Replies to This Discussion

Permalink Reply by Daena on September 25, 2007 at 6:57pm

Chris and Betty have more or less summed it up. A T2 cannot become a T1 over time unless he was misdiagnosed in the first place. The reason why T2s may need to go on insulin jabs is the fact that the become so resistant to insulin over time that synthetic insulin must be injected into their systems to cope with processing glucose and such.

• ▶ Reply

Permalink Reply by Pauly on September 1, 2010 at 4:47am

Daena, Dr Bernstein in his web casts has referenced Type 2 patients who where very poorly controlled for years coming into his clinic that killed their beta cells and were left with virtually 0 insulin production. He classified them as Type 1 because of this. Granted, they didnt have an auto immune attack and the markers but since they had no insulin production left he had no choice but to treat them as a T-1.

• ▶ Reply

Permalink Reply by Cody Turner on September 25, 2007 at 7:47pm

Type 2 diabetes can also be caused by medication. That is how I got diabetes. I have to take insulin because the oral medications made me so sick

• ▶ Reply

Permalink Reply by Daena on September 25, 2007 at 8:24pm

Cody, I don't think oral meds are the cause of diabetes. Oral diabetes pills can have severe side effects on people, but I don't think they make you get the condition.

• ▶ Reply

Permalink Reply by Cody Turner on September 25, 2007 at 8:37pm

http://www.namiscc.org/News/2003/Summer/ZyprexaLinkToDiabetes.htm

I am getting a settlement next month from Eli Lilly

• ▶ Reply

Permalink Reply by Daena on September 25, 2007 at 9:08pm

Thanks for the clarification. I thought you were referring to oral diabetes medicine like Metformin, Januvia and so on. Hope all goes well with your settlement!

• ▶ Reply

Permalink Reply by Cody Turner on September 25, 2007 at 9:10pm

I was orginally on Metformin and it made me really sick which is why they switched me to insulin.

• ▶ Reply

Permalink Reply by M on September 25, 2007 at 7:59pm

The names T1 and T2 are about the cause of diabetes - T1 has to have the antibodies, T2 the insulin resistance. T1 is a total lack of insulin production, T2 is overproduction but not so good at putting it in the right places. The cause is what matters when it comes to naming Diabetes. (Not forgetting, of course, LADA as a slower form of T1, MODY, etc...).

There are plenty of cases of people being misdiagnosed... I'm one of them! But I didn't 'progress' from T2 to T1, I was just incorrectly diagnosed T2 and had a year of mess until I was finally found to be a LADA T1.

If a T2 goes on insulin then they're still a T2. If a T1 develops insulin resistance they're still T1, although some people use the term 'double diabetes' so I guess in some way it's possible to have both at once.

• ▶ Reply

Permalink Reply by Jenny on September 26, 2007 at 5:18am

Also worth pointing out that a significant number of people with insulin resistant Type 2 ALSO have antibodies. Different studies give different numbers but it is somewhere between 6 and 9%.

So much of what you hear about Type 2 is out of date and wrong, but it just keeps getting repeated!

• ▶ Reply

Permalink Reply by M on September 27, 2007 at 10:46pm

I have read that a handful of T2s also had the antibodies - and I was under the impression that meant they were misdiagnosed LADA T1s... so not T2s with antibodies at all.

• ▶ Reply

Permalink Reply by Betty J on September 26, 2007 at 5:53pm

T1 was thought not to produce insulin and the Pancreas but now there is a test (C-Peptide), which determins who is T1 or T2. In Type 1 we produce but not of any use. The determination for T1 is 0.5 anything over that is considered T2.

• ▶ Reply

Permalink Reply by Libby on September 26, 2007 at 7:51pm

I still have C-Peptide (1.7) but I am diagnosed Type 1 because I have antibodies to my islet cells. I don't have insulin resistance. In England Type 2s who need insulin are called Type 1, but my understanding is that if the cause of your diabetes is insulin resistance you are Type 2 and if it is lack of insulin due to autoimmune disease you are Type 1. However, adult onset Type 1s like me may still produce some insulin and therefore have C-peptide.

• ▶ Reply

• ‹ Previous
• 1
• 2
• 3
• 4
• …
• 6
• Next ›
• Page