{"id":32647,"date":"2013-05-02T08:08:41","date_gmt":"2013-05-02T12:08:41","guid":{"rendered":"http:\/\/asweetlife.org\/?p=32647"},"modified":"2015-12-27T15:41:45","modified_gmt":"2015-12-27T20:41:45","slug":"latent-autoimmune-diabetes-in-adults-lada-jada-and-the-cookie-trap","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=32647","title":{"rendered":"Latent Autoimmune Diabetes in Adults (LADA), JADA, and the Cookie Trap"},"content":{"rendered":"

I lurked during the recent conversations surrounding the petition<\/a> to change the name of type 1 diabetes, but I refrained from commenting for several reasons:<\/p>\n

\u00a01.\u00a0Lee Ann Thill<\/a> said most of what I was thinking, and she said it well.<\/p>\n

2. I feel sympathy for the mothers who started the petition and I don\u2019t want to come across as being \u201cagainst\u201d them. \u00a0I understand their frustration and I believe the real message in their petition is that parents of children with diabetes want to make their children\u2019s lives better and easier. \u00a0That\u2019s not unique to diabetes.\u00a0 For example, my son has a very severe allergy to several nuts.\u00a0 I regularly say that I would like to rid the world of such nuts, make them as extinct as dinosaurs.\u00a0 I\u2019m joking, of course, because I know it\u2019s impossible. But I\u2019m also being totally serious.\u00a0 I would do anything to make my son\u2019s life better and safer, including wishing for the impossible.\u00a0 So while a name change may be more likely than nut-extinction, I can relate to \u2013 and empathize with\u00a0 – the feelings of the mothers behind the petition.\u00a0 \u00a0I vote, however, for putting our combined efforts to bringing the cure closer so that we won\u2019t need a name for diabetes at all.<\/p>\n

But while we\u2019re talking about names, let\u2019s talk about LADA<\/strong> for a minute.\u00a0 LADA may be the most name-challenged of all types of diabetes.\u00a0 For starters, it has at least three names other than LADA, which is short for Latent Autoimmune Diabetes in Adults.\u00a0 There\u2019s also Slow-Onset Type 1 Diabetes, Type 1.5 Diabetes, or Late-Onset Autoimmune Diabetes of Adulthood.\u00a0 But it doesn\u2019t really matter what you call it because practically no one has heard of it by any name, including most people in the medical field (outside of endocrinology).\u00a0 My dermatologist tells me to just walk a little more and I won\u2019t have diabetes. The OBGYN who treated me when I was pregnant still thinks I have gestational diabetes, even though I gave birth four years ago. And pretty much no two endos have the exact same take on LADA<\/a>, which may have something to do with the fact that no two LADA cases are the same.\u00a0 So, since no one agrees on what LADA is or what to call it, I will refer to my diabetes as its own unique subcategory, JADA, short for Jessica Apple\u2019s Diabetes Autoimmunius (\u2018ius\u2019 suffix for the Latin flair). \u00a0 \u00a0<\/p>\n

And now I shall tell you about JADA.<\/p>\n

JADA, for the most part, is easy to control (when compared to \u201creal\u201d type 1).\u00a0 As long as I move and follow a low carb diet, I can avoid basal insulin.\u00a0 But, if I eat carbs, I need to bolus with rapid insulin.<\/p>\n

Most people don\u2019t treat LADA this way, but since I have JADA, and I am the boss of me, I try not to eat carbs. My reasoning: if I can survive without insulin by eating eggs, nuts, cucumbers, cauliflower, tahini, avocados, etc, why get involved with insulin?<\/p>\n

As long as I\u2019m not faced with my own homemade baked goods, I feel fine with this decision.\u00a0 For reasons I cannot explain, though, my own baking undoes me.\u00a0 Don\u2019t think for a minute that I have any baking talent whatsoever. \u00a0Nothing I bake is above average, and when I let Adam do the mixing, the quality drops significantly.\u00a0 Still, while I have the will to turn down even the most tempting foccacia or creme burlee, I can\u2019t stop myself from eating what I bake.<\/p>\n

So I shouldn\u2019t bake, right?<\/p>\n

But my sons want treats and when I make them myself I don\u2019t have to worry about nut contamination, I can use \u00bc of the sugar, and I can swap in flours that aren\u2019t white.\u00a0 It makes my sons happy to get cookies straight out of the oven, and our apartment smells fantastic while they bake. \u00a0And since my oldest son has a school trip today, yesterday afternoon I baked his favorite oatmeal chocolate chip cookies to pack with his lunch.\u00a0 As far as cookies go, the ingredients aren\u2019t too bad.\u00a0 Oats, whole wheat flour, butter, vanilla, milk, dark chocolate chips, and \u00bc cup white sugar + 2 tablespoons of brown sugar.<\/p>\n

