How do you know if you are type I or type II?

By Tamy_K Latest Reply 2010-05-17 15:07:27 -0500
Started 2009-12-01 09:45:43 -0600

I was wondering how you know if you are type I or type II? What is the difference? Is it insulin vs. pills, or both? I don't know which I am, as my doctor didn't really discuss that part of it. I had been diabetic with my three children, so it was almost old hat when I was diagnosed. I knew it was going to happen, it was just a matter of when. Everyone here seems to have so much knowledge of their condition. I was told by my cousin, who has been diabetic for some time, and is on the pump, that the only way they will give you the pump is if you cannot be well controlled through intensive therapy and carb counting. Is this accurate? I asked my doctor about the issues with metformin and kidneys but he also said that he hadn't seen any information on that, but that my blood tests on my kidneys were fine, and we check them every visit anyways. He also said that kidney problems are a symptom of unchecked diabetes too, so it would be hard to determine that it was the metformin, and not the diabetes that caused the problems with kidneys. I am just curious where everyone has gotten their information on this disease. Is there a website, or a book, or something that is really good and accurate to refrence too? Also, is it normal to lose weight when you start insulin? And not to be tooo personal, but has anyone experienced loose stools as a result of their medications?

16 replies

BLC 2009-12-02 18:41:15 -0600 Report

Type one is not necessarily diagnosed in childhood. I was 25 when I was diagnosed with type 1. But many of the symptoms of type one and type 2 are the same. A blood test was done to determine my type and they can do the same for you.

Sue Turner
Sue Turner 2009-12-11 13:29:51 -0600 Report


I was diagnosed with type 1 diabetes just before my 61st birthday. I have learned that it can happen at any age.

Woodstok 2009-12-01 20:20:17 -0600 Report

I have been told for years that I was type 2 until my wife insisted that I see an Endocrinologist because no matter how much metformin, glipize and many other medications they gave me it did not control my diabetes so they just kept adding pills and more pills. After seeing the Endo in the last couple months he did a test that showed I am actually a type 1 diabetic. I am in my 40s and never had any problems as a child so it is not necessarily diagnosed in early childhood as I didn't have a problem until my late 30s early 40s. I asked him how this was possible and he said that some people with type 1 do not have a problem until the pacreas stops producing insulin which can take years. Therefore, 'adult onset diabetes' can be type 1 or type 2. So insist that any doctor you see does the test to determine which kind you actually have. They cannot tell just because you are older when it occurs.

I am what they call a LADA and started using insulin a couple weeks ago, stopped taking all those pills and for the first time in years my sugar is under 200. The doctor told me it would probably take a few weeks to determine the amount of insulin it will take to get it down to 120 or below and keep it there. My family doctor threatened me with insulin for years which was a big mistake on her part. After with all the strides made with research insulin is not as bad as some doctors make it out to be. I feel better than I have in years and can eat anything I want in moderation. I count the carbs and take insulin for the amount I eat. Not that big of a deal, I have more energy, sleep better than I have in years and actually feel good.

If you are not getting the answers you need from your doctor it is time to find one that can answer any question you have. All doctors do not know everything and most (unless they specialize in diabetes) do not understand it they just try to treat it because of the almighty dollar.

alison052579 2009-12-02 15:53:23 -0600 Report

see I got lucky I am a Type 1 with onset in my 20's but nobody ever tried to push pills on me!!! Insulin dependent since 2000. Thank God… My friend was in his 30's when his Type 1 devloped. Throughing 300 sugars and being told it was his fault for being non-compliant… One endo visit and there it was. Family Docs are sometimes scared of insulin I think… Like we as diabetics percive it as so horrible we just wont take it and in all reality most of us feel so much better on it we love it>>> (as much as you can love your meds)

ididseeit2009 2009-12-11 09:41:17 -0600 Report

my name is Chrissy cole and maybe i need to go engo…gram to see if i'm all right they give me all thse pills plus my insline i take 3 times a day novlong then one time a day 40 mil. of lantus at before bed time,maybe there not really. reading it right when i go back to my doctor in jan.I'm going to ask her about that test, Thk;s Chrissy

alison052579 2009-12-01 14:12:07 -0600 Report

There is LADA which is TYPE 1 but is often mis-diagnosed as TYPE 2. A dear friend of mine spent 2 years on metformin trying his butt off to get good numbers untill his Dr finally sent him to an Endo who did the Type testing on him. If your Dr has not been clear you have to make him get clear or get a new DR.

