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Originally Posted by liz32 Just a note about the type 1.5: we have a lady who got pancreatitis and now makes no insulin. She wasn't diabetic before this happened and is now, as a result, insulin dependant. Our CDE said that she's type 1.5. I think it's a generalization for people who don't specifically fall into either t1 or t2 catagorys. |
Uh ... no ... think the CDE would know better. The correct classification of this is Secondary Diabetes. More specific it is Secondary Diabetes due to exocrine pancreatic disease (in this case chronic pancreatitis). There are many causes of secondary diabetes.
Type 1.5 is not used as a neither type 1 or type 2 thing. While type 1.5 is being commonly used by diabetics and clinicians, etiologist and pathologist purest would classify it as a type 1 based on current WHO and ADA classification.
Some things to clear up: Type I is mainly autoimmune (Type 1A) but there are cases of autoimmune negative type I (Type 1B) diabetes. Many type 2 diabetics do progress to a point where they stop producing insulin and are still classified as type 2.
Here are two good current references (be warned: it is at a level for physicians and scientist) for those who want to know way more.
Endotext.org (CLASSIFICATION AND DIAGNOSIS OF DIABETES MELLITUS) ADA 2005 Clinical Practice Recommendations - Diagnosis and Classification of Diabetes Mellitus
When all is said in done, as long as appropriate care is being given, it doesn't matter what type you call yourself.
Jason
