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Going to new dr & endo LinkBack Thread Tools Display Modes
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Old 07-06-2009, 07:42 PM
Mothernature's Avatar
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I am a: Type 1
 
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Location: Boston, MA
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Going to new dr & endo

The Joslin issue is a mess with my insurer so it is on the back burner until I can straighten it out.

Meanwhile, I've found a new PCP and finally have an endo (ironically at the same hospital where I was diagnosed borderline DKA. The receptionist pulled up the information from that visit and freaked thinking I needed to see the doctor asap).

My old doctor has orders in for an A1C, cholesterol panel, and prolactin test. I need to take the third. I was Dx'd in Mid May, see the new PCP thursday, and Endo 8/2. Should I take the other two tests before the three months?

I would like to walk in with some current numbers for both Drs to see.

Opinions?
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Old 07-06-2009, 08:47 PM
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Location: Gold Country (CA)
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If your insurance (or pocketbook) can handle the tests now, I say go for it. Doesn't hurt (except the poke in the arm) to have the most current info available. Even though it hasn't been 3 months for the A1C, it can show the trend you're on so that the doc can see if what you're doing is working.
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Old 07-07-2009, 07:57 AM
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I am a: Type 1.5
 
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Location: KCMO
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Yeah -- how about a C-peptide and GAD-65, while you are at it, since you were borderline DKA?
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Linda

Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30

metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8



According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA.
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Old 07-07-2009, 08:08 AM
Mothernature's Avatar
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I am a: Type 1
 
Join Date: Jun 2009
Location: Boston, MA
Posts: 227
Quote:
Originally Posted by foxl View Post
Yeah -- how about a C-peptide and GAD-65, while you are at it, since you were borderline DKA
It was not ordered so it can't be done.


Lada:

* Adult age at diagnosis (usually over 25 years of age)
* Initial presentation masquerades as non-obese type 2 diabetes (does not present as diabetic ketoacidosis)
* Initially can be controlled with meal planning with or without diabetes pills
* Insulin dependency gradually occurs, frequently within months
* Positive antibodies
* Low C-peptide levels
* Unlikely to have a family history of type 2 diabetes

I did present as DKA, I am overweight, and I have a large family history of type 2.
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Old 07-07-2009, 08:17 AM
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I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,429
Okay maybe your family history indicates T2.

I however was told I was T2 based on weight and age ... and then disproved that. So Ia mall for having the testin for a rule-out, now. If I sound reactionary ... it is only because I AM!
__________________
Linda

Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30

metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8



According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA.
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  #6 (permalink)  
Old 07-07-2009, 08:26 AM
Mothernature's Avatar
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I am a: Type 1
 
Join Date: Jun 2009
Location: Boston, MA
Posts: 227
when i see the endo next month, i'll ask if I should have the tests or not. Doesn't hurt to rule out.
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