I feel a bit better after everyone’s responses. My endo PA thinks MODY because 1. I weigh 106 lbs and have a bmi of 19. I have never been overweight in my life. My highest non pregnant weight was 115. 2. I do not respond to metformin. I took that for 6 months with no reduction in fasting bs or a1c. 3. Because of these last 2 points and the fact that I have a low insulin level but fasting bs greater than 115, he does not think I have insulin resistance. I have tried lantus which made my fasting bs worse, the more I increased the dose. 4. I have many thin relatives who are diabetic.
He does want me to do the genetic testing but none of it is covered by my insurance and would cost me thousands of dollars. Since no meds really work, he took me off everything and thinks I have MODY 2. If I get significantly worse, I probably have MODY 3.I would get the testing if I had $8000 just burning a hole I’m my bank account.
I do test after meals to figure out what I can eat, and I rarely have 2 hr pp greater that 140 which is why this a1c surprised me. I think I will repeat the Relion in 3 months to see if it is significantly more and call the office then.
My fasting bs is usually in the low 100s. No matter what I eat or what meds I take it hovers around this. The reason he isn’t concerned is my bs always comes back to this level and he says if I can control the post meal spikes, I will likely have no complications.
Correct me if this is wrong, but he did tell me that complications arise when a1c is consistently over 8.