According to the laws of JADA, if I took a bite of a cookie, I wouldn\u2019t be in too much trouble.\u00a0 But one bite turned into two, then three.\u00a0 Then there was the cookie that broke so I had a piece of that.\u00a0 Then there was the second batch that came out of the oven and I needed to taste that batch, too.\u00a0 Over the course of an hour there must have been a few more nibbles, a few stray chocolate chips, and some crumbs that weren’t even big enough to count as bites.<\/p>\n

Grabbing a crumb and a bite here and there is the worst way to manage JADA.\u00a0 It means I have no way to know how much I\u2019ve consumed and, therefore, I can\u2019t predict the rise in BG, which means I have no clue how much to bolus.<\/p>\n

So, genius boss of myself that I am, I didn\u2019t bolus.<\/p>\n

Then about half an hour after the baking was done, I felt like my heart was beating too fast and I wasn\u2019t breathing normally.\u00a0 I also had a weird feeling in my mouth.\u00a0 These are classic JADA symptoms. \u00a0I began to monitor my BG.<\/p>\n

\u00a04:55 BG 151\"\"<\/a><\/p>\n

5:24 BG 229<\/p>\n

5:36 BG 232<\/p>\n

5:53 BG 224<\/p>\n

6:20 BG 179<\/p>\n

6:40 BG 156<\/p>\n

7:32 BG 94<\/p>\n

At 94, I announced to Mike that I was finally back to normal.\u00a0 My screwy, remaining beta cells had woken up and secreted insulin<\/a>. Sounds great, right? A normal BG without a bolus.<\/p>\n

Not great.\u00a0 My own insulin had arrived three hours after I\u2019d eaten the cookies. At that point, there was nothing around for it to do other than cause hypoglycemia.\u00a0 I mean, poor insulin, it\u2019s like arriving at a party and finding out it was cancelled.\u00a0 What\u2019s a hormone to do?<\/p>\n

About two minutes after I’d announced the 94, I began to feel shaky.\u00a0 I started to sweat.<\/p>\n

I was sweating so much I had a hard time getting the test strips out of the container without getting them wet.\u00a0 I dried a spot on my forearm with my shirt to test there because my hands were soaked. \u00a0Arm readings tend to be higher than finger readings \u00a0\u201cHow long until dinner?\u201d I asked Mike.<\/p>\n

\u00a07:42 BG 73<\/p>\n

\u201cAbout four minutes,\u201d Mike said. \u00a0I didn\u2019t say anything to Mike, but I didn’t think I could wait.\u00a0 My appetite was as big as an ocean.\u00a0 I wanted to eat everything and anything. \u00a0But I also just wanted to lie down and go to sleep.\u00a0 I was standing next to my desk and holding my glucometer. \u00a0I decided I wasn\u2019t going to sit down. \u00a0Somehow the four minutes would pass while I stood there showering in my own sweat. I’d get to the table, eat dinner, and everything would be cool.\u00a0 Then I had the feeling that I needed to test again, and I wasn\u2019t going to be able to do it unless I sat down.\u00a0 I gave in to myself.<\/p>\n

\u00a07:46 BG 65<\/p>\n

The same part of me that didn\u2019t want to sit down also didn\u2019t want to eat.\u00a0 I wanted to see if and when my body would respond with a surge of glucagon. How low I could go? \u00a0I\u2019ve dipped into the 40s without having any insulin in my body, hoisted by my own petard of a pancreas. \u00a0I could feel that I was heading that way. \u00a0Thankfully, though, Mike was putting dinner on the table and I was wise enough to head that way.\u00a0 I joined my family, and put an end to the hypoglycemia.<\/p>\n

So, that\u2019s my long-winded explanation of JADA.\u00a0 Make of it what you will.\u00a0 I\u2019m off to start working on my JADA Wikipedia entry.<\/p>\n","protected":false},"excerpt":{"rendered":"

…<\/p>\n","protected":false},"author":8,"featured_media":53098,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1501],"tags":[681],"yoast_head":"\nLatent Autoimmune Diabetes in Adults (LADA), JADA, and the Cookie Trap<\/title>\n<meta name=\"description\" content=\"LADA may be the most name-challenged of all types of diabetes. 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