Type 1 Blood Tests

My endocrinologist recently ordered blood tests to determine C-peptide levels (corresponding to insulin), as well as 5 antibody tests associated with Type 1 diabetes, which is an autoimmune disease.

These were my results that show I definitely have Type 1 (LADA) diabetes, and NOT Type 2!

  • C-Peptide: <0.2 (Low), Expected: 1.1-4.4
  • GAD 65 Antibody: > 141.0 (High), Expected: <5.0
  • Insulin Antibody: 13.3 (High), Expected: <0.5
  • Zinc Transporter 8 Antibody: 59.4 (High), Expected: <15.0
  • Islet Cell Cytoplasmic Antibody, IgG: <1.4 (Normal), Expected: <1.4

I also had a thyroid test, thyroid stimulating hormone (TSH), that was was high indicating I have low thyroid and so will start taking 50 mcg Levothyroxine.

  • TSH, Third Generation: 6.230 (High), Expected: 0.400-4.100

There is an interesting article about LADA on the diaTribe web site.

Type 1 LADA!

Based on the blood tests ordered by my endocrinologist, I definitely have Type 1 LADA (Latent Autoimmune Diabetes for Adults) diabetes (and NOT Type 2)!

And I have low thyroid and need to take 50 mcg Levothyroxine.

And I have B-12 vitamin deficiency and need to take a pill for that. They said that often occurs when someone has been on Metformin for over 5 years. They had already told me to discontinue the Metformin at my last visit.

I got a prescription for Baqsimi glucagon nasal spray, if I have any emergency from very low glucose where I might be unconscious (my wife can squirt it up my nose).

They also discontinued Trulicity GLP-1 agonist weekly injection that my PCP had started 6 weeks ago (before I saw the endocrinologist).

They gave me information to review regarding insulin pumps like OmniPod or t-slim. We also talked about possibly getting a smart insulin pen with dose tracking and calculator, but will wait until another visit to decide on that since I might not need it if I get a pump.

They reviewed my log for the last 2 weeks, and made an adjustment for carb ratio at dinner so I’ll take a little more NovoLog at that meal.

Because of the coronavirus, my next visit in 2 weeks will be done via the phone after I send all my information from my log and Dexcom Clarity details from my CGM.

I have setup my Dexcom CGM this afternoon and after the initial warm-up period will start continuous glucose monitoring every 5 minutes with graphs, alerts and alarms.

I am so glad that I finally saw an endocrinologist!

Dexcom G6 CGM

Dexcom G6 CGM


I was diagnosed with Type 2 diabetes in October 2006, and started insulin therapy several years later. I have just been seeing my primary care doctor to manage my diabetes. That included quarterly office visits to review my A1C lab test for my 3-month glucose average. Also I had annual comprehensive, metabolic, and lipid blood and urine tests to check my cholesterol, liver and kidney function, etc.


My hemoglobin A1C had been increasing over the last year (6.9, 7.5, 8.0, 8.4%). My PCP wanted me to try Trulicity, which is a GLP-1 agonist weekly injection (non-insulin). That works in the small intestine when food is detected, and the hormone works three ways: it signals the pancreas to release more insulin, liver to produce less glucose, and stomach to slow digestion.


My PCP said Trulicity should lower my A1C from 1.4 – 1.8%, and wanted me to stop both my Lantus long-acting basal insulin at bedtime, as well as my NovoLog fast-acting bolus insulin for meals. So I stopped all my insulin “cold turkey” and started my first Trulicity injection, and my glucose sky-rocketed immediately to over 600 mg/dL with highs constantly in the 300-500 range. I was really worried about the hyperglycemia (high glucose) because of potential long-term complications, and even thought I might need an ER visit.

Insulin (again)

I sent messages to my doctor about my readings during the first few days, and he suggested trying the NovoLog at meals because it might take a while for the Trulicity to kick in. I’ve read that it might be several weeks (or months) before it becomes effective. So I did that, but it still didn’t help much. Then I told him about that, and he said maybe it would be more beneficial to use the Lantus at bedtime instead of the NovoLog. So I tried that for a while without any improvement. So I resumed taking my NovoLog at meals also, and did 30 minutes on a treadmil at the fitness center daily to see if that might help get it down.


I checked my blood for ketones that are produced when your body burns fat for energy when there isn’t enough insulin to get the glucose into your cells; it ranged from trace to small, rather than negative, but at least it was not in the moderate to high range which would indicate diabetic ketoacidosis (DKA) that is very serious.


I was starting to lose confidence that my PCP could really help me manage my diabetes. So two weeks ago, I decided that I finally needed to see an endocrinologist, and I am so glad that I did. He increased my Lantus insulin from 10 to 16 units, although it has since been reduced to 12 units now since I was having some lows during the night. He also discontinued the daily Metformin pills that I had been taking because he said they wouldn’t help me any more. Recently my glucose has stabilized quite a bit.

