Our help has hba1c 11.9. Random blood sugar ranges between 250 to 280 mg. The doctor said that she has diabetes and high cholesterol. When we asked him what type of diabetes, is it type 1 or type 2. He said it is neither type 1 nor type 2. We are really confused. He has given her insulin injections (twice a day) which cost 1000 rupees/day, which she cannot afford at all. One statin medicine and one gluconorm as well. If it is neither type 1 nor type 2, then what type of diabetes is this? Her lft, kft, and thyroid profile are normal. No ketone found in urine. Is there any way to cut down on the cost of insulin injections? Her age is 34. Her mother also had diabetes and she died in her 50s. Her sisters also have diabetes. All her blood tests are normal except for hba1c and lipid profile. Her fasting insulin was in the normal range as well. Please advise what type of diabetes is this, if not type 1 or 2? The doctor said that in order to diagnose the type, we need to conduct a blood test that would close 25000 rupees. We were shocked to hear that.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details given. From the information given it is clear that she has uncontrolled blood glucose (hba1c%11.9%) & high fasting glucose. The condition is t2 diabetes. Usually when hba1c% goes beyond 9% on detection, a doctors advise insulin initially for a period of 3 to 4 months along with some oral antidiabetics. Once glucose levels are brought in good control, then patient can be shifted to only oral drugs. As regards dyslipidemia (high cholesterol), that will get corrected with appropriate treatment and diabetes control. From the query I am not able to place where are you based. According to me there is no reason to do any other tests. Priority is to get her glucose levels under control. Since this is an open question, here we are supposed to give only general advise. No drugs can be prescribed or recommended. If you want any specific help in terms of treatment (changing medication and other specific instructions) you will have to come in a private conversation so that I will be able guide. Please do get worried. The levels are quite high and will come down with treatment. She can be controlled with oral drugs later. If you have any questions please do come back. Thanks.  

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