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5 Responses

  1. tmana
    tmana September 25, 2012 at 4:25 am | | Reply

    “Seeing an endocrinologist” — any endocrinologist — may be more the issue than it would appear in the post. Many health insurance policies require specialist referrals, which general practitioners are hesitant to make, or are discouraged from making. Co-pays for specialists are often higher than for primary care doctors, making it harder to scrape up the money to get care. There can also be long waits if there are not enough endocrinologists in your area, or whose hours work with your schedule, or who have openings to see new (or even current) patients…

  2. Melitta
    Melitta October 2, 2012 at 10:24 pm | | Reply

    Let’s see, “a workshop concluded that type 1 and LADA are distinctly different?” If that is what the AADE is saying, we are truly in trouble. Type 1 autoimmune diabetes is defined as having positive antibodies, and LADA’s have positive antibodies. Both are clearly Type 1 diabetes as defined by WHO and the Expert Committee on the Diagnosis and Treatment of Diabetes Mellitus. It is statements like that from AADE that contribute to the problem of misdiagnosis. Sad and pathetic.

    1. Mary Dexter
      Mary Dexter October 5, 2012 at 7:51 am | | Reply

      LADAs are different. We produce more insulin than Type 1s, but the amount often seems to vary, as does insulin resistance. We often require additional insulin, but usually much less than either Type 1s or Type 2s and we are more sensitive to even the slightest discrepancies. The honeymoon period can last years. I’ve been LADA for almost 9 years and still use relatively littel insulin, especially mid-day. And because we are adults, unlike a small child’s honeymoon period when insulin levels vary for a couple of years, we must be our own parents and figure out how to frequently change basal/bolus rates to compensate.

      1. Melitta
        Melitta October 12, 2012 at 12:49 pm | | Reply

        LADA is Type 1 diabetes. There is also a vast difference in the experience of onset of Type 1 diabetes in a baby versus a teenager, but it is all autoimmune diabetes. No one is saying that teenage onset is distinctly different than baby-years onset, so why say that adult-onset Type 1 is “distinctly different?” Same disease process, same genetics.

  3. D V Srikanth
    D V Srikanth October 3, 2012 at 5:35 am | | Reply

    This is indeed a highly informative post from you where, crucial aspects related to right diagnosis have been aptly covered. As stated by you, it is always better that one does not rely on general physicians for the purpose of detecting diabetes. Anyone who reads this would surely become more aware of the varied facets of the ailment. It is clear that it is only subsequent to an extensive research that you have come out with this post. Well done!

    An online community of diabetics; http://www.diabeticvillage.com

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