Type 1 Diabetes - Questions and Answers

Hello again,
Finally, I have been diagnosed as DM1.I have the following antibody values;

Antigad65 865.02
IA2 35.80 U/ml
Negative Ica

I have 3 questions.The first is to know if I could have prevented in some way the manifestation of the disease.

The second, (especially aimed at those who have more experience), more or less how long can it be left of a honeymoon.I was diagnosed with this 4 months ago.I am 35 years old, thin complexion and I have perfectly controlled blood glucose with oral antidiabetics.

The third, knowing if I am going to find out the end of the honeymoon only because the values ​​are triggered up, or if I also have the possibility of calling me from sugar.

I've been knowing what there is, but it is curious, when they have realized me, I have become very sad, :( as much as at the beginning. I believed that this already had half good.
Thank you all.

Hello Arrobita:
Type 1 diabetes cannot be prevented, it does not depend on more or less healthy life habits such as type 2 diabetes, so we cannot prevent it.
Nor can you know how much the honeymoon will last, that depends on each one and you will notice that it ends because you will need more medication, more insulin because the glycemia values ​​will go up.

I encourage, today you know that it is a disease that can be controlled and while you are on a honeymoon, take advantage of learning.

Kisses

Fully in accordance with Prado, there is no possible prevention of type 1 diabetes that you do not feel bad (and the other types of diabetes PQ do not have to feel bad for example, what prevention does gestational diabetes have? Don't get pregnant?

There is no way to know what the "honeymoon" lasts and lasts what lasts quiet that does not end at once, when it begins on the subject after the initial uncontrol when the doses of the doses ofexogenous insulin you need are minor and can be the case of having to completely suppress some of the punctures (because you are not going to eat hypoglycemia to silly) and when the "honeymoon" is ending it does so gradually bone that you bone that youIt will be to go up dose little by little.

What surprises me from the data you have given is that you say that you are with oral antidiabetics being of type 1 pq or your "honeymoon" is fantastic or maybe instead of type 1 you are lada (autoimmune diabetes in adults) which whichIt has a "honeymoon" much more durable than type 1 and at first only with metformin or similar the matter is also.

Hello, good morning everyone, I was surprised about Diabets Lada I have not heard of it, you can explain a little more about it.
Thank you

Well, apart from the classic types of diabetes mellitus :

• - diabetes mellitus type 1 , also called (or badcall) such as: children's diabetes, youth diabetes, insulin -dependent diabetes, autoimmune diabetes, ...

  - diabetes mellitus type 2 , also called (or bad) as: adult diabetes, non-insulin-dependent diabetes, diabetes related to obesity, diabetes related to insulin resistance, ...

  - gestational diabetes .

In recent years, other types of diabetes have appeared such as:

• - Diabetes lada (latent autimmune diabetes of adults) ,Also called (or badly called) such as: Type 1.5 diabetes, Slow start of type 1 diabetes (Slow Onset Diabetes Type 1), ...

  - Diabetes Mody (Matury Onset Diabetes of the Young) Ly>
  

That would become (speaking fast and bad) a crossing of the classic profiles:

• -Lada diabetes-& GT;Type 1 in adults.

  -Diabetes Modly -& GT;Type 2 in young.

So the classic profiles would be a bit in question.

It is estimated that 20% of type 2 diabetics are poorly diagnosed and are actually laded (autoimmune diabetes in adults).

If those tickets of the wikipedia are read (I'm sorry but the inputs of lada y mody are in English) in relation to the treatment of the treatment of the treatment ofType lada says that the principy may not need insulin treatment (I suppose this is one of the reasons why this type can be confused with type 2) since the destruction of beta cells is very slow, much slower than inThe case of a type 1 (it would be like having a very long honeymoon ").

I have commented on Lada for what Arrobita commented in his post (Type 1 for a short time and currently without insulin).

Thank you all for answering.

TNT , a few months ago I also thought it could be Lada PQ still without biological results, on paper seemed to adjust that guy better than any other.
But I had my first visit with my endo and almost laughed at me, just asking him.He directly told me that lada or 1.5 diabetes does not exist.

