Jonathan M
New Member
- Location
- Merseyside
Your family history indicates a high risk. Parent with T2DM means about a 50% chance of offspring developing the condition in mid to late adulthood.
What is your BMI, and would you describe yourself as "apple" shaped, any abdominal fat/obesity?
Your symptoms and family history mean you really need definitive investigations, basically the GTT as mentioned above.
One problem with capilliary monitoring is that dehydration can render them less accurate (a capilliary blood glucose reading will be lower than true glucose in dehydration).
Something to consider, while you dad having T2DM increases your risks, you describe drug related pancreatic problems in the past, if there is any risk that you are insulin deficient then you possibly run the risk of a more acute presentation, similar to T1DM (but not true T1DM as this is an autoimmune condition). Insulin insufficiency means you may metabolise fat in the absence of insulin, and the body then is unable to process the remaining ketones, a fatty acid. Result can be Diabetic Ketoacidosis (DKA) which if not identified and treated urgently can be life threatening. Remote possibility but one that means you should be seen with a degree of urgency.
Any chance of a lack of insulin production means insulin injection therapy may be required - as it is in a lot of cases of T2DM as well, as T2DM is generally a progressive condition which progresses from diet, to tablet, to combination tablet:insulin therapy in order to maintain good glycaemic control.
Out of interest, what drug related pancreas problems have you experienced previosuly?
What is your BMI, and would you describe yourself as "apple" shaped, any abdominal fat/obesity?
Your symptoms and family history mean you really need definitive investigations, basically the GTT as mentioned above.
One problem with capilliary monitoring is that dehydration can render them less accurate (a capilliary blood glucose reading will be lower than true glucose in dehydration).
Something to consider, while you dad having T2DM increases your risks, you describe drug related pancreatic problems in the past, if there is any risk that you are insulin deficient then you possibly run the risk of a more acute presentation, similar to T1DM (but not true T1DM as this is an autoimmune condition). Insulin insufficiency means you may metabolise fat in the absence of insulin, and the body then is unable to process the remaining ketones, a fatty acid. Result can be Diabetic Ketoacidosis (DKA) which if not identified and treated urgently can be life threatening. Remote possibility but one that means you should be seen with a degree of urgency.
Any chance of a lack of insulin production means insulin injection therapy may be required - as it is in a lot of cases of T2DM as well, as T2DM is generally a progressive condition which progresses from diet, to tablet, to combination tablet:insulin therapy in order to maintain good glycaemic control.
Out of interest, what drug related pancreas problems have you experienced previosuly?
- as you were B)
