Presentation

Hello:

I am also new in the forum, although I have been looking and all that.I think this is very good.And I would like to spend more than I do, but there is no time.In any case, it is encouraging to see so many people and read so many experiences ... as a presentation, you may be interested in mine.
I debuted a couple of years ago.I was diagnosed with a lada.And I'm still with pills.It makes me strange because everyone tells me that I have been for a long time and that it is not usual to take so long to go to insulin -I don't know.Today I had my last review.The Hemo was fine (at 6.0), and the C peptide on the lower limit, but even with some reserves in the old pancreas.The only paste is that, since I debuted, I have been losing unprovided weight, and now I am in 66 kilos (when I started, we weighed around 90 kilos).Every time I look more like a skeleton with skin.The endocrine has told me that I have to gain weight, but he hasn't wanted insulin yet.
I do not know how I will gain weight, if I have to do diet and exercise.She has told me that I must eat more, but as more, surely I get out of control ... On the other hand, I have read that they recommend starting insulin treatment before exhaust the pancreas .I have commented to my doctor but she has not believed convenient to start yet.I guess how much later, the better.
Anyway, this is my experience to date.I hope someone serves you.
Greetings to all.

Epistolista
03/08/2011 2:57 p.m.

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Epistolist welcome!
I am losing weight, I made a few days ago to see the thyroid, and it has come out negative, I like a lot, but I can not, I do not ask the body, the loss of weight I have no idea whyIt can be, the 18 I have educator, to see what he tells me
Greetingsssssssss

anabeg
03/09/2011 4:59 a.m.

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Welcome to the epistolist forum!
The truth is lucky to take 2 years and not have to use insulin ...: D
That is, they tell you that you have to climb weight and put you on a diet, for not sending you insulin, I suspect .... This was my husband, when he was badly diagnosed with a type 2 diabetes ... they had lettuce and iron, I lost kilos per second ... Thank you found another endocrine that quickly put the proper treatment ....
What type of diet do you carry?Do you take HC, s? ... well, tell us something else, to see if someone can guide you.
Greetings.
Anabeg, the truth is that if you have the thyroid function well and you feed well, it's rare, right? ... My daughter threw a lot weights to the debut, and it was difficult for him to recover, but then he grows normally ... maybe you consume more caloriesof which you eat? .. kisses

Velia
03/11/2011 4:10 a.m.

De los buenos tiempos, siempre quiero más...
Mamá de Ángela, ¡16 añitos, fiera!. Debut: octubre de 2003.
Bomba insulina Medtronic Paradigm Veo desde junio 2005
Última hemo 6.1

Helloaaaaaaaaaa,
Velia, because I don't know, I don't consume more calorie, and do not keep me, the doctor who had changed my metabolism told me, I don't know, on the 18th I will tell the educator
Greetingsssssssssssss

anabeg
03/11/2011 5:20 a.m.

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My opinion is that the external insulin is established before, the production of internal insulin is preserved ... The problem is to define the moment, with a high C peptide simply a pair of basal insulin units can already cause hypoglycemia, soYou have to choose the moment well and increase the number and frequency of the analytics.

Currently the 2 currents of the initial treatment for lada: Metformin vs insulin

Epistolist, have you made the markers for Lada?
As for the weight, discarded thyroid problems (TS4, TH FREE ...) and having the glys touching the 6, the explanation must be sought in an excess of calorie consumption (too much exercise) or calorie deficit (at leastA 2000 calorie diet should already be enough to gain weight).

DiabetesForo
03/13/2011 5:20 a.m.

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<Blockquote Owash "" = "" Ref = ""
That is a theory like any other and is as valid as this is: the self -immune problem feeling it a lot has already begun, the immune system is already programmed (erroneously) to destroy beta cells and it doesn't matter if there is much or little endogenous insulin.

I am totally against having to suffer hypoglycemia, especially for theories that have no scientific basis, I don't care if it is for the case of starting the treatment with insulin early that the type 1 case in "honeymoon" whereThere are situations in which it may be necessary to have to completely suppress the treatment with insulin PQ does not need exogenous insulin.

But come on ... that if people are happy suffering hypoglycemia (because hypoglycemia is very fun ...) then it is better to start with insulinization early (lada) or during the "honeymoon" to continue putting insulinexogenous although it is not needed (type 1).

DiabetesForo
03/13/2011 7:06 a.m.

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Nobody says that hypoglycemia must be suffered, as Owash says, you have to see which is the best time to start with insulin, with small doses to not suffer hypos and for that you have to do the corresponding analytics.

DiabetesForo
03/13/2011 9:43 a.m.

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TNT, if you quote my answer, do not cut a fundamental part of what I expose ... that coincides with what you comment.
With analytics I mean peptide tests and antibodies, I do not mean capillary glycemic self -analysis.
As is logical, if introducing insulin supposes hypoglycemia (despite the correct ingestion of hydrates) it must be reduced or eliminated.That is why I give the example of basal insulin and the need to increase analytics.

In DM 1 (if it is well diagnosed) it is very clear that the autoimmune process will continue its course and in short period the little/much of insulin producing islets that are left.Today the process is invariable.

The problem of the Lada type is that it is not yet known exactly ... since it contains antibodies (GAD) similar to those of DM 1, it shares the HLA halotype ... but it also shares the genetic ties of the DM2,So why not think that the Dm Lada is a body response to the beta cell damaged by the DM2 ...

It has been proven that sulfoniruleas do not improve the conservation of beta cells (in fact squeezes them) ... Metformin does not provide anything better, it simply avoids insulin resistance ... but otherwise there is insulin resistance (obesity) (obesity) (obesity)Why metformin?

