I was initially diagnosed as Type 2 Diabetes. It was easy, because I am an adult. While not obese, I am a bit over ideal body weight.
Because of this, the doctors did not make any effort to investigate further. I don’t know if they lacked the know how, or wished to save the expense of testing. Perhaps doctors are too busy to take the time to do a good and proper job.
Latent autoimmune diabetes in adults (LADA) accounts for roughly 10 percent of people with diabetes, making it probably more widespread than type 1 diabetes. Once diabetes is diagnosed in an adult, the proper next step is to rule out LADA. This can be done with a few simple blood tests. One has only to put pen to paper and order them.
Well, the Type 2 medications did not work well enough for good control. A clinical pharmacist and friend looked at my data and suspected LADA. We got the tests ordered. SO I have Type 1 diabetes of adulthood, or LADA. The ADA sometimes refers to this as type 1.5.
In Statistics, we call this a TYPE 1 ERROR. Diagnosing a disease which was not present (Type 2 diabetes)
They also made a TYPE 2 ERROR. Failing to diagnose Type 1 diabetes when it was present.
So why should it make a difference? There are currently two reasons of importance.
1. Beginning insulin therapy early (rather than using sulfonylureas and other oral agents) can help preserve beta cell function significantly longer. This prevents total insulin dependence. Which brings us to reason #2.
2. There is some evidence that certain trial treatments may prevent beta cell deterioration. The hope is that the beta cells may also be able to recover. If such a therapy becomes available in say, 7 years, it would have been important to preserve function in that time span.