daniel velazco
daniel velazco 2009-12-01 16:27:06 -0600 Report

I think that you should see about making an appointment with an ENDO. He would be able to answer any questions you may have on this condition. Dan

Susie624 2009-12-01 10:49:21 -0600 Report

Not being to personal but my doctor told me that you could expect loose stools and even diarria on metformin, and believe me some do .I am on 2000mgs a day.

John Crowley
John Crowley 2009-12-01 10:20:25 -0600 Report

Type 1 diabetes is an autoimmune disorder in which your immune system destroys the insulin-producing cells in your pancreas. A type 1 diabetic must take insulin as their body produces none.

Type 2 diabetes is a condition where the body produces an insufficient amount of insulin, has become resistant to insulin, or both. Type 2 diabetes can be treated by diet and exercise (in early stages), by oral medications (like metformin), by injection medications (like byetta), and/or by insulin injections. You and your doctor will work together to determine what works best for controlling your blood sugar.

There is a blood test that can be performed to determine if you are type 1.

If you have been given metformin and not placed immediately on insulin, you are almost certainly type 2 (barring a misdiagnosis).

As for the side effects of metformin, I think digestive issues are the number one complaint.

Harlen 2009-12-01 12:49:34 -0600 Report

Thank you

HOPE Marketing
HOPE Marketing 2009-12-01 17:51:53 -0600 Report

Type 1 is the type one is born with, from my understanding, while type 2 is something that has developed as life has progressed, and the diet / lifestyle choices have weakened the ability of the pancreas to keep the insulin balanced. I've done some research and have found that type 2 is not necessarily a permanent situation, unless one continues to make the wrong choices.

Paula M
Paula M 2009-12-04 13:35:27 -0600 Report

Can you doctor raise the dosage of metoformin you are taking. I have noticed that my diabetes is higher in the mornings. My doctor had me taking the dosage at night near bedtime.

kdroberts 2009-12-04 13:58:52 -0600 Report

No, no one is born with diabetes, diabetes develops. Type 1 is autoimmune, type 2 is of unknown origin. Both are permanent and both can be controlled. Genes play a massive role in both, lifestyle and diet are tricky since no one really knows there full role in causing either type.

Tamy_K 2009-12-12 16:14:28 -0600 Report

Thank you sooo much for the information. It is not that my doctor hasn't discussed things with me. I am a little nervous, and I have OCD and anxiety disorder. I have been a little panicky about things since being diagnosed. I was a gestational diabetic three times and did fine with those pregnancies so my doctor assumed I didn't have too many questions, and I told him I didn't, because at the time I didn't. He always takes time for me and answers my questions, but when you dont ask them it is hard too. If he did the test on me to tell the type, he didn't mention it, but he did put me on both metformin and insulin. I go back to see him on the 21st, so we will see then how things are. I have been unable to keep my sugar under 158, and my AC1 at last check was 9.8 still. I just want to have my sugars back to normal. I dont mind shot, or taking a pill, I can live with that. I just want to be healthy!

pmsteve 2009-12-01 09:48:18 -0600 Report

Generally type 1 is diagnosed in early childhood or at birth. Type 2 is also called "adult onset diabetes" as the name implies, a type 2 diabetic is diagnosed later in life.

iwillcuinheaven 2010-05-17 15:07:27 -0500 Report

Now some children are being diagnosed with type 2 because of the sedintary lifestyle and overeating problem in this country. The test that determines type 1 or 2 is called a C-Peptide test (that's what my endo told me) If you are not making any antibodies you are a type one and if you are making antibodies your a type 2. I'm a type two and have been for about 14 years, I have been insulin dependent for about three years or so. Just recently the combination of pills and insulin quit working for me so I'm now exclusively on fast acting insulin through a pump. (Which is great!) I used to take up to 6 shots a day. With the pump I just inject the tubing once every three days.

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