Bigfoot no closer LADA expert now than last year.
What best practice? What matter/not matter? It like real diabetes: Everyone figures out what works best for themselves. Also like OCD: it’s a problem when it starts interfering with your life. Or like flu: you need Tamiflu, i.e. you should absolutely, totally be doing something.
Advice, so far, from actual doctor:
1. Test your blood sugar every once in a while. When your fasting blood sugar is regularly over 120 – 130mg/dL, you need to start taking insulin. (OCD/no prob. until life-interference method.)
2. A low carb diet, Vitamin D supplement, and probiotics are all things people think might slow the progression of T1d, but none of this is proven, but if you want to do any or all of that…bully for you. (Flu/DO SOMETHING method.)
Bigfoot current LADA mgmt. method = combination #1 & #2 with a twist: fasting BG Q day: 116, 114, 102 + rub hands, think oh boy, this diet is working, 137, 126, 131 + think this is totally not working, I’d better stop checking my fasting BG for a while so I don’t psych myself out. Followed by chocolate chips. (Guittard).
Combo method also include occasional, well-timed situational eat beau coup carbs (e.g. Cadbury Mini Eggs debut or neighbor shares excruciatingly good peanut butter cookies) and tell self for science and test BG, and BG > 200 mg/dL. Follow up w. tell self Oh my darling, you really shouldn’t have done that. Followed by shaky, shaky crash try so hard sit still, wait for liver/any helper organ kick in, try not drive behind Talbots to secret falafel shop for giant hot falafel, extra tzatziki, pepperoncini…
And Jack, maybe Juvenile LADA?
Recent subjective and objective data: Enraged after eating out @Bertucci’s (
pizza) (unlimited rolls followed by pizza): I don’t know why I am so angry and I know I am being a jerk and I just rrrrrrRRRRrrrrr. Test BG: 170-something followed moments later by Mom I need a snack I am SO HUNGRY and I can’t find anything to eat and I feel like I am FREAKING OUT.
BIGFOOT: Would you like a banana?
JACK: (Dark circles under eyes) Yes!
BF: With peanut butter?
JACK: Yes! (With tone of YES OF COURSE GAHDAMMIT.)
JACK: I do NOT feel better. I need this feeling to stop!
BF: Do you want these leftover cheese grits?
JACK: Yes! Yes, please!
BF: Do you want me to warm them up?
BF: Do you want this leftover pulled pork with it?
JACK: I am still not feeling better! What is WRONG with me?
BF: Do you want yogurt?
BF: Would you like coconut or strawberry?
JACK: Both. And do we have any granola? Do we have any tortilla chips? Do we have any—
BF: Do you want to test your blood sugar?
Whole thing feels significantly more dire/detrimental to health, seen in child (vs. Bigfoot already ruined—sun damage, screws in broken leg, childbirth, etc.) But could also be normal teenager mood. Sixty-seven not even officially low for Normies.
Stay optimistic or stay Chicken Little. Either way, nothing to do. Watch/don’t watch. Vitamin D gummies/don’t. Test/don’t test. Worry/don’t worry. All the same: persons feel occasional crapfest.