When you become dependent on insulin do you then become a type 1 Diabetic? Do the doctors check to see the level of performance of the pancreas to determine whether it is still making insulin or the body is just resisting its use?

By nzingha Latest Reply 2011-11-22 09:29:45 -0600
Started 2011-11-18 23:22:05 -0600

Do the Docs check to see whether you have stopped making insulin or they just look at your numbers and determine that you need insulin now? when do you move from being a type 2 to a type 1? Is insulin use now the deciding factor?

28 replies

Uncle Lew
Uncle Lew 2011-11-22 09:29:45 -0600 Report

You do not become Type 1 if you use insulin.You can become type 1 when initially diagnosed type 2 but it is not true that because you use insulin your are now a type 1. A lot depends on why you were put on insulin. I used oral meds very successfully but they were damaging my kidneys. My endo switched me to insulin. My kidneys are better and my numbers are very good. I am still type 2.

realsis77 2011-11-21 10:41:00 -0600 Report

NO, this is not so. I am a type two diabetic and i require insulin on a daily basis. I take lantus in the morning and humulin after meals and if i am running high .Yet my doctor still considers me a type two . Hes not actually done a test to see how much insulin i produce on my own but it must not be much because without insulin i run in the 400 range. also the pills did NOT work at all for me. But I think its a very interesting question.perhaps I SHOULD be tested to see if im producing my own insulin or not. but the deciding factor for me was my terribly high numbers and nothing would control them not even pills.Once i started my insulin i was running perfect in no time after a few increases. yet my doctor still considers me a type two

jayabee52 2011-11-21 15:23:56 -0600 Report

Lynette, maybe your Dr might want to confirm his Dx of T2 by ruling out T1 by doing a c-reactive peptide test?

Jan8 2011-11-21 07:55:44 -0600 Report

they check to see if the pancreas is still making insulin. If it has, you are type 1

Caroltoo 2011-11-19 19:49:46 -0600 Report

Thanks, totally, for the livingstrong.com site information. I just reviewed about 5 pages of articles about sweating and diabetes and could summarize it this way:
(1) sweating is a symptom of hyperglycemia (BG too high) and hypoglycemia (BG is too low), (2) it can be a symptom of damaged perspiration glands due to neuropathy, and (3) night sweats are caused by hypoglycemia.

1. This explains why some of sweat when we eat (BG going up), some after we eat (BG staying up), and some when we are feeling the BG beginning to rapidly drop. Seems like a multipurpose symptom for large/swift changes in BG levels.

2. This is the neuropathy connection that totally mentioned, where neuropathy damages the sweat glands and causes profuse perspiration.

3. This is good news for perimenopausal and menopausal women. It sounds like if we are certain to not let the BG drop too far during the night that it will reduce or eliminate night sweats. Definitely worth a try, since eliminating low BG at night is a goal for diabetics also because it reduces the Dawn Phenomenon.

Thanks for the source, totally. There is a wealth of information on that site.

MEGriff1950 2011-11-19 19:41:05 -0600 Report

I am a type 2 that was on insulin for over 2 years. I worked my way up to 40 units a day. On July 7th I started following a diabetic meal plan then on August 2nd I became insulin free. Just because you are put on insulin does not mean you will have to stay on it forever as a type 2.

nzingha 2011-11-20 18:50:10 -0600 Report

i would love to come off.. sometimes I can take less depending on the reading and I do when the reading is loww… so hopefully I can come off..

MEGriff1950 2011-11-20 18:56:00 -0600 Report

Following a meal plan that was designed for me by a dietician is what worked. Good luck, I do not miss poking my stomach at all.

nzingha 2011-11-20 18:59:28 -0600 Report

I think thats what I really need.. I will be seeing my doc tomorrow and will let her get me on to a nutritionist who can develop one specially fro me.. because i am moving up and down and all over the place. I have been recording everything so maybe they can look at what has been happening and develop a special plan for me.. thnks

nzingha 2011-11-19 10:38:23 -0600 Report

everytime i eat tho i am breaiking out into sweat… is this part of the insulin resistance?

jayabee52 2011-11-19 01:10:35 -0600 Report

No, normally one does not become T1 just because of insulin use.

I was taken off the oral antiglycemic medications and placed on insulin due to my kidney shutdown.

My pancreas is still producing insulin (which makes me a T2,) and I am currently managing my BG levels using the insulin my pancreas produces alone without additional medication to help it along. I was insulin resistant, I am told, but when I lost about 50 lbs on the meal plan I use, my insulin resistance also diminished.

nzingha 2011-11-19 06:41:10 -0600 Report

oh that sounds great…hope they can take me off soon because my numbers r good.. except my body loves the higher readings when i go under 100.. i start to feel queasy… anything from 120-140 and Im on top of the world looking down on all u guys… and enjoying good feelings!

jayabee52 2011-11-19 03:51:01 -0600 Report

after looking at your title again are you saying that You are "dependent on insulin"? or is this just a switch to an alternate way of managing your condition?

nzingha 2011-11-19 06:43:52 -0600 Report

i would say I must take it for now.. I take about 8 units… before meals… to manage the monster.. also I cant put anything with 'sugar' in my mouth..I always pay dearly for it.. I can know when a product has been mis-labeled.. my body tells me in no uncertain terms… my head feels like its about to lift off as soon as it hits my mouth..its just amazing.. if i listen to my body..I would have no problems with it and diabetes or any other illness…!

