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Type 1.5 Diabetes: An Overview

Type 1.5 Diabetes (T1.5D) is also known as Latent Autoimmune Diabetes of Adults (LADA). LADA is considered by some experts to be a slowly progressive form of Type 1 Diabetes (T1D) while other experts in the field consider it a separate form of Diabetes. LADA or T1.5D is sometimes thought of as T1D that is diagnosed in adults over the age of 30—T1D is commonly diagnosed in children and younger adults. T1.5D is often found along with Type 2 Diabetes (T2D): up to 25% of individuals with T1.5D also have characteristics of T2D.1 This is sometimes called “double diabetes”. Individuals with T1.5D are all eventually dependent on insulin for treatment, and have a very high risk of requiring insulin within months or years (up to six years) after the initial diagnosis. This is in contrast to people with T1D—these people tend to need insulin within days or weeks of diagnosis.2 Individuals diagnosed with T2D relatively rarely require insulin treatment. Current recommendations are to treat individuals with T1.5D immediately with insulin, though this is not universally accepted (see below). The Causes of T1.5D Just as with other forms of diabetes, we don’t truly understand the underlyin Continue reading >>

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  1. [deleted]

    Hey there r/Diabetes! My name is Tom and I was officially diagnosed with Type 2 Diabetes about 3 weeks ago.
    I went in about a month ago because I was feeling really sick and thought I might have a cold and when I was asked a few questions I mentioned that recently it sometimes hurt when I would urinate so naturally my doctor ordered a urine test which came back showing that there was sugar in my urine which could be because I drank too much sugared substance that day OR possibly because of Diabetes. A week later I went in for a follow up and was diagnosed. With more follow up the following numbers came back:
    A1C at 13.4 and my Glucose level has bounced between 330 mg/dl to 430 mg/dl and will stay on the lower scale as long as I am taking 4 of my Metformin daily.
    I'm 26 and feel like I have completely failed my fiance and our 3 kids. My fiance has no idea how much this scares me even though she hounded for a long time to cut out pop in my life (I was drinking a 12 pack every 2 days or so - so about 6 cans/day). I'm ashamed but more importantly I know that I have 4 wonderful people in my life that I can't leave.
    Before the summer I lost about 75 lbs (325 to about 250) just by cutting out fast food in my life but I have a feeling that isn't going to cut it anymore. So, here I am trying to take all this in.
    Where should I start? What should I know? I'm nervous about all this yet I don't really know how to fix any of it besides dieting and exercise. Is it that simple? Was my doctor being too simplistic?
    I really do appreciate help and feedback.

  2. RoseMallow

    Insulin dependent T2 diabetic, diagnosed at age 11, I've been that way for around 10 years. Here's something's I've learned over the years. I hope this isn't too in depth, but I wish I'd known some of this at diagnosis.
    Cut that soda habit ASAP. Try a diet one instead or try to drink water or tea/coffee (sweetened with Splenda). I used drink a lot of Pepsi, but now drink diet coke. My general rule is to not drink carbs/calories, so avoid juice (because diet juice is nasty) or sugar sweetened things. It makes my life easier. Plus, water is free at restaurants!
    Make sure you take your medication as directed. It sounds obvious, but I honestly struggled with that. If you don't take it, you may not feel sick, but you're doing damage. You don't want to have high blood pressure, glaucoma, or lose a piece of yourself ON TOP of the diabetes. Also, the less you take your medications, the chances of you being insulin dependent increase. I used to only require oral medication, and I felt carefree. Ultimately that was my downfall, I got lazy and thought I could do what I want. I'm trying to change that. Insulin is costly and inconvenient (if you live a busy/unpredictable lifestyle). Also take your blood sugar. An a1c only tells you so much ( and make sure you get those tests done too!) and guessing your blood sugar is not a good option. Some days will be better than others, but no one's perfect. Just make sure you learn from the bad ones.
    Watch your diet/weight. It's easier to maintain good sugars with a good diet. Low carb is key. Don't make the mistake of just cutting out sugars, which you should do, but carbs are what affect your sugars. So eat less bread/pasta/potatoes. It sounds difficult because upon diagnosis I thought those were god's gift to earth, but I promise, there's other foods to eat. And if that's hard to change at first, focus on moderation.
    Don't feel guilty. You've been diagnosed, and that won't change, but you can control what happens to you. Learn all you can and be the best diabetic you can be. Ask your doctor any questions you have. Be informed. I've been told many times exercise can help decrease insulin resistance, so get more active.
    And finally don't discount your condition. I didn't take my diabetes seriously after a while because I'm T2 and thought T1 was "real" diabetes. That was false. At times it sucks, and you'll want to give into peer pressure or feel like you have to do what everyone around you is doing. I used to eat candy/pasta/sandwiches/pizza because my friends/family did. Don't do that. Make good decisions. What you eat can have consequences. So you need to look out for you, especially if no one in your immediate family/friends has diabetes. That's the case for me and sometimes, they honestly don't get it. But your body is important and it is worth those decisions.
    It's an adjustment, but you can do it.

  3. zapfastnet

    good advice! thanks for caring and taking the time!
    you include the crucial notion to not only avoid sugar, but watch all the things that break down into sugar, namely carbs. People who should know better ( nutritionist, nurses, some doctors ) will say carbs are essential as a needed substantial fraction of your diet, but they are not!
    Science does not back that up. Eat your low carb count vegetables of course, but you can live just fine without bread, pasta, rice, etc. ( as a former carbaholic I will pause now to shed a tear quietly)
    ---a side about pizza-- although I feel guilty about wasting food, sometimes when free pizza presents itself I gnaw off the cheese and toppings and discard the baked food dust triangle.

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