TuDiabetes

Cathy Jacobson

Taken aback

Well, I must be on many people's "out" list, as I seem to have created a war again between type I's and type II's over a simple question on insulin. GEEZ!

I thanked all the people who were gracious enough to share their information with me. Normally, I've found that type II's don't get to the insulin talks about diabetes unless they are going to be put on insulin, or their CDE has time to do that. Honestly types or classifications aren't important to me. I know that they mean, and that is enough for now....yet, when and if I do need to know, I know now where to get the info. But to me diabetes is diabetes...and it does no good to compare the two when talking about something that affects our lives. Yes, it does help to talk about types when it's a specific question, but diabetes is so individual, I just wanted general info.

Oh well, I am give up the battle of the numbers of types, and go about my business.

I am doing well, my carb counts are well. Still have trouble finding snacks that are less than 15 carbs per snack, but I don't mind eating the same thing day after day. I wish I could find a recipe for lo carb cappacino though. You know the kind you mix up yourself in large batches. So far haven't found one, I really like and isn't bitter tasting.

Am plotting and planning Thanksgiving dinner...changing some of the ingredients around so that they suit me better and the family still will eat them. Found a great recipe for Pumpkin Brownies...OMG to kill for.

Ah well, another day gone, it's only 2:15 in the AM.....and dh leaves for work in an hour, maybe I'd better get some sleep.

Tags: and, diabetes, education, importance, insulin, meals, of, questions, recipes., thanksgiving

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Doris D Comment by Doris D on November 24, 2009 at 5:27pm
Your right Diabetes is Diabetes, nuff said! I agree with Judith here! Well saided!!!!! Now that dosen't look right and my spell check is down but you know what I mean! HA!!
Judith Comment by Judith on November 24, 2009 at 5:11pm
Nice, bsc. Well said!......
bsc Comment by bsc on November 24, 2009 at 4:12pm
I'm sorry you got such a reaction. There truly is a wide gap in how type 2s are treated with respect to insulin. When I have repeatedly asked about insulin, my GP basically told me that I was too "ill informed" to use insulin, that I would probably kill myself and it would make me fat. So basically I was told that I was stupid and fat and that I should go away. I'm not seeing an endo who is a bit more sympathetic, but I do feel for you.

To make you feel better, here is how to make a low carb capuccino. Replace the steamed milk with steamed full cream. Next time you go to starbucks order one with full cream in place of steamed milk and remind them that they keep the full cream in the fridge. Other than that, the preparation is exactly the same.
etta v Comment by etta v on November 24, 2009 at 9:35am
I have a nightly medicinal dose of high quality chocolate. It has a very negligable effect on my BG. The key is learning to satiate yourself with a 1"x2" piece!
Melitta Comment by Melitta on November 23, 2009 at 10:58pm
LADA is Type 1 diabetes, albeit slow onset as Scott says, and yes the appropriate treatment is insulin.
Scott Comment by Scott on November 23, 2009 at 2:17pm
Opps, sorry I tend to group the LADAs in with the T1s. The main difference is that in T1, the destruction of the beta cells occurs at a much faster rate than it does in LADA, but eventually all LADAs will be on insulin. As a matter of fact, many LADA are initially mis-diagnosed as T2
Judith Comment by Judith on November 23, 2009 at 2:13pm
Scott----don't most LADAS also treat with insulin?.....Be well.....
Scott Comment by Scott on November 23, 2009 at 1:52pm
Jan

Your statement I think it is possible to Type 2 to progress even further, as in "I have Type 2 that progressed to Type 1." is not correct. Being on insulin does not determine your type. You are either T1 or a T2. Some T2s are treated with insulin, some T2s aren't. But all T1s are treated with insulin
Jan Comment by Jan on November 23, 2009 at 11:40am
P.S. Can't edit previous post so I will add that Type 1s, even on insulin, are not like Type 2s. Type 1s have that autoimmune component. Most importantly, Type 1s are often insulin sensitive, not insulin resistant. A Type 2 of the same weight, may require a dosage that would be extremely dangerous for a Type 1. So even getting advice on using insulin, you should not be taking advice from Type 1s that need insulin to survive and are very familiar with using insulin, but from other Type 2s who also use insulin. And there are plenty of Type 2s out there to advise you. A Type 1 is going to get your weight, activity level, apply certain rules that may not apply to you.
Jan Comment by Jan on November 23, 2009 at 11:35am
Hi. Did not read the offending post.... But just know that, as misinformed as Type 2s are about Type 1, Type 1s are just as misinformed about Type 2. I have a friend that was instrumental in diagnosing my niece with Type 1 (although her Pedi insisted she ran appropriate tests and did not have JD (long story). She was emergently diagnosed herself with late stage Type 2. Went on Lantus from the beginning. But she does not have to take any Novolog or fast-acting insulin with her meals unless her blood sugar is high. She tests a LOT less (before lunch and dinner). Yes, she did count carbs and was careful what she ate. I would not call her insulin management "intensive." She was on insulin but not on "intensive insulin therapy." I think it is possible to Type 2 to progress even further, as in "I have Type 2 that progressed to Type 1." I have heard this statement. The thing you must remember is that insulin is a powerful drug (hormone). It is extremely easy to overdose on insulin, which is why two nurses must draw up insulin in a hospital to verify the dose. Your friend needs an endocrinologist to monitor her carefully, just as carefully as my niece is monitored. And, only knowing how to manage one Type 1 child, I can tell my experience and offer suggestions for a child I think has similar issues, but this is very dangerous and anything I would suggest to try must be verified and checked with the endocrinologist and diabetes team. When Mom's come on line for advice, I am sure they do this. Adults may not be as careful.

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