Type 1 LADA?

He thinks that I might actually be Type 1 LADA (Latent Autoimmune Diabetes for Adults), rather than Type 2. He ordered blood tests to measure my antibodies to determine whether I have Type 1: C-peptide, GDA 65 Ab, Islet Cell Ab, Insulin Ab, and Zinc Transporter Ab, along with a TSH thyroid test.  I will review the results at my return visit tomorrow.


He also ordered a Dexcom G6 CGM (continuous glucose monitor) for me that I received a few days ago and will activate tomorrow as well. This uses an applicator that inserts a sensor in your abdomen that samples your blood glucose every 5 minutes and transmits the results to an iPhone app; a Dexcom receiver is also provided as a backup. It shows the current G6 reading with a history graph and up/down arrows that show trends, and also provides alerts and alarms for lows and highs that will be especially important while I sleep. And I won’t be checking my glucose with fingetsticks 10 times a day.


I have included some photos of the Dexcom G6 that I received, which includes a user guide, transmitter, receiver, and 3-month supply of sensors with applicators.  I will let you know how my visit goes tomorrow.

Diabetes Quarterly A1c – Apr 2017

I met with my doctor yesterday for my quarterly type 2 diabetes follow-up visit, which included reviewing my recent lab test results. My new A1c was 6.9%, or estimated average glucose (eAG) 151 mg/dL, which measures my average blood glucose over the past 3 months.

It has improved, down from 7.1 in Jan and 7.0 in Oct 2016. I was slightly disappointed because I thought it might be more like 6.4% because my Avg BG were 136 (Jan), 137 (Feb), and 132 (Mar). However I need to remember that this is lower than the American Diabetes Association (ADA) target 7.0% (eAG 154).

My doctor said he can really notice a difference with my strength training over the past 3 months. Also I lost an additional 5 pounds since I’ve reduced my meal carb targets. And I now only take 8 units Lantus long-acting basal insulin at bedtime instead of 10 since I was getting more overnight lows like 44 and several in the 50’s and 60’s. My Humalog rapid-acting bolus insulin at meals is less too, when I need to take it at all.

Overall he thought I’m doing great with my diabetes management. He can see how much my One Drop | Premium subscription has helped too.

One Drop at LaunchFest

The One Drop diabetes management solution was launched two years ago, and I was one of its early users. I started using their free One Drop | Mobile app for iOS on my iPhone in June 2015, and have now been using the One Drop | Premium subscription with the One Drop | Chrome blood glucose meter, unlimited test strips, and One Drop | Experts diabetes coaching since December 2016.

Here’s a recent presentation at LaunchFest by Jeff Dachis, CEO and Founder of One Drop, on their diabetes platform, status, and progress.

One Drop by Jeff Dachis at LaunchFest 2017 – 10 min 4 sec


One Drop | Premium

One Drop | Premium

UPS Delivery Box

Yesterday, my One Drop | Premium package was delivered by UPS. This was so exciting, I had to take a bunch of photos with my unboxing and discovery of my wonderful new gadgets to help manage my Type 2 diabetes.


The Unboxing

I was so impressed with the packaging, which makes a big difference. Actually it is now available directly from Apple online and in their stores (where it fits right in). When you open up the delivery box, there’s a folding chrome box inside a partial white wrapper surrounded completely by clear vellum.

img_8268     img_8269

Inside Covers

After first removing the vellum protective wrapping, you see the write box with chrome protruding on the right. When you slip off the write cover, you see an all-chrome box.

img_8271    img_8272

The white cover sides include the One Drop logo and image of the Chrome meter, as well as feature summary, highlights of the contents, and general information:

img_8275    img_8273

Chrome Glucose Meter

When you remove the white cover, it reveals an all-chrome folding box, which opens up into two half boxes, showing the sleek One Drop | Chrome meter on top of the right side.

img_8277   img_8278

Lancing Device and Carry Case

After lifting up the tab on the left side, it shows the chrome lancing device and vegan leather carry case on the left of the meter.

img_8281   img_8279

User Manual

The underside of the left cover includes a Quick Start, and under the meter there is a Owner’s Guide.

img_8280   img_8289

Unlimited Test Strips and Lancets

When you lift up the section that contains the Chrome glucose meter, you see two chrome boxes, each with 50 blood glucose test strips, as well as a package of 10 lancets to use with the chrome lancing device for finger sticks to get a drop of blood to test with the meter.

img_8283    img_8285

These are just the initial 100 of unlimited test strips and additional lancets that will be delivered based on my usage for my Premium subscription service.

