Many diagnosed with Type 2 diabetes may have LADA

[Dartman]

Many diagnosed with Type 2 diabetes may have a different form of the disease

www.nbcnews.com/health/diabetes/diagnosed-type-2-diabetes-may-different-form-disease-rcna132571

[agedhippie]

This is a lot less uncommon than you would hope. It also happens in the other direction as some Type 2 variants can put you into DKA (typically this is a "can't happen" for Type 2). I know people who were originally diagnosed as Type 2  but where really Type 1 or LADA (aka. Type 1.5).

[sayhey24]

Its pretty clear Phyllisa Deroze and Mila Clarke listened to their doctor. What did the doctor do? I am assuming the doctor followed the ADA's T2 SoC.

If they had been Proboard readers they would have learned the ADA's SoC is a mess and in this case potentially dangerous. If they had been VDex clients they would have been put on a CGM and afrezza and then further evaluated.

I do like the terms. It use to be simple we had insulin dependent and non-insulin dependent diabetics. Now we have alphabet soup. In addition to T1 and T2 we have LADA: MODY; Double; Type 3; Steriod-induced; brittle; secondary; and Insipidus Diabetes. There is even one called Flatbush. Thats my favorite because I was born very close to Flatbush Brooklyn.

This is all non-sense. Nearly no T2 gets anti-body tested. What would happen if they did? I bet a lot more would be found to have anti-bodies against some virus. Then what? What we did learn with Covid Diabetics (not sure thats an approved diabetes type) is they had anti bodies and when we did some autopsies of some who passed they saw the covid virus attacking the beta cells.

Let me re-write the SoC for all non-insulin dependent patients;
1. put them on a CGM day 1
2. have them fill a prescription for afrezza which will probably take a month or 2
3. provide a paper food log sheet and have them track what they ate and time
4. have them come back in a 14 days, change the sensor and review the AGP findings and correlate the food log
5. In most cases provide them with afrezza samples and demonstrate how to use it.
6. have them come back again in 2 weeks (samples will run out), give them more samples, review the AGP and food log, replace the sensor and make dosing adjustments and other adjustments as needed

This is my favorite part of the article - Mila "asked her primary care doctor to prescribe one (CGM). The monitors are recommended for patients with Type 1 and, more recently, some with Type 2. “He flat-out told me, ‘No. It’s going to be too much information, too much data for you,’” "

Now, thank God she did not listen to her doctor who is following the Rube Goldberg of diabetes care.