Comment

Comment by David (dns) on December 9, 2012 at 10:19am

I've long believed that the etiology of T2 is nowhere near as well understood as it is for T1. It may well be that there are different variants of T2 that stem from different causes, and any one individual may be suffering from any one of them or a combination.

As Linda and others have pointed out, many T2s exhibit, in greater or lesser degree, behaviors that are classically associated with T1.

The simple fact, it seems to me, is that an awful lot of what we think we "know" about T2 is still just theory. More investigation is definitely needed; we're nowhere near the real and complete truth, yet.

Of course I want this mystery solved, as do we all. But whatever label is placed on my condition, and whatever the explanation for it, the bottom line for me is that I must do whatever it takes to normalize my BG. At the end of my day, that's all I have control over and all that counts.

Comment by Linda G on December 9, 2012 at 7:39am

Many of us as type 2 diabetics, have components of the condition similar to that of those with type 1. ie, the swings in bg....the extreme lows, that are atypical to the "classic" definition of type 2.

Comment by Linda G on December 9, 2012 at 7:36am

YES...type 2 is very complex..the research seems to focus primarily on overweight and obese type 2, and we well know that weight is not an issue with many type 2.
Here is the abstract from the paper...
Is type 2 diabetes a chronic inflammatory/autoimmune disease?
Syed MA, Barinas-Mitchell E, Pietropaolo SL, Zhang YJ, Henderson TS, Kelley DE, Korytkowski MT, Donahue RP, Tracy RP, Trucco M, Kuller LH, Pietropaolo M.
Abstract:
The classification of diabetes mellitus into 2 main types, defined as Type 1 and 2 diabetes (T1DM, T2DM) relies mostly on the requirement of insulin therapy and on the presence of detectable immunologic abnormalities. However, this distinction is far from straightforward and there is considerable overlap between these 2 types of diabetes. Islet cell autoimmunity, which is characteristic of T1DM, appears in fact to be present in up to 10-15% of subjects diagnosed clinically with T2DM. In the UK Prospective Diabetes Study (UKPDS), it was reported that in patients diagnosed with in T2DM, the presence of autoantibodies to the enzyme glutamic acid decarboxylase (GAD) and cytoplasmic islet cell antibodies (ICA) were a predictor of insulin requirement as compared with patients not carrying these autoantibodies. These results are strikingly similar to a number of prospective studies carried out in childhood diabetes. If islet cell autoimmunity is truly present in 10-15% of subjects clinically diagnosed with T2DM, up to two million Americans might have an unidentified autoimmune form of T2DM, a prevalence similar to that of recent onset childhood diabetes. In addition, we found that in a subset of T2DM patients, a pronounced activation of the acute phase response that seems to be associated with islet cell autoimmunity. These results may in part explain the defect in insulin secretion as well as insulin resistance seen in T2DM. The identification of a subgroup of individuals at risk of developing T2DM using autoantibody as well as inflammatory markers is of public health interest, not only for the correct classification of diabetes, but also because immunomodulatory therapeutic strategies could potentially be instituted sufficiently early in a large number of patients diagnosed as having T2DM and most likely delay the onset of insulin requirement and the complications related with hyperglycemia.

Comment by picklebird on December 9, 2012 at 6:31am

I read that, too, but I don't think anyone yet understands type 2. Seems to be a liver thing as well, considering how it likes to dump sugar at a time you just ate some and shouldn't need more. Mine is a little crazy these days. I get 150 mg/dl on 30g carb meal and then drop to 53mg/dl when I exercised it off. Keeping it under 25-30g for now.

Comment by Linda G on December 9, 2012 at 5:42am

I have a query pertaining to type 2.
I read that it now appears that type 2, is considered to be an auto-immune disorder as it is in the case of type 1, but that the component that renders it auto-immune in type 2 is of a different nature than that of type 1's.

Comment by Natalie ._c- on December 8, 2012 at 10:48pm

Cremation is traditional in Buddhism, and also in Hinduism, from which Buddhism arose. I saw a Hindu cremation in Nepal, where they didn't put the body in a casket, but covered it with a straw mat. But I imagine that, in this country, a casket is required by law for transporting the body. At any rate, you paid your respects, which was a kind thing to do, and now it's time to get back to the land of the living and get on with your life. Me, I'm celebrating Chanukah, and lighting the menorah, and Gerri posted a way of making latkes with daikon instead of potatoes, and I'm just waiting to try it out tomorrow! :-)

Comment by Christalyn on December 8, 2012 at 7:41pm

Well, we had the final ceremony for my coworker. She was buddist so it was a little different than a typical christian ceremony. The thing I found a little unusual and not prepared for was when we marched following the casket (2nd line) to the lower part of the cemetery. This is when I found out we were all going to witness the casket being placed in the big oven to be cremated. I started thinking why purchase a casket if it is going to burned with the body. It also reminded me of seeing the ovens in Dachau. I hope this brings closure to the people at work so we can move on. I was not apart of this girls life and all the sorrow is dragging me down. I don't see how grieving more than the family will do any good at the job. After moving the casket into the oven and turning it on I made a quick exit. I wore a cream colored suit. I told everybody I refused to wear Black. So I stuck out like a sore thumb.

Comment by Christalyn on November 28, 2012 at 9:50am

That happened to me when my Aunt passed away suddenly 10 years ago. I learned from that Life still moves one. It just seems at work everybody wants to prolong the agony and pain. For me this is not the first co worker to die that I know about. Last year, I had my old HR rep. lost a struggle to Breast Cancer.

Comment by Linda G on November 28, 2012 at 8:48am

And yet, when my mom died 20 years ago, I remember looking out her hospital room window and being astounded that the world outside the window was carrying on as usual....as if nothing has happened....when a big part of MY world had come to a stop.

Comment by Christalyn on November 28, 2012 at 8:27am

Thank you Linda, The fact remains that she was there for 10 years. I have only been at the job for 2 years and I didn't work with her very often so there was not an emotional attachment there for me.

Funny, my mother's sister had the same name of this coworker and when she died that was emotionally devastating for me at the the time 10 years ago. Since then I cant see becoming anymore drained by a death of anybody including my parents. My Aunt was the only real supporter in my life. It is with some wonderment why my other co workers are so emotional about somebody that is not even family who has died.

Another co worker tried to explain to me that since the now deceased co worker was such good friends with a few select people at the job that it was fine for them to be there when they pulled the plug. We were all a team and for a few people to decide to go and be with her at her last moments with informing everybody else was some what hurtful. Even though I could not go because I had to work but being given the choice or option would have been nice.

Let me say we are talking about a bunch of folks that are different Asian ethnic groups. Me being Black and coming to work for this place I was as seen different till I had to prove I had the same qualifications to work beside them. Since I am not Asian enough for them this may be a reason why I was not given an invite.

I am happy this has come to a conclusion. I was happy to tell people she had died. It ended all the speculations and trivial sparks of hope. I am not really thinking about the family. They have to make the best decision for themselves which does not include my opinion.

I just don't get this...people die everyday. This person was no more special than the people that get blown up in Tel viv. When your number is up...it just time to go...plan and simple.

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