Greetings from the UK. I was diagnosed with type 1 eight months ago at age 48, after the typical two months' rapid onset - thirst, hunger, excessive urination, weight loss - and with high blood sugars and ketones. My doctor sent me straight to hospital, and tests confirmed HbA1C around 12, high levels of GAD, no other antibodies. I suspect it is (almost) the end of LADA as I've had exhaustion, and a series of infections over previous 12 years or so. My endocrinologist cannot confirm this, as has no clear diagnostic criteria at this stage, but says it all fits.
I'm on normal diet (about 150g carbs per day), but have reduced HbA1C to 5.6% - was told this is too low as I may be having hypos in my sleep. Steadily reducing insulin, down to 6 units of Lantus, about 10 units of modal/bolus insulin per day. Meter readings still too perfect.
My problem is poor concentration, tight head, weariness, etc., especially after an hour's walk with the dog - can take three days to wear off. Never have a day feeling normal. Reducing insulin again, and meter readings still in normal range before meals. It's as though my pancreas is waking up again after eight months.
- is this variability and feeling unwell normal for the honeymoon period?
- do others have problems with exhaustion brought on by exercise (who are otherwise fit and munching dextrose while exercising)?