Since then, I discarded the idea.Anyway, the same was going to give me what the dog was called.I also tell you, that I think more or less like you.For not needing an exogenous insulin imperiously since these months I believe that, or I am Lada, or my body has managed to develop a new type of diabetes, not yet known by humanity.If ,,, what does not happen to me.: Mrgreen:

As I tell you with oral antidiabetics and with restricted carbohydrate diet, fixed schedules for meals, etc ..., I've been without any hyperglycemia for more than 4 months.In fact, without taking the pills, only with the diet, my levels were normal.I started taking them because the doctor after much insist, in the end, convinced me.When my glycosylated was diagnosed at 7.4, (July), and today I am 5.7.

Leo , I leave this link here.I know, more or less what the article says that someone in this forum told me in their day,

greetings

But I had my first visit with my endo and almost laughed at me, just asking him.He directly told me that lada or 1.5 diabetes does not exist.

Whatever it is, it is clear that once inside diabetes it does not matter what the guy is as long as you are with the proper treatment and having confusion (within the bad) of the type 1 to the lad type the treatment does not change much except to theHome that can be like you are now.

hello again,
Finally, I have been diagnosed as DM1.I have the following antibody values;

Antigad65 865.02
IA2 35.80 U/ml
Negative Ica

I have 3 questions.The first is to know if I could have prevented in some way the manifestation of the disease.

The second, (especially aimed at those who have more experience), more or less how long can it be left of a honeymoon.I was diagnosed with this 4 months ago.I am 35 years old, thin complexion and I have perfectly controlled blood glucose with oral antidiabetics.

The third, knowing if I am going to find out the end of the honeymoon only because the values ​​are triggered up, or if I also have the possibility of calling me from sugar.

I've been knowing what there is, but it is curious, when they have realized me, I have become very sad, :( as much as at the beginning. I believed that this already had half good.
Thank you all.

Holasss
I answer the questions ...
The first: no, you could not do anything ... both type 1 diabetes and lada diabetes are autoimmune and to date there is no explanation or vaccine in the market.
For type 1 diabetes, the Dyamid project is underway experiencing with a vaccine for certain cases.
For lada diabetes, I read that the Americans were rehearsing GAD65 to patients with this type of diabetes and the results were not bad ....

Second.No idea ... and nobody knows.But since you have a low low hemoglobin, I deduce that you still have enough reservations ... Your doctor imagine that there will be an analytical request of the C peptide to see how many reserves you have left ...

Third.Normally you are going to have whim, because there is the possibility that your pancreas to work and the exogenous insulin together with the endogena ...

If you are type 1 oral antidiabetics will not help you, metformin is only used in case of insulin resistance ...
If your doctor maintains metformin treatment, although you have diagnosed with type 1 diabetes ... I would urgently change doctor

And I who considered me late for having DM1 at 21, yes, in my case neither honey or milk moon.They made me the glucose curve and no insulin trace, come on, I loaded the pancreas well charged: D

If you are type 1 oral antidiabetics will not help you, metformin is only used in case of insulin resistance ...
If your doctor maintains metformin treatment, although you have diagnosed with type 1 diabetes ... I would urgently change doctor

The fact is that, until now, oral antidiabetics are serving me.It is in sight.My levels are normal if I do not pass myself with hydrates at meals.
It is true that my doctor contradicts between diagnosis and treatment, but I think it is because it is denied to recognize that there may be something called lada .He says that Lada does not exist, he will believe that in reality, ".... they are the parents" :)).

What I had left is that by how my body reacts to treatment, for the results of the tests, etc ..., and based on what I have read of the subject and your comments, what I have seems to be diabetesLada type.Call for my doctor, type 1 diabetes. Let's see, he doesn't want to see the light and I have no wishes to argue with such extremely closed characters.

Yes, he told me that if my levels worsened significantly, I asked for an urgent appointment to change the treatment.The next appointment has given me for next year, because the analytics has gone better than good.Except for a small detail related to my pancreas, I do not know what it can be ,,,,:-/, I am healthier than a garlic: mrgreen :.

I have the C peptide now at 1.00.(In a range that goes from 0.30 to 5.40).I don't get illusions of having a very long honeymoon, right?

