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Started By
Message
2
Posted on 7/25/25 at 8:40 am to ole man
I haven't spoken with the doctor yet but I suspect it's something like LADA "type 1.5" diabetes. I'm skinny, in shape, and eat well, it just came out of nowhere.
Posted on 7/25/25 at 8:45 am to Ingeniero
Damn dude wtf. I thought for sure you’d come back and report you are fine and was just dehydrated.
Posted on 7/25/25 at 8:51 am to jordan21210
Yep it's kind of caught me by surprise too. No idea what triggered it. My labs have been totally normal for years and out of nowhere these last few weeks, it just popped up.
Posted on 7/25/25 at 8:55 am to Ingeniero
I had this issue as well-
I get annual physicals as well and all my labs are good.
Doctor never menttioned Type 1/2.
Started using Liquid IV etc and its gotten better.
I get annual physicals as well and all my labs are good.
Doctor never menttioned Type 1/2.
Started using Liquid IV etc and its gotten better.
Posted on 7/25/25 at 9:01 am to Ingeniero
Is there family history of this or any type of diabetes?
Posted on 7/25/25 at 9:06 am to Aguga
Nope, none. No one else in my family is diabetic, T1 or T2
Posted on 7/25/25 at 10:44 am to Ingeniero
quote:I hate that for you. You are going to be in a bit of a whirlwind of overloads of information for the next couple of months. Just know as it seems overwhelming, that you will get it and, based on your ability to maintain a disciplined exercise routine for many years, i’m confident you will manage this condition very well.
ETA: doctor hasn't called yet but my blood glucose was 233 while fasting and I had glucose in my urine
I am happy to help answer any questions as you have them.
quote:You recall having any kind of virus in the past few months? I think a strong immune response often causes the immune system to, for whatever reason, attack the beta cells in the pancreas leading to T1.
No idea what triggered it
This post was edited on 7/25/25 at 11:10 am
Posted on 7/25/25 at 10:51 am to ole man
quote:A1-C being high does not differentiate between type 1 and type 2. It will be high with type1 as well. Based on this posters history and symptoms, I am fairly certain it is type 1 and not type 2.
A1-c will more than likely be high indicating type 2
Posted on 7/25/25 at 10:54 am to Ingeniero
quote:you need to be really proactive in pushing to get in with a good endocrinologist right now. Your first appointment will last several hours. It is Friday and will not wait until Monday. It sounds like you are not currently in DKA. If that is true, you might be able to avoid a weekend hospital stay by getting in immediately to an Endo.
doctor hasn't called yet
Posted on 7/25/25 at 10:58 am to WDE24
quote:
I am happy to help answer any questions as you have them.
I appreciate that. They're referring me to an endocrinologist now. Primary care didn't seem concerned with me continuing my current exercise and diet until I get into the endocrinology clinic. No risk of DKA, you know the drill
quote:
You recall having any kind of virus in the past few months? I think a strong immune response often causes the immune system to, for whatever reason, attack the betta cells in the pancreas leading to T1
Nope, not a single illness I can remember even in the last year. The only thing I can think is that increasing workout intensity in the summer heat stressed my body and caused an immune response. It's likely T1 or 1.5/LADA as they like to call it in adults, so I'll manage it with medication and maybe insulin if it comes to that. I'm 98% of the way there in terms of how a doctor would have someone manage it through diet and exercise already.
Posted on 7/25/25 at 11:07 am to Ingeniero
Exercise is good for keeping your BG level from spiking too high. It, together with a low carb diet, are likely what is keeping DKA away.
If it is T1, your pancreas is possibly/likely still making some insulin (you can read about the honeymoon stage). You will require insulin. Most T1’s these days opt for a continuous glucose monitor (CGM)(Dexcom is the industry leader, but there are other good options) and an insulin pump (I think omnipod and t-slim are still the industry leaders, but new competitors are continuously entering the market).
T1.5, I don’t have any experience with, but my understanding is that you will likely still require insulin at some point, but the pancreas may still function producing some insulin at some rate for a while.
