{"id":44058,"date":"2016-09-08T00:00:00","date_gmt":"2016-09-08T04:00:00","guid":{"rendered":"https:\/\/asweetlife.org\/what-type-of-diabetes-do-i-have\/"},"modified":"2016-10-30T10:54:03","modified_gmt":"2016-10-30T14:54:03","slug":"what-type-of-diabetes-do-i-have","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=44058","title":{"rendered":"What Type of Diabetes Do I Have?"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">It&#8217;s been almost 4 years since my prediabetes diagnosis and I&#8217;m still struggling to get my HbA1c down from 6.5%. In layman&#8217;s terms, the HbA1c test measures the average of blood sugars over a 3-month period and ideal ranges are high 4s and low 5s. When my GP handed me the UK diabetes guidelines, I immediately doubted the dietary recommendations. This prompted me to question my diet and lifestyle and dive into the \u00a0literature. I thought I was a skinny-fat person and experimented with a vegan diet, inspired by Dr. Neal Barnard&#8217;s program for reversing Type 2 diabetes. I started weight training to build more muscle to improve insulin sensitivity and lost a little bit of weight; however, none of this reduced my HbA1c sugar levels from 6.5%. The lowest I&#8217;ve been able to get my A1c down is 6.4%, which is when I wrote a post praising veganism, which in hindsight was not a significant improvement at all.<\/p>\n<p style=\"text-align: justify;\">Last year my cousins put me in touch with a doctor who gave me the best advice. \u00a0He changed my diet from low-fat, high-carb vegan to low-carb, paleo-esque carnivore. He also urged me to buy a glucose monitoring device to get a feel for how certain foods affected my blood sugar, which the NHS told me was not necessary. This was a total game changer for me and as I started measuring my morning fasting blood sugars and my postprandial sugars, I began to notice a few things:<\/p>\n<p style=\"text-align: justify;\">My blood sugars would go up after I ate, which is normal, but then they stayed elevated all day. In healthy non-diabetics, blood sugars will go up within a healthy range and then return to fasting baseline levels usually 2 hours after eating and with Type 2 diabetics, depending on the severity of insulin resistance, blood sugars should eventually come down at some point after eating. Mine did not and I could never get my blood sugar as low or close to my fasting blood sugar in the mornings.<\/p>\n<p style=\"text-align: justify;\">My blood sugars would spike when I ate healthy carbs, like beans or sweet potato, even in the recommended portion sizes alongside fat and protein. I noticed the fewer carbs I ate, the better my sugar readings were.\u00a0Sometimes I would eat a low-carb dinner like a large piece of salmon with lots of non-starchy veggies and I would have high blood sugar afterwards and the following morning too.<\/p>\n<p style=\"text-align: justify;\">I can only hit near normal blood sugar readings by eating a very low-carb diet while keeping my portions small.<\/p>\n<p style=\"text-align: justify;\">This past May I was introduced to Jessica Apple, founder of the online diabetes magazine A Sweet Life. I started telling her my diabetes story and she asked me, &#8220;have you ever been tested for <a href=\"https:\/\/asweetlife.org\/feature\/what-is-lada\/\">LADA<\/a>?&#8221; In all my endless research about Type 2 diabetes, I never came across the phrase LADA or latent autoimmune diabetes in adults. LADA is similar to Type 1 in that the pancreas is losing its ability to produce insulin, and overtime will stop altogether, but it&#8217;s more gradual. LADAs are often misdiagnosed with Type 2 diabetes because of the age of onset, but LADAs are usually leaner, physically active adults. Hello light bulb!<\/p>\n<p style=\"text-align: justify;\">I went to NYC in June and immediately paid for Type 1 diabetes testing, which was expensive. I had my <a href=\"https:\/\/asweetlife.org\/news\/cebix-presents-c-peptide-replacement-therapy-data\/\">C-peptide levels<\/a> measured because this peptide can indicate how much insulin your body is producing. Low levels of C-peptide and insulin paired with high blood sugars usually points to Type 1 diabetes whereas in Type 2 diabetics, you find high blood sugars alongside high C-peptide levels which indicates high insulin levels due to insulin resistance. One exception is someone with advanced Type 2 diabetes which can affect the pancreas&#8217;s ability to make insulin. I also tested for GADA and ICA antibodies, which check if the autoimmune system is attacking the pancreas thus killing its ability to make insulin.<\/p>\n<p style=\"text-align: justify;\">Out of a normal range of 1.1 to 5.0, my fasting C-peptide levels came in at 1.1 and on this day my fasting blood sugar was 104 mg\/dl and my HbA1c was 6.5%. My doctor said that my C-peptide was very low, but my fasting blood sugar was in the prediabetic range and my HbA1c was in the diabetic range. After reviewing my low-carb food diary along with my lab results, my doctor said that my diabetes looked like an <a href=\"https:\/\/asweetlife.org\/feature\/i-sort-of-have-type-1-diabetes\/\">autoimmune issue as in Type 1<\/a>. Surprisingly, I tested negative for the antibodies, but according to several diabetic forums this is not uncommon. My doctor thinks I need insulin therapy, but advised me to start working with a diabetes doctor, probably an endocrinologist.<\/p>\n<p style=\"text-align: justify;\">There&#8217;s still more testing to be done and I don&#8217;t have all the answers yet, but I finally feel like I have a better grasp on my diabetes. I&#8217;ve learned that it&#8217;s so important that you do your own homework and research. I would have never gotten to where I am today if I had solely taken my GP&#8217;s advice.<\/p>\n<p style=\"text-align: justify;\">\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In all my endless research about Type 2 diabetes, I never came across the phrase LADA or latent autoimmune diabetes in adults. LADA is similar to Type 1 in that the pancreas is losing its ability to produce insulin, and overtime will stop altogether, but it&#8217;s more gradual.<\/p>\n","protected":false},"author":174,"featured_media":44059,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"image","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":[1587],"tags":[1622,681],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.9 (Yoast SEO v22.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Type of Diabetes Do I Have?<\/title>\n<meta name=\"description\" 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