Just wondering

By bigjrm45 Latest Reply 2009-03-21 21:24:57 -0500
Started 2009-03-19 11:59:43 -0500

I think this might be kind of crazy or a little stupid but I will ask it eny-way,can a Type 2 become a Type 1 ? I really do not know ,so please let me know thanks.

16 replies

rbergman 2009-03-21 21:10:55 -0500 Report

As it was explained to us when our daughter was diagnosed as T2 leading to T1, it can occur but it is due to autoimmune disease. Laura is considered a Double Diabetic, as she is a T2 right now but showing signs of turning T1. She has other autoimmune diseases and although T2 runs in the family and she has the predisposition for T2, more than likely she will become a T1 because it is the antibodies that the autoimmune failure produces that is destroying her pancreas which, once destroyed she will be a T1.
As for "normal" T2, like myself and several generations in my family we will always be T2 and should not turn T1.
Sorry if this is confusing but it is the underlying cause of my daughters Diabetes that makes her case a little different from other T2 Diabetics.


kdroberts 2009-03-21 21:24:57 -0500 Report

In my opinion, no medical, that's a poor diagnosis. If she tested positive for antibodies then she is type 1. If she hasn't, there is no way of predicting that she will. If she tests positive for antibodies and is still producing insulin then she should be tagged type 1 in the honeymoon period.

Although I said it's possible to be type 1 and 2, I don't believe that you can. I've only ever seen that label given to type 1's who are insulin resistant and to me that means they are an insulin resistant type 1, not type 1 and type 2.

kdroberts 2009-03-21 21:08:32 -0500 Report

Yes and no, but really no. Type 1 and type 2 are very different diseases and you can't switch between the two, unless your diagnosis was wrong or undecided.

Type 1 is an autoimmune disease and there are distinct markers for it. Basically your body attacks the insulin producing cells of your pancreas so you can't produce any insulin. Once that happens you will never be able to naturally produce insulin again. there has been limited success with stem cell transplants but within a day or so the implanted cells are attacked and killed off. Type 2 is a lot of things, basically anything that isn't type 1 or gestational diabetes. It could be that you produce insulin just fine but are insulin resistant or it could be that your pancreas doesn't produce insulin at all or in very small amounts. The big difference in the latter case is that the no/slight insulin production is not an autoimmune problem like type 1. Some type 2's that initially produce a lot of insulin may end up with no insulin production because their cells are basically overworked and give up eventually.

So, the answer to your question is basically no. A properly diagnosed type 2 will generally not become a type 1. If they have an autoimmune attack on their pancreas it is possible for them to be both though. Just because a type 2 takes insulin or can't produce insulin doesn't make them a type 1. Also, accidents and other diseases that damage the pancreas make the patient a type 2, not a type 1. Type 1 = autoimmune disease, Type 2 = pretty much everything else.

It's actually pretty scary how much type 2 covers and ow little we know about it. In the grand scheme of things we know next to nothing about type 2 and only a small amount about type 1.

jsd2005 2009-03-21 21:05:37 -0500 Report

You can become a type 2 who uses insulin to help maintain control and treatment of your diabetes. It depends on what your sugars run and how oral medicine works with your diabetes.

SkipT 2009-03-21 20:07:58 -0500 Report

It is quite possible for a type 2 to become a type 1. Anything that can damage the pancreas and have it stop producing insulin would make you a type 1.

bigjrm45 2009-03-21 20:31:12 -0500 Report

Thanks SkipT ,I kind of knew the answer but I wanted to see how many Typy2 would know and so for you hit the nail on the head,so I beleave we have to keep that in mind when we think we are doing to good and go off of or diet or health plan

Frustrated mom
Frustrated mom 2009-03-19 13:09:19 -0500 Report

I think t2 your pancrease still functions, but with t1 it does not, so I would say no, but iam not 100% sure..

bigjrm45 2009-03-19 15:42:30 -0500 Report

If type 2 your Pancrease is still working,and type 1 it's not ,then us type 2 need to keep it working,cause I would think that if we keep up with our old habbits we might have been a type 1 instead of type 2 just some-thing to think about

Mom and boys
Mom and boys 2009-03-19 16:10:35 -0500 Report

But at some point can the pancreas just give out?

Also, I had an interesting comment after I had my 1st child (gestational). It took a very long time for my sugars to regulate (18 months) and the pancreas to start working correctly. After failing a GTT I remember the nurse questioning weather I would be type 1 or 2! Fortunately the pancreas kicked in and I was diet controlled for years!

2009-03-19 20:42:29 -0500 Report

I am Type 1 but have often wondered (or prayed) that the good old pancreas would decide to work again. Don't think it's going to happen, lol but still a good thought. Great question, Take care, Angie

lipsie 2009-03-19 13:05:14 -0500 Report

It was my understanding in a previous discussion a bit back when I said something similar that No, it would not be possible. I am sitting here starig at this screen though TRYING to recall what was said…cuz it wasn't asked like this but similar…ulgh I hate that, when I forget things sorry Sheila

Mom and boys
Mom and boys 2009-03-19 12:26:22 -0500 Report

Very interesting! I do not know the correct answer but my guess would be no. The source and onset are very each of them different. I have plenty of relatives that are type 2 and insulin dependent but it is only after years of being diabetic and the pancreas just slowly gives out.

Sarguillo 2009-03-19 19:31:26 -0500 Report

As a T2, think of it this way, An enigine with 300,000 miles will still work, just not up to par as when it was new. Its tired. might not make it up the hills it used to do as when it was younger, as oposed to the engine falling out as you cross the bridge or the car maker forget to put in an engine and now you are costing till you stop. Hope you understand this. LOL

Next Discussion: DOgs for diabetics »