Some history – I was diagnosed by ARNP as having pre-diabetes in Aug (fasting glucose 109). Then, about 1 month ago I was having severe thirst and increased urination, so I used my T1 daughters meter to check my BS several days in a row. The first time I randomly checked after having carbs it was over 300. The next 2 fasting BS were just over 200. So I called the ARNP and scheduled an appt. She put me on Metformin and said I had T2 diabetes and that I needed to keep losing weight (I have lost about 20# this past year, but BMI is still 31. The Metformin has helped, although I am still almost always over 130 fasting. If i eat any carbs it spikes a lot.
My daughter has Type 1 and I had an uncle with Type 1, no Type 2 in the family. I also have been on thyroid replacement for about 13 years. About 5 years ago I participated in a JDRF study of Autoimmunity and was found to be positive with GAD and IA2 antibodies.
My questions to the Endo were about the significance of the antibodies. He told me that the antibodies may not be significant. In the summary of his note, he said, "Given that she has family members with autoimmune issues including type 1 diabetes, it may not be surprising that she has positive antibodies. However, it does not mean that they have clinical implications. We will know that by following her blood sugars. If in fact her blood sugars are elevated over time then we may consider more aggressive use of insulin given her family history, since she may have a propensity towards autoimmune/insulin deficient diabetes. However her sugars will tell the tale."
He also said that he was not sure I was truly diabetic, because I have not yet had an A1C of at least 6.5 (my only A1c was in August when I was "pre-diabetic" with an A1c of 6%) – he also said that because I had a cortisone shot in my shoulder a couple of weeks prior to my first "high" blood sugars that it may be only a temporary situation of high blood sugars. However, he was not sure how long a cortisone will increase my BS. So for now, I am staying on Metformin 500mg twice a day and can increase to 1000mg twice a day if needed. I am supposed to see him again in 6 months at which time I will also have an A1C and lipid panel done. (Lipids in August were: cholesterol 197, triglycerides 121, HDL 41, LDL 132…..I guess LDL was high…should be under 100).:eek:
You all have a very nice Holiday season.
Teri