Can you change from Type 2 to Type 1?
I've always wondered if when a person that has Type 2 diabetes ends up going on insulin, no longer producing any of their own,when medications no longer help etc. if they are then considered Type I?
Tags: LADA
Replies to This Discussion
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Permalink Reply by Chris Bishop on -
Normally, the only way a type 2 diabetic becomes a type 1 diabetic is because of a mis diagnosis. Type 2 diabetes is triggered by obesity, a lack of exercise, increased age and to some degree, genetic predisposition. Type 2 diabetics have create enough insulin but their bodys are resistant to it. With type 1 diabetes, the body make little to no insulin at all. Of course with all diseases, there are exceptions to the rule, but overall (to my knowledge) a correctly diagnosed type 2 diabetic can not become a type 1 diabetic.
If anyone knows anything to contradict this, please chime in.
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Permalink Reply by Jenny on -
Chris,
You are mistaken, but it is understandable why, since the "information" you cite is often printed in the media.
People with Type 2 have typically lost from 50% to 80% of their beta cells AT DIAGNOSIS. Because of the rotten medical treatment they receive, which leaves them with blood sugars that spend hours each day over 200 mg/dl, the rest of their beta cells succumb to "glucose toxity" and die.
Ten years after diagnosis, many Type 2s have almost no functional beta cells left.
It is true that people with Type 2 START OUT making more insulin than normal, because they are insulin resistant, but though their insulin resistance continues, the amount of insulin they are able to make declines.
Eventually they have only a tiny bit of insulin being produced. Unfortunately, ignorant doctors do not prescribe insulin for most Type 2s early enough to support their remaining beta cells.
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Permalink Reply by Betty J on
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I believe what you say is true Jenny because, now the ADA is saying that T2s should start on insulin earlier then they do. I've believed for a long time that T2s should be on insulin. My theory is that because doctors take so long to put them on insulin that physical damage is being continually caused because of constant highs for long periods of time.
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Permalink Reply by PatientX on -
I asked my endo the insulin question. he said early on type 2 have iinsulin resistance and the body still produces insulin so if a person gets more iinsulin i would think a person winds up with extra insulin which leads to weight gain. so in ttype 2 i thought we were being treated for insulin resistance
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Permalink Reply by Pauly on -
From what I read Wil there are various subsets of type 2's. Some who can do it with exercise and diet ie David Mendosa, others who need the help of meds, where others have complete beta cell loss and are insulin dependent T-2's. This is all in the spectrum of time and progression. There is more with genetics than is known.
T-2's are insulin deficient and insulin resistant.
2/3's of overweight people never go onto getting full blown diabetes T-2 and are able to compensate with their insulin regulation. The 1/3 of us that do have bad genes likely are triggered by our metabolic syndrome. I am in the camp of insulin being used ASAP if the other things dont work.
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Permalink Reply by mompoptoo on -
You are dead right, was blood teasted for type 1.5 AT MY REQUEST and even though I was a proven type 1.5 and orals were no longer working worth a damn had hell of fight to get endo to give me insulin. Finally had to have my GP join the fight, he asked why I was not on insulin when I gave him a copy of the blood test. Right now I am on Lantis & starlix but very soon will have to go on mealtime insulin and hope don't have to fight. I hope my CGM records will do the fighting for me.
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Permalink Reply by Anthony Holko on -
Dear Jenny.
This would describe my case to the dots on the i. The Canadian medical association diabetes treatment protocol did not allow any insulin until your beta cells were completely dead. When I asked an Endo about insulin early in my disease he said "you do not want to touch that with a ten foot pole." I guess the old belief was that extra body insulin would kill the existing beta cells when the absolute opposite is true it is the high BG that kills the cells and extra insulin would have helped. On metformin and by loosing 85 lb and a very low calorie diet I was never able to achieve a BG of less 120 at any time. A small amount of Lantus or anything would have done marvels at that time.
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Permalink Reply by Regge on -
I agree...this information is not correct.
I was a "correctly" diagnosed T2 diabetic and 10 years later am now a Type 1.5 and only b/c I have insulin resistancy but no funtioning cells.
Whereas, when I was first dx T2 my cells were still functioning just not very well.
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Permalink Reply by Libby on
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Type 1.5 means LADA (Latent Autoimmune Diabetes in Adults). People with LADA do not have insulin resistance and instead have lack of insulin because of autoimmune attacks on the pancreas. Type 1.5 is really a variation of Type 1 and is a little different in that the onset is slower and you may not be insulin dependent at diagnosis. If you were correctly diagnosed Type 2, your diabetes was caused initially by insulin resistance. Some Type 2s do lose their functioning cells and become insulin dependent but that does not make them a Type 1 or 1.5.
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Permalink Reply by DiabeticRadio.com on -
According to the ADA, LADA DOES have some insulin resistance. See article published below.
http://forecast.diabetes.org/magazine/features/other-diabetes-lada-...
:-)
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I had a friend who was diagnosed as a Type 2 in the 1980s. She took pills for a while and finally had to take insulin but still treated as a Type 2. A few years ago she was hospitalized because of Neuropathy, the Muscular Skeletal type and she couldn't walk. Anyway, she was rediagnosed as being Type 1.5.
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