First of all high to everybody out there, I am new member here,

I was recently diagnosed with Latent Auto Immune Diabetes. About 4 months ago I started having symptoms like tingling in my legs and hands. Blurred vision and sometimes
feeling foggy headed. When these symptoms began in Dec, of last year. I started to do some glucose testing and eventually change my diet to limit carbs. Because of these changes
I was able to get my Glucose fasting levels down in the low 90's. However in the past month of so my glucose fasting levels have gone up to around 110 to 115 each day.

I want my doctor to treat this aggressively. Because as you know I am trying at all cost to prevent Beta Cell burn out. I have heard for people with LADA, they should start taking Insulin A.S.A.P..
But after talking to him last week, it sounds like he is only go to be giving be fast acting insulin instead of beta insulin. His reason for not giving it to me was because he was worried about Hypos.
However I was only thinking about taking a very small amount just to bring back my G.F. level down a bit.
And my feeling is I rather have the beta now then start taking the fast acting. I've been able to maintain eating a diet that keeps my blood sugar levels below 140.My latest A1C was 5.5 taken a few
weeks ago.

Any comments on what kind on insulin would be best for me to be treating this in the most aggressive way would be greatly appreciated.

[[Most doctors would usually start with a "basal" insulin which provides a constant level of insulin and then they would give you "bolus" or fast insulin.]]

Basal insulin seems to be the most logical choose. But I asked him if that's what he was going
prescribe to me, and he said no. So I'll just have to wait and see on my next visit there. If doesn't
give me the basal. I'll be shopping around for a new doctor if any knows one here up in the Northeast.

I take a very proactive approach to this condition. Because of being prostate cancer free for two years. And also watching my mother suffer from diabetes for many years before she past away
I also eating very heathy away. So this as been a easy
transition, to this low carb. moderate good fat, high protien diet I am on. : )

Your fasting BGs are 90-115 without Insulin? And it’s the fast acting that gives me hypos, not the basal.

LADA is frequently misdiagnosed as type 2. There are a number of us who have been huddling trying to figure out how to encourage the medical establishment to diagnose and treat LADA conditions appropriately. If you have LADA, you will have been tested for one or more antibodies. For many people LADA is a slow progressive loss of insulin production. Often you lose you ability to control your blood sugar after eating and then you start to lose your fasting blood sugar levels. Many LADA’s find that they can go for years without insulin.

In your case, consider yourself luck to have been diagnosed and found a doctor willing to give you insulin. Most doctors would usually start with a “basal” insulin which provides a constant level of insulin and then they would give you “bolus” or fast insulin. In either case, you should become informed about insulin and that will really help you interact with your doctor. Your fasting is not too bad, mine is higher. Over time, if you demonstrate good insulin management skills, you should expect your doctor to be better willing to give you a full basal/bolus regime. One thing you could do is get some knowledge. I really liked the books “Using Insulin” by Walsh and “Think Like a Pancreas” by Scheiner. They will answer many of your questions about insulin.

And in my view, early insulin use is appropriate for LADA, primarily for keeping you from having high blood sugar problems. High blood sugars can lead to glucotoxicity and hasten the loss of your beta cells. In your case, your blood sugar control seems quite good, so you probably don’t have a need to panic.

If you are having readings above 140 after two hours and you are following strict low carb by all means get into your Dr and determine what your options are. My Dr is open to mealtime insulin if I have high post prandials like that . He says he knows I will likely be on insulin someday because of the amount of beta cell loss I have sustained.

I am a T-2 at least thats what they tell me.

By strict diet I can keep my fastings in the 90’s but any type of carb load and I shoot the moon for hours afterwards and then like you hang around in the 100’s for days.

I really have to watch it and know I have beta cell burnout. In my case I could ask for mealtime insulin, get it and then would be back into gaining weight and adding more insulin to keep my numbers down. The vicious circle for alot of T-2’s and some T-1’s if you dont count carb intake.

I would rather do it in my case by diet and exercise. You may want to do some testing on your own as to what you are eating and see how much load tolerance you can take and how long it takes you come down to 90. If you are doing everything right then explore options with your Dr.

Based on your A1-C and readings though I think you are doing great and may be able to hone down on diet and exercise before making the leap.