That is why I say that a good insulin adjustment, mainly basal, studying the moment of introduction and the amount of insulin, today, for me, is the best therapy that retains beta cells and also avoids possible ketoacidosis situations (Let us remember, main short -term danger).

And yes, there is controversy about the early use of insulin ... but the controversy is when to do it, not if it is convenient.
There is controversy because now lada diabetes is more and better, 20 years ago nobody knew it ...

DiabetesForo
03/13/2011 9:50 a.m.

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What you are telling (without entering into the theory of lengthening the life of beta cells ...) a priori sounds very well "to find the exact moment to start with the treatment of insulin in a lada diabetes" but so a boat soonI occur to me at least two reasons why I see very difficult to put it into practice:

1) convince / re-educational / raise awareness among professionals involved in these issues about the existence of other types of diabetes such as the Lada type .

Point should be taken for granted but the reality in this point is quite hard especially when you find enough testimonies (in this forum, in other forums, having contact with other diabetics in person, ... etc) in thewhich say that there are "professionals" that deny the existence of other types of diabetes were classic types (type 1 / type 2 / gestational).Perhaps this negative can explain (in part) because there are quite a few diagnoses that are erroneos.

Existence of bad professionals I am not inventing it ... In fact in this same forum a term has been popularized that also expresses what I am told, a term that had not read it before anywhere but that I understand perfectly: stup -ond (Endocrine stupid).
It must also be said that endocrine are not the only professionals involved in these issues, there is also a lot of header who likes to play being a specialist doctor ...

Extreme cases but unfortunately real: the "professional" on duty grabs the classic profiles and depending on something like diagnostic age ("less than 30 years such , more than 30 years Pascual ") or (although he can sound in joke) the" professional "of duty dedicates to diagnose based on something like the cost of treatment since if in the treatment there is insulin the treatment is more expensive than if not thethere is (sad but true).

.. that this point is as necessary as it is difficult to carry it out (and succeed).

But if this point is important to carry out what you are telling the next point is so important or more:

2) convince the professionals involved in these issues that the type of lada diabetes needs a follow -up to the follow -up that a type 1

Of course ... First you have to go through point 1) to be able to reach point 2) and then, assuming that it is successful in point 1), that point 1) would not helpMonitoring of the disease superior to the follow -up that a type 1 diabetic needs since to find the ideal moment in which the treatment with insulin should begin, the exhaustive follow -up of the disease should be carried out.

Person who has type 1 diabetes for a few years could say that the normal thing about consultations in my case is: having only one consultCases if you also block the year to have two consultations a year (always with analysis in the intermediate months), personally I see difficult to have more consultations year and I think that in the case we are talking, more than two consultations per year would be necessary since at any timeIt may be necessary to start treatment (and you don't necessarily have to match that moment or those two consultations a year).

Other: Type and Number of Analysis To determine the moment of starting insulin treatment: as that moment will be related in one way or another with the endogenous insulin production drop.

A type 1 diabetic is only done this test when debuting and perhaps during the "honeymoon" or when it is believed that the "honeymoon" is over that the periodicity of thisTest in a type 1 would not guide the lad type, but we will ... at least this test with the HGA1C should be to coincide since since this goes from diabetes, it would be necessary to monitor the HGA1C and the latter does not make much sensemake them in periods of time under 3 months.

It could go further by adding to these tests Fructosamine analysis which would serve to monitor the metabolic control of diabetes with a periodicity of 2-3 weeks instead of the monitoring of HGA1C that "only" monitors the last months (the last months (But this would already be to throw the house through the window ...).

Few words, we should convince the professionals involved that the monitoring necessary to achieve what you comment would be more or less the monitoring of a type 1 but improved.

Point 1) It seems very difficult to carry it out (and succeed) this point 2) I want even more difficult.

I think that after all the tocho I have written I am somewhat confused ... was all this to find the ideal time to start insulin treatment?Was it to lengthen the life of beta cells leaning on a theory that has no scientific basis?Was it for both?:? ::? ::?:

If someone believes that I am lying to say where I am lying, if someone believes that my argument is wrong to say that it is wrong, if someone believes that it is possible to do it realistically to say as.

The point of view that I am giving is neither optimistic nor pessimistic, it is simply realistic.

DiabetesForo
03/13/2011 2:03 p.m.

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Welcome!

The pills is quite relative, I have a friend (also type I diabetic, with more years of dB than me) whose treatment is lantus + pills.I usually ask if it is doing well, but it is a bit reluctant to answer, the fact is that it gives the occasional hiccSurely they keep you with them (I guess because the treatment is cheaper).

Lew
03/13/2011 2:06 p.m.

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Indeed, TNT, I don't remove a comma to what you have exposed.

I insist that lada diabetes has a strong controversy, mainly because it is not clearly defined by specialists ... but either, today, there is a clear diagnostic algorithm or unequivocal tools to do so ... so much less goesthere are a consensual treatment.

The introduction of exogenous insulin serves to try to preserve endogenous production ... that there is no clear scientific basis about when to do it?There is not, but there is also no metformin from the beginning and almost all is being done.
And my opinion is that insulin is better to introduce it as soon as possible (provided it does not produce hypos), because it is the most appropriate treatment and the one that can give less problems (hypos apart).

Many "professionals" do not know the diabetes ladexclusively in the hands of the doctors themselves (with the danger that this entails ... that you view the days and congresses, I already know what many of them go to).

For not winding, you have pointed out 1 of the fundamental problems of diabetes care in Spain:
- Non -absence of specialists.There are endocrine, many, but I don't know a single diabetologist (understood as a diabetes specialist))
I do not know any endocrine or internist or primary school that is dedicated exclusively to diabetes ... and that in a disease like dm lada, weighs a lot.
I obviously do not know all of Spain, but I don't think I am wrong.

DiabetesForo
03/13/2011 3:17 p.m.

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