Endocrinology-Diabetes Questions

Losing a lot of unexplained weight

I got diagnosed with type 2 on Xmas 2022 was given metformin. My blood sugar stays high. Since then I lost 65lbs. I stay thirsty & pee a lot & I stay tired.I’m very scared what’s happening. I’m eating right but can gain any weight I was told my high blood sugar is the blame for it.

Male | 50 years old
Complaint duration: 2 months
Medications: Metformin
Conditions: Type 2 diabetes

1 Answer

Endocrinology-Diabetes
I would like to know a few more details. Your average blood glucose for 15 days if you are monitoring or if you have a recent a1c. What is the most you ever weighed and what is your current weight ? BMI?
Did you have history of pancreatitis or pancreatic surgery?
Do you or did you drink alcohol excessively?
Is there any close family member with type 1 diabetes? Or lean type 2 diabetes?
Do you have autoimmune disease such as thyroid problems, rheumatoid arthritis, adrenal dysfunction ? Etc.
I want to make sure you have accurately classified diabetes because quite a great proportion of patients given a diagnosis of type 2 actually have late onset autoimmune diabetes of adults ( LADA) and these patients need exclusive insulin treatment to manage their diabetes. Quite often even for type 2 with acute hyperglycemic burden , we use insulin briefly . We can slowly transition to non -insulin options if it is confirmed that it is type 2.
So, please give me those data and I will get back to you.