Our endo required finger pricks and multiple daily injections (MDI) for the first couple of months to master the basics before switching to a cgm and pump.
If it is T1, your pancreas is possibly/likely still making some insulin (you can read about the honeymoon stage). You will require insulin. Most T1’s these days opt for a continuous glucose monitor (CGM)(Dexcom is the industry leader, but there are other good options) and an insulin pump (I think omnipod and t-slim are still the industry leaders, but new competitors are continuously entering the market).
T1.5, I don’t have any experience with, but my understanding is that you will likely still require insulin at some point, but the pancreas may still function producing some insulin at some rate for a while.
Our endo required finger pricks and multiple daily injections (MDI) for the first couple of months to master the basics before switching to a cgm and pump.
This post was edited on 7/25/25 at 11:13 am
Posted on 7/25/25 at 11:15 am to Ingeniero
quote:
I had glucose in my urine
Posted on 7/25/25 at 11:20 am to Ace Midnight
That's right baw, I'm pissing sugar
Posted on 7/25/25 at 11:23 am to Ingeniero
Last bit of unsolicited advice…research endos in your area. Reach out to your FB circle of friends and acquaintances and talk to people about the endos in your area and their approach to T1 management. There are a ton of “old school” endos whose approach to type 1 treatment has not kept up with modern technology that allows for much greater and tighter control of BG levels.
Posted on 7/25/25 at 11:32 am to WDE24
quote:
Dexcom is the industry leader, but there are other good options
As an aside... I've been using a Dexcom for several years.. wanted to try the Libre.. because it is smaller and lasts 15 days instead of 10. 100% failure rate over the course of 4 sensors within the first 3 day of inserting sensor. Could have been a bad batch, I guess, but still... also didn't seem as accurate as the Dexcom, and with the Dexcom, you can sort of calibrate it with finger sticks. Went back with great quickness to the G7.
Which has nothing to do with anything.
Posted on 7/25/25 at 11:33 am to Ingeniero
In all seriousness, my dad picked up Type 2 at around age 50. Around the same time he started dealing with cancer. He still made it another 25 years and he literally did nothing right from a health standpoint from 26 until death except:
1. He quit drinking at 26
2. He quit smoking after he got cancer
3. He half-assed took care of his diabetes
4. He cut back on how much he was eating and lost 100 pounds from his peak weight
In the end, it was multiple organ failure/sepsis from kidney failure, secondary to Type 2 Diabetes. If he had taken care of himself throughout life, he might have hit 90 (like his father). However, he ended up with Alzheimer's and that didn't help, either.
Good luck, baw.
1. He quit drinking at 26
2. He quit smoking after he got cancer
3. He half-assed took care of his diabetes
4. He cut back on how much he was eating and lost 100 pounds from his peak weight
In the end, it was multiple organ failure/sepsis from kidney failure, secondary to Type 2 Diabetes. If he had taken care of himself throughout life, he might have hit 90 (like his father). However, he ended up with Alzheimer's and that didn't help, either.
Good luck, baw.
Posted on 7/25/25 at 11:57 am to WDE24
Not unsolicited at all, keep it coming. As you said, I'm in a whirlwind of information right now and trying to make sense of it all. I think my biggest question for my endo is going to be managing insulin alongside fueling for running. I'm already going down a rabbit hole and can see that some of the CGMs connect to my Garmin, so that's nice
Posted on 7/25/25 at 12:13 pm to Ingeniero
quote:
ETA: doctor hasn't called yet but my blood glucose was 233 while fasting and I had glucose in my urine
Damn im very sorry man
Posted on 7/25/25 at 12:18 pm to Ingeniero
quote:The great news is that there are plenty of athletes, endurance and otherwise, that have T1. It is manageable. Hopefully your endo has some good info, but you will likely find better recommendations on some T1 or running message boards.
I think my biggest question for my endo is going to be managing insulin alongside fueling for running
One of the frustrating things about T1 is that everyone reacts a little bit differently and the way your body reacts changes sometimes randomly and sometimes based on a thousand different variables. It’s a constant state of monitoring and adjusting.
This post was edited on 7/25/25 at 12:24 pm
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