Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
October 29, 2004
Diagnosis and Symptoms
Question from Washington, USA:
Does pre-diabetes commonly precede type 1 diabetes in older patients? My doctor has said that because of my age, 20 years old, and the fact that I have been diagnosed with impaired glucose tolerance (an OGTT was performed), I am developing type 2. However, I am not overweight at 4 feet 10 inches, 106 pounds. I do not have high blood pressure or other symptoms of syndrome X and I have no family history. I do, however, have a heavy family history of thyroid failure. I've been trying to come to grips with this situation, but now, I have begun to suffer 'lows' and I am questioning what was said to me. After reading through previous Ask the Diabetes Team questions on this site and others, I am under the impression that this doesn't happen in the progression of type 2. Should I ask for an antibody test, and if so, how much do they cost, or can they be gotten for free somehow? Please advise as I am unable to see an endocrinologist.
Some patients present with a late-onset form of type 1 diabetes that looks like type 2 diabetes at first. This is referred to as LADA (late-onset autoimmune diabetes of adulthood). The difference between LADA and type 2 diabetes is that beta cell function falls off appreciatively within months to years of diagnosis. The antibody test is helpful for predicting a late-onset form of type 1 diabetes if it is positive. On the other hand, there is no therapy specific for LADA at this time. The things under your control are to chose a healthy lifestyle and get good medical follow-up care. The antibody test is not cheap and it is not usually available for free.