Does type 2 turn into type 1?
Posted 04 July 2011 - 09:35 AM
His sister has been a type 2 for 20 more years than him takes met and insulin and is overweight. Her doc (at joslin in boston) says if she lost weight she can come off insulin. So, to me she is a type 2 still even thought she's had it for so long...40 years now. She has no complications but my father has neuropathy in his feet. He's also suffered from a few small strokes. He is a smoker though....
So my question is...can type 2 turn into type 1? Since diabetes is different in everyone is this an eventuality for some of us? Also, since my father and Aunt are siblings why is the disease so different in them?
Posted 04 July 2011 - 09:52 AM
I am now an "Insulin depleted Type-2" or "Insulin dependant Type-2".. So I take insulin AND metformin. There are genetic components that can affect
insulin production - but then so can medications.. According to my endo - I am slowly loosing insulin BETA cells (I believe they are called) - but the loss
was accelerated by use of medications that is supposed to stimulate the pancreas to produce more insulin, in my case - it killed about 40% of my insulin
Both my grandfather and father were diabetic, so I figured my diabetes would change at some point. Now I am using an insulin pump, and things are
so much easier (both on a personal and social level) - I am still tweaking the parameters for the pump (does it ever end... anyone?) - but I've stayed
between 120 and 90 except for a serious hypo (was excersising/forgot to adjust basal).
I wish both you and your father the best...
dx Type 2 in 1998
Lantus once a day before breakfast,
Novolog with every meal per bolus calculation.
A1C 2/ 9/11:10.0
A1C 4/23/11: 6.8 ! (home)
A1C 5/14/11: 6.6
A1C 6/29/11: 6.3 (home)
A1C 10/15/11: 6.1!
IAB Neg, GAD Low - C-Peptide: 0.9
Received Minimed Revel 723 BLACK 6/10/2011, Pumping Humalog since 6/29/2011.
Posted 04 July 2011 - 10:00 AM
Taking insulin does not necessarily make a person Type 1. A type 1 is a person whose body does not make insulin.
so is he now a type 1 diabetic since he needs insulin and probably can't come off it
If a type 1 is defined as someone whose body doesn't produce insulin, medically, it's possible that a person, any person can stop producing insulin, though I understand it's rare that type 2s become type 1. I did talk to a type 1.5, who said that eventually, she will stop making insulin and will be a fully blown type 1.
can type 2 turn into type 1?
Posted 04 July 2011 - 11:17 AM
Actually, type 1 is an autoimmune disease where the immune system thinks that the beta cells in the Islets of Langerhans are a bad thing, and destroys them, usually rather quickly. In type 2, they can suffer from pancreatic exhaustion, and not make insulin, but that does not make them type 1.
A type 1 is a person whose body does not make insulin. ....
It really doesn't matter in any case. If you don't make insulin, you need to have exogenous insulin. I love my pump. It is the coolest thing I've ever owned. I didn't even realize what a pain it was taking all those shots all those years until I quit.
dx'd 1985 at age 31
Pumping with MM 522 since 8/2007
CGMS since 12/2007
12/2006 A1c - 9.8
6/2008 A1c - 6.1
Posted 04 July 2011 - 01:11 PM
You never know how Strong you are until being strong is the ONLY choice you have!
Posted 04 July 2011 - 01:13 PM
Injecting Insulin since June 6, 1970
42 Years and Counting
Lantus and Humalog
I am not young enough to know everything
I eat all the food groups.
Posted 04 July 2011 - 02:59 PM
Type 1.5 appears to be what might be a somewhat milder form of type 1. Milder in that the autoimmune attack takes longer, although eventually a 1.5 can end up as beta cell depleted as a type 1.
Type 2 appears to be the development of insulin resistance and sometimes metabolic syndrome. The initial onset of elevated blood sugars is not from insulin depletion but insulin resistance. In time, prolonged insulin resistance and constant recruitment of beta cells for insulin production results in beta cell death and insulin depletion. In those cases, a type 2 may need to start taking insulin.
It is not impossible for a type 2 to eventually develop an autoimmune attack and it is not impossible for a type 1 to develop type 2 characteristics as well.
A1c 2/12 -- 5.9%
Posted 04 July 2011 - 07:29 PM
Posted 04 July 2011 - 07:40 PM
DX 02/2002, Minimed 530G(751) w/CGMS on Novolog
Aspirin 81mg + Lipitor 10mg + Losartan 50mg
05/2014 A1C 5.8 Chol=154 Trig=96 HDL=48 LDL=87
Posted 04 July 2011 - 08:09 PM
metformin 2550 mg
Moderate carb diet 40-75 carbs a day
3 T of Coconut Oil daily
Vit D, CoQ10, Melatonin, Multi vitamin, zinc, B 12
Chia Seeds , Flaxseeds
Exercise- Tennis - 2 hours/week, Power Walking- 2 miles most days, Hiking in the summer on trails and in the mountains
diagnosed Feb 2007
Posted 01 October 2011 - 06:18 PM
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