Here is a list of the tests the ER preformed last night:
Basic metabolic panel
Blood gas, venous
CBC auto differential
CBC with differential
UA w/ microscope and/or CAS
Unine microscope UCIF
I did ask the Doctor, out of curiosity, if a T2 can develop into a T1, and he said no, that does not happen.
None of those tests are autoantibody tests. None of them differentiate between type 1 and type 2 diabetes.
And methinks you phrased the question in a way that would automatically get a "no" answer. It is not that a real type 2 becomes a type 1. It is that they were never tested for autoantibodies in the first place, so the original diagnosis was wrong. They were misdiagnosed. Some doctors seem to think that anyone who gets diabetes as an adult is automatically a type 2, and especially so if they are overweight. But even overweight adults can get type 1 as an adult. It is estimated that as many as 10% of adults diagnosed with type 2 are actually misdiagnosed type 1s. See the following link:
Now, since you are already on insulin, your treatment probably wouldn't change a lot, even if you are actually type 1. But be aware in the future, if you have reason to think you might be type 1, there can be some advantages to a type 1 diagnosis in some situations. Insurance programs and government programs sometimes provide better benefits to those with type 1 than those with type 2. (Test stips, CGMs and insulin pumps, for example.) So you might want to request those antibody tests.
Now to the immediate problem. I'd strongly recommend you read either Using Insulin by John Walsh or Think Like a Pancreas by Gary Scheiner. If your doctor is a bit behind the times like mine was, the information in these books may help you determine what questions you ought to be asking and also if you need to find a different doctor. Your public library may have a copy or you can order them online. I used the first one I listed as basically my "insulin bible" to get my doses set after my endo set starting doses and was then going to turn me over to my PCP. Based upon my previous experience with her, I knew she was outdated in her approach to insulin, so I used the info in that book to get my correct doses calculated before I even went back to her.
From your comments above, it appears that you may be on basal insulin only - your Levemir. I suspect with the numbers you are showing, whether you are a type 1 or a type 2, that your condition has progressed to the point you will need to be on meal time insulin, as well. It may be tough to do so, but I'd sure cut the bread, rice, pasta, fruit, etc in my diet way down if I were running high numbers like that and still had weeks to go before my doctor appointment
You might want to try to get in earlier. See if they'll call you in the event of a cancellation, for example.
And please keep us informed as to how you are doing. We care.
Edited by Uff Da, 22 April 2017 - 08:54 PM.
Dx diabetic Oct 2011, Dx type 1.5 March 2013
A1c at diagnosis 10/2011 - 11.5, A1c since fall 2013 ranging from 5.5 to 6.1
Lantus 9 units, Humalog 20-32 units daily, vitamin D3, BP meds
Diet: Moderate carb diet, 120-150 carbs, 1500-1900 calories daily