this is my first post on this forum. I stumbled on this website looking for information on diabetes. I have my first appointment with an endocrinology group on Tuesday and I’m seeing John Walsh, PA. As I’m researching, I found out he wrote many articles and some books on diabetes. I am glad of this.
The reason why I’m posting is I want to know what questions to ask him or things I need to advocate for. Background on myself is I had gestational diabetes last year while pregnant with my second baby. It was somewhat controlled by diet but I ended up on glyburide. I gave birth to a 8 lb 13 oz girl. Right after delivery, my A1c was 5.7 but it went down to 5.3 6 weeks after delivery so I was deemed diabetes free. I still had strips and a meter so I occasionally tested my bs after meals.
In October, I took my blood sugar after eating a bowl of flax flakes and some almond milk. It was 245. Of course I freaked and started doing post prandial blood sugars and fasting. My fasting bs have been running anywhere between 95 and 110. My pp bs have been between 105 and 268 depending on what I eat. So far on my own, I’ve been keeping it below 140 postprandial by eating a SPARTAN diet. In fact I have lost 8 lbs in 1 month. I am naturally a small person and now I weight 108. Almost what I weighed on my wedding day. I normally keep about 5-10 lbs on while I’m nursing.
My family doc wasn’t so concerned when I brought in my glucose log and meter. To her credit, she did order a lipid panel, chemistries, and at my insistance a glucose tolerance test. My A1c was 5.9 but my glucose tolerance test was completely normal. 83 fasting, 143 at the 1 hr mark, and 83 at the 2 hr mark. How does this correlate with the high A1c? She wasn’t overly concerned and said we can retest in 1 year. I insisted on an endocrinology consult and asked her if she thinks I have LADA? She had no idea and just wrote me a consult note to get me out her hair I think.
My cholesterol is fantastic. 125 total, Hdl of 59. Triglycerides were low too. I am a vegan so I expected this. I am going to ask John Walsh to test me for the antibodies but is there anything else I need to discus with him. While I was pregnant, I got the shingles and right after that I was diagnosed with gestational diabetes. My doctor said I don’t even qualify as a prediabetic yet so everything I’m asking for is basically a waste of time. Has anyone caught early stages of LADA? It sounds like some people have a long period of time before they are diagnosed.
Sorry for the long post. I hope someone is able to reassure me and give me some pointers for my appointment.