[GuitarManDave]

There are a few of us Modys who haunt the 1.5 forum (for lack of a better place).

I'm most likely Mody 3 - I'm waiting for the genetic tests to come back any day. By the way I too was told that insurance won't pay for it but mine did without any questions.

I've spent two years seeing specialists trying to figure out what kind of diabetes I have. I don't fit the usual profile: 43, very thin, eat well, exercise regularly, no antibodies (not type 1). However I have a family history of diabetes going back 4 generations. Also my fasting glucose is pretty low. My problem is post-meal spikes. These are classic symptoms of Mody, probably type 3 which is the most common.

I tried a tubfull of different meds - Metformin, Actos, Avandia, and Prandin. The drugs that treat insulin resistance did absolutely nothing because I'm not resistant. Prandin worked but was very tough to control. For kicks I tried fast acting insulin with meals and it proved to be the cure to all ills. I'm now on an insulin pump and have excellent control. I would strongly recommend insulin as an option to consider for Modys.

Before I went on insulin I couldn't get my A1C below 6.7. My lipids were also horrible even on heavy doses of lipitor - my HDL never went over 35.

I've been on insulin for only two months but my numbers have improved dramatically. My A1C is 5.9 and I expect it to drop further. My HDL doubled to 70 and my triglicerides have never been better.

It is tough finding an endo who understands the subtle differences between Mody and more common diabetes. It took me 2 years to find the right doc but it was worth the struggle.

Best of luck. Use this forum - there are some really smart folks here who have been through a lot and know more than most docs out there.

Dave