What happens when you do everything right, but the numbers keep telling you something is wrong? In this deeply personal episode of The Cutover, Lawrence Spector shares how months of warning signs, rising blood sugar, and a type 2 diabetes diagnosis eventually led to the real answer: LADA, often called type 1.5 diabetes. He reflects on the shock of starting insulin, losing his father during the same difficult period, and learning that effort alone cannot fix a plan built on the wrong diagnosis. Drawing from 25 years in engineering, Lawrence connects health, leadership, and system failures through one powerful lesson: when the plan stops working, question the diagnosis. He also shares how life with LADA has become manageable, even if the condition is always present.
Episode highlights:
(1:20) Episode 1.5: LADA and the “off by one” error
(1:28) Early warning signs that were easy to explain away
(2:52) Rising A1c levels and the first diabetes warnings
(3:58) When the numbers stopped matching the plan
(4:35) The type 2 diabetes misdiagnosis
(5:06) The ZNT8 antibody test that confirmed LADA
(6:18) Starting insulin for the first time
(7:31) Losing his father while adjusting to a new diagnosis
(8:18) Lessons from treating the body like a system
(9:29) Why failed plans should make us question the diagnosis
(10:10) Learning to live with LADA, insulin pumps, and CGMs
(11:14) Managing hard days while becoming a new dad
(11:36) Why “type 1.5” is the perfect off-by-one diagnosis
(12:19) Preview of the next episode
If you enjoyed this episode, follow the podcast, leave a review, and share it with someone who might find it helpful. Want to stay connected or learn more? Find me through the links and contact information below.
Youtube: @LawrenceSpector, @the-cutover
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LinkedIn: https://www.linkedin.com/in/lawrencespector/
Twitter/X: @SpectorLS
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