Hi there! I'm new here and have been reading and have a few questions I'm hoping you guys can answer/help with. Mine's a long story, so I'll try to keep it short! First off, I should say I havent' been diagnosed with diabetes. I have an appt. with an Endo, but not until April 24 (!).
Two years ago, I lost 10 lbs. (in a month or two). I was already skinny at 5'5 and 108lbs. I have not been able to gain the weight back despite making a concerted effort. I started tracking what I was eating daily about a month ago b/c I thought maybe I just wasn't eating as much as I thought I was. Well, I'm eating an average of 2200 cal/day. At 5'5 and 100lbs, I only need 1550 cal/day or so to maintain my weight. I can't figure why I haven't gained an ounce in almost 2 years of eating this way!
Well, about 18mos. ago I participated in a health study where they did a FBG and it came back at 130. They told me to follow up with my PCP. My PCP didn't do another FBG, but did a random check in his office (88) and checked my A1C (5.2). He said I was fine and we'd "keep an eye on things" since I had that one high FBG and I have a strong family history of Type 2 (my dad, both his brothers and both of his parents). I got myself a meter and started tracking it myself. My FBGs were always below 99, but I would spike after eating a high carb meal (but not very high--maybe 140s) and often have big drops (to the mid 50s-60s). (I think I had reactive hypoglycemia for a long time. I would always need to eat every 2 hrs. and would get very shaky and lightheaded if I hadn't eaten.) Overall, I didn't have consistently high readings and my FBG were "normal."
I found that eating bread, pasta and cereal caused my spikes, so I cut them out and found that my BG leveled out and suprisingly to me, I started feeling great! I had been dealing with fatigue, brain fog, lightheadness, more and more frequent headaches falling asleep after eating and terrible bloating just about every time I ate. Long story, short--I decided to take gluten out of my diet and all those symptoms went away. I think I'm gluten intolerant, if not celiac.
Fast forward to now, and since it's been almost 2 yrs. that I haven't been able to gain weight (I was hoping taking gluten out of my diet might be the answer), I thought I'd start checking my blood glucose again. I've only been checking for about 3 wks. now. The first week, my fasting numbers were between 70-90, but 5 of the last 10 days they've been between 100-110. If I eat a higher carb meal or snack, I will spike 50-80 pts. My highest reading has been 181. My peak is at 30 min. I almost always return to <100 by 2hPP. Since taking gluten out, I've pretty much been following a Paleo diet with about 140-220 carbs/day. If I eat a low carb meal, by BG is fine. It's the carbs that spike me up. But overall, I don't have crazy high levels.
I'm so sorry this is long-winded! I'm thinking with my higher FBGs and spikes, that I may just be pre-diabetic for Type 2. BUT, with my age (40) and my low body weight (BMI 16), maybe I could be LADA? I guess my LADA-related questions would be: 1. Could someone with a family history of Type 2 have LADA? I thought I read that was unlikely. 2. If I were LADA, wouldn't my BG be much higher, esp. considering I started noticing wacky numbers almost 2 yrs. ago?? And, 3. Wouldn't weight loss coincide with very high numbers (which I don't have)??
Obviously, I need a Dr. to check me out but my appt isn't for another 2 months and I just wanted to throw my story out there and ask some questions so I can be better prepared for my appt.
I will also be asking the Endo to check my thyroid. When my PCP checked my TSH and Total T4 almost 2 years ago, it was normal. I know there are more tests they can do and it's been almost 2 yrs. Autoimmune issues run in my mom's side of the family (which also makes me wonder about LADA). AND if I do have celiac, I realize that is just another autoimmune issue which increases the likelihood of LADA).
Thanks for any input you guys can offer!!