Here it is; I totally love my PCP. I usually see him at the end of the day, because we chat so long medical and non-medical.
Anyway, at yesterday’s appointment (he likes to see me every 3 or 4 months), I asked him what type of diabetes he thought I had (prompted by my reading of medical records when I was in hospital with dengue a few months back). He said definitely type 2.
I asked him why? He said because I developed diabetes too late for it to be type 1.
I replied I wasn’t sure given:-
- Not all autoimmune diabetes develops during childhood. There is also adult onset which can be fast or slow.
- Hypothyroid since 2000 (antibody negative though, for the antibodies tested), asthma, and allergies (ie. autoimmune), and we have strong family history of autoimmune / allergies.
- It developed when I was 38 (in 2008) in my first weeks of pregnancy, and I started insulin a few weeks later. I was not overweight at that time, and actually had just completed iron man (ie. very physically active). I have stayed on insulin because I like the control it gives.
- No known family history of diabetes.
- I have very normal blood pressure and Cholesterol (though low HDL).
- I have only tested anti-GAD and it was negative.
- The only oral medication i have tried is metformin and it made no difference to blood sugar levels.
- I have always had an excellent Hba1c (in the low 5s), but my insulin requirement has been increasing over time, now coming up to 8 years of using insulin.
- My ex-Endo, never gave any diagnosis other than gestational…
He was thoughtful and said he would research…
We both agree that it won’t affect management at this time, but I do want to know… maybe will be important for insurance etc. in the future. He said it would also affect the way I am managed if ever hospitalized (and can’t manage myself). I even have this perception that if I am type 2, then it is my own fault and I should have done more to prevent it (I know this is a fallacy, but it is how I feel)…
Any ideas on a good up-to-date medical reference on this I can throw his way? I do know from Melita’s posts that Type 1 is not necessarily autoimmune.