img_8286   img_8290

One Drop | Chrome

After removing everything from the box, here’s what it all looks like. Everything fits great in the carry case. Very cool! It’s gorgeous. It’s a nice size for my pocket, and I’m proud to show it off when out and about where I need to test my glucose (like at restaurants).

img_8294    img_8296

Christmas Tree

It’s looks great under my Christmas tree with other presents. It’s my favorite present and I will love it all year long, especially with the unlimited test strips (which will save me lots of money).

img_8291      img_8293

I feel so fortunate to be one of the early recipients of these wonderful new devices to help manage people manage their diabetes. I have benefited significantly over the past year that I have been using the One Drop | Mobile app on my iPhone, and this will make that experience that much better, especially with the availability of the One Drop | Experts program available from within the app for any ongoing guidance and support.

Now I need to upgrade from my old iPhone 5 to an iPhone 7 so I get automatic activity tracking, and might just need to get an Apple Watch since One Drop is also available there.

Thank you, Jeff Dachis and the entire One Drop team for achieving this fantastic milestone to improve diabetes care worldwide!

One Drop | Experts Advisory Board

One Drop | Experts Advisory Board

In April 2015 One Drop launched the One Drop | Mobile app for Apple iPhone, and later for Apple Watch and Android. It allows people with diabetes to log and analyze glucose, food, meds and activity all in one place, set diabetes management goals, track their progress, and integrates with other apps via Apple Health. The One Drop | Mobile app is available free worldwide for Apple iPhone and Watch from the Apple App Store via iTunes, and also for Android at the Google Play Store.

Earlier this month they announced FDA and CE mark approval and availability in US, UK, and EU of the One Drop | Chrome blood glucose meter with unlimited test strips for One Drop | Premium, the first-ever monthly subscription service to provide affordable, accessible diabetes care with One Drop | Experts that provides 24/7 live in-app support from diabetes experts.

One Drop | Chrome is available at Apple online (under iPhone Accessories > Health & Fitness > Health Monitors) and in retail stores, as well as the One Drop Store on their web site. My UPS shipment was scheduled today but was delayed getting on the plane in Louisville so now I have to wait until tomorrow for it to arrive!

One Drop | Premium includes the following:

  • One Drop | Chrome with Unlimited Test Strips: A sleek, compact blood glucose meter that use Bluetooth wireless technology to transmit data directly to One Drop | Mobile app for iOS and Android, as well as a chrome lancing device and vegan leather carry case. Unlimited blood glucose test strips are delivered on-demand directly to subscribers — no prescriptions, no insurance, no appointments, and no hassles.
  • One Drop | Mobile: Award-winning, cloud-based diabetes management solution delivered entirely via mobile app on iOS and Android, including fully-featured Apple WatchOS app for logging and analyzing diabetes data on the go. Provides the only diabetes management platform that offers comprehensive health data analytics, peer-support, and expert support all in one place.
  • One Drop | Experts: Diabetes education and coaching program delivered entirely via One Drop | Mobile app. Experts (Certified Diabetes Educators) have real-time access to subscriber data and are available 24/7 to provide guidance, support, and anytime care via in-app chat.

They also announced the One Drop | Experts Advisory Board and its six inaugural members with healthcare professionals and clinical researchers as well as people living with diabetes – including me! I am honored to be invited and thrilled to participate on the One Drop | Experts Advisory Board.

Click the image to see the One Drop announcement for more details.


See http://onedrop.today For more information.

Roasted Red Pepper Soup with Mozzarella

Tonight I made Roasted Red Pepper Soup with Mozzarella using a recipe from Betty Crocker Diabetes Cookbook (page 138), which was served with whole wheat toast and I also had Chardonnay with the meal.

Tomorrow our grandkids visit for a long weekend with us, so our meals will be driven by our guests, and I will resume cooking next week after they leave.

Tuna and Veggie Pasta Salad

Tuna and Veggie Pasta Salad

Tonight for dinner I prepared this Tuna and Veggie Pasta Salad. The recipe was from Diabetes & Heart Healthy Cookbook (page 37).

I had a lovely 2015 Syrah from our wine club at the local beautiful Tuscan winery Flat Creek Estate.

We are having our 3 grandkids stay at our house over the weekend from Friday through Monday so my son can celebrate their wedding anniversary. They were out of town earlier for some kids’  soccer tournaments so they booked a rain date for now. It should be fun but we will have to think of things to do indoors with the temperature around 100 with even higher heat index.

However, it probably wouldn’t be a good idea for grandpa to experiment with low-carb diabetic meals during their stay. So I decided to do my cooking in the middle of this week before they arrive. Yesterday I finished off leftovers from the meals I cooked last week when I initially made too much.

Tomorrow night I will do a Roasted Red Pepper Soup with Mozzarella along with whole wheat bread.