I was pretty happy with the endo I saw yesterday. She immediately said she wanted to test me for antibodies since I do not fit the Type 2 profile. She said with my normal blood lipids, normal BP, low body weight and age (40), and personal and family autoimmune history, she is thinking early LADA. I was SO relieved to hear her say 'LADA!' LOL She went on to say if any of the antibody tests come back positive, they will start insulin for the purpose of preserving beta cell function. I was thrilled to hear that, too! Sounds like she is up on the current research. I feel very fortunate for that!
One thing I wasn't crazy about... she said I should only test 2 hrs. after meals. She said it "doesn't matter" if I hit 160-180 1 hour after meals since "everybody" does that (!). I said I thought that "normal" people rarely go above 140 and she said, "Nope! Everybody does." Okaaayy... Why is it that so many docs seem to say that, but when you start reading online or reading studies, you hear numbers over 120-140 are NOT normal?
I've only had a few readings where I was over 120 at 2 hrs., so she might not think I have much of a problem. However, I have been over 200 three times in the last 2 weeks at 1hr (and still at 130-160 2 hrs. later). But most of the time, I'm back to normal at 2 hrs. Does that mean I don't have a problem? I just don't see how regularly getting up to 160-180 at 1 hour isn't a problem?
Anywho...despite having only "slightly elevated" post-meal numbers, pre-D fasting numbers, and a normal A1C (5.2 last month), she wants to test me for antibodies, so I am happy about that. :)
Here are the tests she ordered:
Islet Cell Antibody
IA-2A (she didn't know what that was but I told her I read (here!) that I should ask for that and she looked it up and said OK!)
Comprehensive Metabolic Profile with eGFR
I did the bloodwork this morning, so I should have results next Tues. or Wed.
Thanks for letting me share! :)