I know a few type1 s who do not maintain their diets/intake.
I think it’s better to properly dose your bad diet than have a good diet with poor control.
Your daughter will learn it and get good at counting carbs and dosing and tech gets better every year.
When I was diagnosed we barely had finger stick testing. You couldn’t carry it around and it was hardly accurate.
I would take wild stabs at guessing how much insulin I needed
I had some lows and some DKA. But I got better and better at it.
Now I use a hybrid loop pump and cgm and I’m in good control. No telling what she will have 20 years from now.
I’m kind of glad I didn’t really know how dangerous diabetes was back then, I just figured it out, like we all have to do.
My own type 2 diagnosed in mid 30s. Most of us type 2 have too many pounds, eat too many carbs, much of our life. Fewer carbs, regular exercise helps most adults, might help be helpful. Doctors normally diagnose 1, or 2. I wish you success. J.
A GAD only antibody test changed my diagnosis from T2 to T1. Four years later, an endo ordered more complete antibody testing and found I had two more of the antibodies.
The GLP-1 inhibitors were really good medication before going on insulin. Those also promote some weight loss. Absence of counseling (cut food intake and start laxatives) potentially misses opportunity for greater weight loss. That was 15 years ago and I don’t know what current thinking is concerning GLP-1 inhibitors and preserving pancreas function as long as possible.
HbA1c < 5.7 means not diabetic.
5.7 ≤ HbA1c ≤ 6.4 prediabetes
HbA1c ≥ 6.4 diabetes.
Obviously, if she weighs 192 lb, your daughter should lose weight and exercise more. Not clear she needs Metformin if her HbA1c is less than 6.5, but she does need to exercise more and lose weight.
