you should stay on top of things if you're fasting glucose level is on the high side of normal, but.... I'm not sure why you think you may be LADA??

Type 1's make up a very small percentage of all Diabetics (5%-10%) and LADA's make up a small percentage of those Type 1's. LADA is essentially Type 1 Diabetes and Type 1 and Type 2 are two very different beasts in many ways.

Pre-Diabetes, (blood sugar levels that indicate that your metabolsm is struggling) does not necessarily lead to Type 2 and Type 2's on insulin are not renamed as Type 1 or LADA.
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus


frombc
Regular Member


Date Joined Oct 2006
Total Posts : 219
   Posted 10/12/2007 5:05 PM (GMT -7)   
Thanks LanieG and Jeannie. I know you're not picking on me Jeannie. I drive myself crazy these days with all the worrying I do. I blame it on perimeno. I never used to be like this...honest :)

Hi Phisbowl, The Dr.'s suggested course of action is the same as Jeannies. Live a healthy lifestyle and don't go borrowing trouble.

I mentioned the C-peptide and antibody tests and he said it's not necessary, nor is a meter. I had a fasting as well as a OGT done. Both came back normal, the fasting was high normal though.

The reason I thought I might be heading to LADA rather than type 2 is because I don't fit the profile of a type 2. I imagine that LADA, because it's a slower onset of type 1 has a prediabetic period, but I can't find much information on how it progressess though. You usually hear about being prediabetic as the phase before type 2, but I assume it doesn't always end up as type 2, it could end up as LADA. Thanks.
48 year old female
Dx'd with proctosigmoiditis?? July/06
Asacol 9/day
Salofalk enemas 4(g) at bedtime
...Aloe
Vit B complex/folic acid
fish oil (pharmaceutical grade)
VSL#3


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 10/12/2007 6:50 PM (GMT -7)   
Frombc, I would be more worried if the 2 or 3 hours glucose tolerance test came back high.  That's a more controlled test than a morning fasting or even the A1c.  In any case, again, don't sweat this out on a daily basis but eat fewer carbs, more protein and more vegetables (to fill you up rather than bread, pasta, etc.) and stick to your routine of an active lifestyle.  Walking, exercise is important not only for the blood sugar but for the change of life.  (You'll survive this, honest!  I did.)  Take care. 
smurf
Lanie
forum moderator - diabetes
 
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds

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