Type 1 vs type 2 diabetes.

slgw
By slgw Latest Reply 2011-02-19 03:11:58 -0600
Started 2011-02-03 18:57:38 -0600

I was diagnosed with diabetes after a prolonged illness. I have had symptoms all of my life most remembered are low blood sugar incidents. I remember crawling to the refrigerator to get some peanut butter and milk before the age of 5. My doctors believe that I have type 2 diabetes but I believe that I may have type 1. After my diagnosis, My brother, sister, father and grandfather were found to have the same illness. Are there any tests or studies showing why type 1 is type 1 and type 2 is type 2 and where I may stand?


7 replies

WendyFR
WendyFR 2011-02-19 03:11:58 -0600 Report

I'm type I and I have to have insulin pumped in 24/7. My parents and siblings have Type II and they are able to control it with exercise, food and oral medication.

Aaron1977
Aaron1977 2011-02-06 11:25:29 -0600 Report

I've known people who were hypoglycemic without being diabetic - which may explain your lows when you were a child. Type 1 diabetics are usually 100% insulin dependent - so pills wouldn't work for treatment - you would need insulin.

There are also cases of Type 2 diabetics becoming insulin dependent when it is not controlled or especially severe. So you would still need insulin without actually having Type 1.

kdroberts
kdroberts 2011-02-04 08:41:38 -0600 Report

There are several test that can be done to help diagnose type 1. If you haven't, see if you can get tests for non-fasting c-peptide, GAD65, GAD67 and insulin antibodies. The basic difference between the two is that type 1 is an autoimmune disease that destroys the cells of the pancreas that produce insulin. Type 2 is pretty unknown and right now is basically anything that doesn't fit into other types. Often it's main symptom is insulin resistance but it also can be because of limited insulin production instead of or in addition to insulin resistance.

If you were truly a type 1, glyburide wouldn't have worked at all and you would probably either have ended up in hospital with diabetic ketoacidosis or you would be dead. It's quite common for type 2's to slowly lose all insulin production, especially when on drugs like glyburide.

slgw
slgw 2011-02-03 19:40:32 -0600 Report

Thanks, this makes some sense. I was on pills for several years when I found that glyberide shut down my pancreais (excuse spelling). We tried everything and could not get it to cooperate.

My concern is, I do not believe that I was ever tested to insure that my pancreas was working. I had the great Dr. Bill Young at Cedar Sinai and he had about 15 minutes or less to practice on me.

After my 0300 series in the hospital, I was tested and my pancreas was found to be non working. Still need more suggestions.

slgw
slgw 2011-02-03 19:40:07 -0600 Report

Thanks, this makes some sense. I was on pills for several years when I found that glyberide shut down my pancreais (excuse spelling). We tried everything and could not get it to cooperate.

My concern is, I do not believe that I was ever tested to insure that my pancreas was working. I had the great Dr. Bill Young at Cedar Sinai and he had about 15 minutes or less to practice on me.

After my 0300 series in the hospital, I was tested and my pancreas was found to be non working. Still need more suggestions.

re1ndeer
re1ndeer 2011-02-03 19:25:59 -0600 Report

My understand is that Type 1 diabetics can not take pills because the insulin in there pancreas is not working, and they need insulin to survive.

Type 2 on the other hand, usually starts off with medications such as pills, then go to insulin if the pills don't work.

On the other Type 2, can usually go off meds with diet and exercise. Where Type 1, can not.
I hope this helps.

slgw
slgw 2011-02-03 19:42:01 -0600 Report

Thanks, this makes some sense. I was on pills for several years when I found that glyberide shut down my pancreais (excuse spelling). We tried everything and could not get it to cooperate.

My concern is, I do not believe that I was ever tested to insure that my pancreas was working. I had the great Dr. Bill Young at Cedar Sinai and he had about 15 minutes or less to practice on me.

After my 0300 series in the hospital, I was tested and my pancreas was found to be non working. Still need more suggestions.