Caroltoo 2011-11-19 00:53:33 -0600 Report

My doc checked to be sure I was producing insulin, then prescribed a pill which helped my body become more able to use the insulin my pancreas made. I am a type 2 because I am insulin resistant.

Type 1s don't make insulin any more.

If your pancreas stops making insulin, then you become a type 1.

While insulin is made in the pancreas, it is used as a transporter of glucose that needs to go into the cells. Insulin resistence is when the cells won't let the insulin help glucose into our cells to make energy.

nzingha 2011-11-19 06:44:48 -0600 Report

welll resistant I am because I can actually feel the struggle/fight going on inside my body..when i describe it to my doc she thinks I'm being funny!

Caroltoo 2011-11-19 09:38:36 -0600 Report

Interesting to hear you say you can feel the struggle. I tried to tell my diebetic educator that I could feel when my BG was going up or down. She too said it was impossible. I've since talked with others who note signs also. I suspect the educator's main concern was that I not rely on the feeling and stop testing. My thought was more that it was a good back-up system which would encourage me to test at unscheduled times to see what was happening.

annesmith 2011-11-18 23:44:39 -0600 Report

In the majority of cases, if you have to have insulin or you will die, then you are type 1, or have become type 1. If you have to have insulin to maintain optimal health , then you are type 2. However, there are type 2s that have to have insulin , otherwise they run high risk of going blind, etc…that is very very serious no doubt. ANNE

George1947 2011-11-18 23:37:26 -0600 Report

No, not really, insulin is a type of treatment, but the different types of diabetes have different causes/origins. Type 1 is an autoimmune disease that destroys the insulin producing cells, type 2 is an insulin resistance problem that prevents the body from using the insulin it has on hand effectively. And there are still other forms that have various causes. Treatment does not change the kind of disease you have. I'm an insulin requiring type 2…

Gracie40 2011-11-19 08:36:51 -0600 Report

Cool, George, that is the first time I have seen "insulin requiring type 2" WTG! So many think because a diabetic takes insulin, that they are a Type 1. Not so as you point out. True type 1's cannot produce insulin. Type 2s may be producing insulin, but their bodies can't use it. (insulin resistance) As I understand it, Insulin resistance is when your pancreas produces insulin, but that insulin does not have the "key" to the cells it should be getting into. It is as if you have the key, but it doesn't fit the locks on the cells. If the oral hypoglycemics can't do the job they were meant to, then, a type 2 is put on insulin. Then they become insulin requiring. Thanks for your always well thought out responses.

nzingha 2011-11-19 07:19:15 -0600 Report

i'm going to check if she had investigated whether my pancreas is still producing..gosh i did so many tests.. spent so much money on them… these people just let u spend and spend and they dont really explain what the hell they r checking for..!

Caroltoo 2011-11-19 10:01:38 -0600 Report

Nzingha: doctors do tests to help determine what treatment we need AND to help cover themselves in case of a claim. That means that we need to ask why they want to do a test. We may not feel we need all of them and can refuse. They may know pancreatic function better than we do, but we know our bodies and our finances better than they do. Sometimes we need to say, "No."

Caroltoo 2011-11-19 10:00:54 -0600 Report

Nzingha: doctors to tests to help determine what treatment we need AND to help cover themselves in case of a claim. That means that we need to ask why they want to do a test. We may not feel we need all of them and can refuse. They may know pancreatic function better than we do, but we know our bodies and our finances better than they do. Sometimes we need to say, "No."

nzingha 2011-11-19 10:06:56 -0600 Report

so true.. all u have said.. we need to ask questions more.. and i do try to read as much as i can.. but sometimes there's info overload..lol!

Caroltoo 2011-11-19 10:28:32 -0600 Report

The comment that "my body loves high readings" makes me think your BG has been high for a while. I remember a similar feeling of comfort with higher readins. Now that mine are lower and have been for a while, I feel the discomfort when they go up. My general sense of "good health" has increased as I keep the numbers lower, but it does take time to make this transition.

nzingha 2011-11-19 10:42:00 -0600 Report

yes.. it was high for a good while… but its going down and the body is resisting the lower numbers but i'm not going to allow it to control me.. i keep reaching for lower numbers under 100 or highest 120… its heading there but its soo hard.. might soon have to eat out of a saucer each time.. now i use a breakfast plate and i eat mostly mediterrian style, fish, veg, fruits and nuts… but i oooh so long bread and rolls… i miss them but every now and then i will have a whole wheat roll which r so fresh and tasty..lol!

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