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May 11, 2019

May 11, 2019
 

When my wife was first diagnosed with diabetes at the age of 63 her A1c was 14.3 and she had lost weight. Her primary allowed me to start her on long acting insulin the first day. As we progressed she was at 6.8 with a regimen of Toujeo, Trulicity and Farxiga. This kept her A1c levels at about 6.7- 7.0 for the next 2 years. As her levels started to climb we added Novolog with a correction factor and carb ratio and had been able to control it for about 8 months. Since she wanted a Dexcom CGM we had to visit an Endo and he did an antibody test to verify what we already knew, she was truly a type one. 

When I relate this story to others they are always amazed that we started so aggressively, and her current Endo considers this aggressive treatment very successful. The question comes up, what if she didn’t have a CDE for a husband, and would anyone have identified and treated her type 1 diabetes so soon?

This week we have a special feature on this misdiagnosis of type 1, and how often even the consideration of an older patient having type 1 is overlooked and simple tests are not done.

 

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We can make a difference!

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Dave Joffe

Editor-in-chief