[BrianSCohen]

MMillner,

I sympathize with your concern. I am struggling with whether I might be 1.5 as well. You don't provide any information on how long you have been diagnosed or exactly what you have been doing to get your diet and exercise in order. Yes, you could go on insulin to get your numbers down in the short term, but in the long term you will be skipping over the two most important primary treatments that are going to make a difference in the long term.

Let me ask you a few questions first.

How many grams of carbs are you eating at day and at eat meal (try tracking with fitday.com)?

What is your exercise regime?

For fairness, here are my answers. You can see my statis in my sig.

I eat 50-100g of carbs a day. With 40-50g at breakfast (oatmeal, prefer steel cut) and the remainder in 10-20 g for the other 4-5 meals.

I exercise with weight training 3 days a week for 1-1.5 hours each, with 2-3 days of cardio for a total of about 3 hours/week.

I still struggle with my morning fasting numbers which can hover above 120 mg/dl despite my best efforts.

You may very well be 1.5. If you end up actually being a type 1.5, your insulin production will be affected. It is certainly appropriate to ask your endo to consider testing for declining insulin production (c-peptite) as well as the tests for antibodies indicative of 1.5. In either case, you basically treat diabetes fundamentally the same. You may very well be entirely right to consider insulin, but you really have to ask yourself some hard questions about this. Insulin will eventually be a treatment for many type 2s a certainly for type 1.5s, but please don't look on it as the first treatment. Your long term health and happiness are best served by utilizing diet and exercise as your primary therapies.