Thank you all.

Arrobita, I would like to send you encouragement.It is normal that you are sad, despite taking months with the story, but confirmation I suppose that it should cost ... in this as in almost everything, time plays an important role, surely it helps to dissipate your sadness ...

A hug

I think like your arrobite, high antigad and negative ICA and your normal BMI ... They can indicate a lada diabetes, you have also not needed insulin in these months and the age is around the 35 years that is marked throughout the scientific literature ...
Come on, manual ...

The problem is that Lada diabetes was described in the early 90s and still many specialists, alleged specialists, do not recognize this modality ... There are studies that say that up to 5% of those diagnosed as type 2 diabetes, are actually diabetesLada.

There is no consensus on the initial treatment, there are those who consider that with oral antidiabetics it is sufficient to maintain acceptable blood glucose and who considers that insulin must be introduced with the objective of preserving as long as possible the functionality of beta cells.
Cases of up to 12 years have been described without insulin.
With these C peptide values ​​it is likely that you are still several more months with the functionality of beta cells ... whenever they do not overexploot (reduction of hc of rapid absorption, mainly) ... but I don't think anyone canGive yourself a more exact time.

It is normal for you to give you such a distant appointment in time ... you will really be very stable until you stop being:-/ and the glycemias break up ...
But normal, in my opinion, it would be to make a complete analytical within 6 months and especially to see the Counting C ... Right now the most important thing.

I present myself in the forum, as "one more" of so many there are.At the moment I only come with doubts, since, I am "rookie" in terms of diabetes, it will have a year next month that they diagnosed me (with 38 years).
I currently have 39, and it seems that I am finishing the honeymoon phase.Precisely the day of Kings shot my blood glucose to more than 300, and by precaution (and for lack of information, everything is said) I ended up in the emergency department.
To date, that is, until the 6th, I had the well -controlled glycemia, I did not require fast insulin almost at any time, usehumalog and lantus (I have to add that according to my endocrine I have DM1, but I have consulted 2 more doctors andThe other two doubt that it is a 1 for the age in which I have been told, which maybe someone with more experience can clarify if it has something to do with the type of diabetes with the age at which it manifests.He manifested at 38 (I had been analytically analytically analyzed for more than 5 years and nothing came out until 2014).
Well, from day 6 there is no way to stabilize glycemia, I already require fast insulin before each meal, from there that intuited that the honeymoon trip ended, (second thing you may be able to clarify).150-170 glycemias when I wake up, and 190-200 before eating.Recently I just correct slow insulin, since they have advised me that at the beginning the doses of Lantus, thus I will be "sensitive" to Humalog for longer and make more effect when it is required. What is notHow many units should I climb to stabilize glycemia, since I still have a bit of "fear" to spend and have a hypo, so I suppose that better going gradually until I find the right dose.
Well I don't want to wind more about the account, any advice that you can give me will be welcome, and if I can help something, something difficult right now given my low "experience" in the disease, but some knowledge I have acquired.
Until June I have no visit with the endocrine, I have the doubt to comment on the subject, or if the head of the header could give me a small orientation.I don't know, I hope the tips of veterans.Greetings to all and thanks for having read.

Hello, welcome to the forum!If you have 150 or more values ​​when lifting and 200 before meals, you will need to increase the lantus in a unit .., and perhaps also the rapid, but increases from one in one unit and lets spend two days between the changes
Stabilizing blood glucose is difficult when insulin is needed.You will have to do controls before and after meals and correct with hydrates or fast insulin, as you are low or high.A fast unit usually lowers about 50 glucose units, although you have to check it with the glucometer.
The important thing is to get a glycosylated hemoglobin less than 7.

Hello supranaman welcome to the forum.
I was diagnosed with type 1 with 39 years !!Cheer up

I am type 1 diabetic for 13 years.I am 35 years old.Here is my question.Is it possible to have a second honeymoon?Or I will be low defenses and that's why sugar does not rise to me.I am with 20 of Lantus and without clicking quick insulin at meals and the sugar does not happen to me 150 and arriving all the time at values ​​of 70