By manapua72 Latest Reply 2012-12-10 11:10:05 -0600
Started 2012-12-06 21:13:33 -0600

Ok , I know the difference between type 1 and type 2 … Two different cause's yet both resulting in elevated blood sugar … Yet , me fellow diabetics r confusing me with either their knowledge or lack of … Or is it just my lack of ??? I see people posting , I was type 1 now I'm type 2 and others saying I was type 2 now type 1 … Is any of that possible ??? If a type 2 diabetic beta cells stop producing insulin and he/she becomes insulin dependent does that make them type 1 or r they just type 2 insulin dependent ??? We REALLY got to get the right answer out and SHARE with our fellow diabetics because it seems many r confused and the the confusion I see is causing doubts with what I think I know … Any doctors / medical people listening ???

12 replies

Bfbacon 2012-12-10 11:10:05 -0600 Report

It doesn't matter what we call it. People get chronic high BS at different ages, from different causes, and it can be treated in different ways. Traditionally, diabetes at an early age, congenital, which requires insulin is called Type 1. If you get it later in life and it can be controlled with diet and a pill it's called Type 2. But terminology isn't really important.

MoeGig 2012-12-08 22:05:33 -0600 Report

Hello…Type 1 or 2 doesn't matter. If you're not in control (A1c in the 6's) you're going to have a problem. You just need to test often (2-3 times a day) and make sure you're 80 to 180, If as Type 2, the meds you're taking don't achieve this goal, then go on insulin. Not a big deal. The important thing is to get your numbers right. Complications don't care what Type you are. Hope all is well.

IronOre 2012-12-07 22:35:15 -0600 Report

I think there are some misdiagnosis issues out there too.
For example my sister was a strick vegetarian and ate almost no sweets, so even though she always had type 1 diabetes it took quite a while for it to show up because of her lifestyle.
Also, differnt doctors may have differnt criteria for defining when a person crosses the line into diabetes, so that may explain differnt diagnosis.
So, does a person's body flip back and forth from type 1 to type 2 or vise versa, no, not in my opinion, it's a matter of diagnosis interpretation.

MAYS 2012-12-07 22:25:12 -0600 Report

Once your beta cells are destroyed and you must rely on insulin shots daily in order to survive, you are a type 1 diabetic, type 1 diabetics are dependent on insulin daily because their body does not produce insulin so they must inject it.

Type 2 diabetics produce insulin and their bodies are either not utilizing it properly or not enough insulin is being produced for the needs of that individual, insulin resistance can also be a major factor for type 2 diabetics.



And let's not forget Gestational Diabetes which can develope in expecting mothers:



manapua72 2012-12-07 00:20:24 -0600 Report

Thanks James that was very understandable … I have an appointment soon with my doc … Got a bunch if ?'s for him …

jayabee52 2012-12-07 00:29:59 -0600 Report

I am glad that helped. May I recommend making a word processing document just for Questions for your Dr? I then print out 2 copies of the list of questions I have been gathering, and take them both to the appointment. I give 1 to the nurse who does my pre visit vital signs and ask that it be included in Dr's notes where he could see it before he comes in the room. I keep one with me as a reminder of what questions I want to ask. I like to leave enough room to write down any answers or instructions Dr may have for me.

They say the "weakest ink is stonger than the best memory"

jayabee52 2012-12-06 23:56:16 -0600 Report

Howdy Manapua.

I am not a Dr but I had been a Certified nurse Aide with a Masters degree, so I'll take a crack at explaining it (most of this learned on DC):

Type 1s ALWAYS need insulin, or eventually they'd die. I have heard of CLAIMS that t 1s have turned into a t2 but there is no firm PROOF of that.

Those of us who are t 2 can manage our DM withone of 1) meal planning and exercise, or 2) with oral or other non insulin injectale medications, or 3) with insulin. Only if the beta cells of the pancreas are destryed and don't produce insulin, then that t 2 becomes a t 1.

There are folks who misunderstand that if one goes on insulin that they automatically become t 1. But that is a misunderstanding. The reason that t 2s develop is primarily from insulin resistance. That is like putting gum in a keyhole. The key (one's naturally produced insulin) is blocked by the gum (resistence) so the glucose cannot get into the cell to burn for energy production.

A very few t 2s still produce insulin, but what they produce isn't enough to cover the glucose load they put on their bodies.

Then there are those PWDs who have type 1.5, or Latent Autoimmune Diabetes in Adults (LADA) It is a slow destruction of beta cells as opposed to a rapid destruction of beta cells which happens to t 1s.

There are other subtypes of DM, but these are the main three.

There is a lot of confusion out there, even among PWDs. I try to gently correct those PWDs who don't understand the differences. Sometimes it is enough for them to understand their OWN DM type, and learn to manage it well. That is the main thing.

Myself, I like to learn about medical issues because I, and my late wife "Jem", had so many of what she laughingly called "medical challenges". Eventually one of those challenges took her from me.


James Baker

IronOre 2012-12-07 22:29:48 -0600 Report

What is DM ?

type1's mom
type1's mom 2012-12-07 23:47:18 -0600 Report

Diabetes Mellitus. (most people just drop the secobd part) but here is another totally different disorder called diabetes insipitus that has nothing to do with blood sugar

jayabee52 2012-12-08 10:16:53 -0600 Report

actually I have seen that term used for diabetes in many places including Diabetes Mine. (Iron you need to get around the web a bit more) I am also NOT the only one who refers to diabetes as DM.

I do it to distinguish from other diseases and conditions which starts with D like diarrhea or dissentary.

And perhaps I AM a dork, Iron. Doesn't bother me.

IronOre 2012-12-08 07:58:38 -0600 Report

It just seems dorky to me that most around here call it D and then there is one who calls it DM.
For over 37 years I have just called itType 1 Diabetes not Type 1 Diabetes Mellitus

ConnieMarie 2012-12-08 09:58:57 -0600 Report

oh Iron mess with peeps and call it T1 or T1D…when they question you just say it's the new Termintor Robot :)

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