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Question: From Germany: I am 65 years old, and ten years ago I had my first symptoms of diabetes and was put on a sulfonylurea pill. Developing diabetes was a big surprise because nobody in my family has it, and I never was overweight. After about a year, I was put on twice daily 70/30 insulin, but, despite all my efforts with regard to meal planning and checking my blood sugars, my diabetes is more and more labile, my hemoglobin A1c is between 8 and 9%, and my doctor continues to tell me that I have to be more careful. How? Has anyone experienced similar problems? What can I change? Answer: I think you may have a type of autoimmune diabetes called Late-onset Autoimmune Diabetes of Adulthood (LADA). A glucagon test might be indicated at this stage to assess whether you need more insulin or an intensified regimen. Premixed insulins don't work very well, and we always ask LADA people to try to cope with an intensified insulin regimen based on Regular (or Humalog, or Novolog) insulin before each meal and NPH, Ultralente or Lantus (insulin glargine) at bedtime. MS DTQ-20010612052945 Original posting 30 Jun 2001 Posted to Daily Care

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

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