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Type 1 Diabetes
Am I Type 1 or Type 2?
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<blockquote data-quote="Mileana" data-source="post: 323150" data-attributes="member: 44543"><p>If your pancreas produces insulin, that insulin will be bonded with a c-peptide. The insulin gets spent, so that cannot be measured easily, but the c-peptide stays alive for much longer. If your c-peptide is around 1, you produce a normal amount of insulin. If it's below, this indicates type 1. If it's higher, it indicates Type 2 (upping the insulin production because of resistance, not keeping up anyway - blood sugars go up.)</p><p></p><p>If your c-pep test comes back low or normal, have a GAD-antibody test done, GAD is the most common antibody that tends to kill beta cells. If that comes back out of range (30-50 depending on lab), this indicates you have an autoimmune form of diabetes, - those are classified as Type 1s. It may then be Type 1, plain; or it might be Type 1.5, LADA. In the latter case, your GAD should be high, and c-pep low to normal. LADA is when your pancreas slowly dies off. Type 1 often happens quickly.</p><p></p><p>I cannot tell which category you belong to, but either your pancreas is not keeping up with insulin resistance or you might be 1.5 LADA.</p><p></p><p>How is your weight? If you were to eat and forget to inject your novorapid, what would your blood sugar do? Rise a lot, then fall slowly, or rise and stay up there?</p><p></p><p>A lot of Type 2s will eventually need insulin, so being on insulin does not mean you are Type 1. It may have to do with the degree of insulin resistance, it may have to do with weight or dietary choices or it may be lacking insulin production.</p><p></p><p>However if you would have very high blood sugars without insulin, you are insulin dependant - that's fairly simple <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> If you're not Type 1, the trouble may be less immidiate if you don't get the injected insulin as you can cope some of the way yourself, but there is a nasty condition called HyperOsmolar HyperGlycaemic State that somewhat corresponds the Type 1 DKA, so one is not really less important to treat with insulin when needed than the other.</p><p></p><p>Go ask your GP for a check.</p></blockquote><p></p>
[QUOTE="Mileana, post: 323150, member: 44543"] If your pancreas produces insulin, that insulin will be bonded with a c-peptide. The insulin gets spent, so that cannot be measured easily, but the c-peptide stays alive for much longer. If your c-peptide is around 1, you produce a normal amount of insulin. If it's below, this indicates type 1. If it's higher, it indicates Type 2 (upping the insulin production because of resistance, not keeping up anyway - blood sugars go up.) If your c-pep test comes back low or normal, have a GAD-antibody test done, GAD is the most common antibody that tends to kill beta cells. If that comes back out of range (30-50 depending on lab), this indicates you have an autoimmune form of diabetes, - those are classified as Type 1s. It may then be Type 1, plain; or it might be Type 1.5, LADA. In the latter case, your GAD should be high, and c-pep low to normal. LADA is when your pancreas slowly dies off. Type 1 often happens quickly. I cannot tell which category you belong to, but either your pancreas is not keeping up with insulin resistance or you might be 1.5 LADA. How is your weight? If you were to eat and forget to inject your novorapid, what would your blood sugar do? Rise a lot, then fall slowly, or rise and stay up there? A lot of Type 2s will eventually need insulin, so being on insulin does not mean you are Type 1. It may have to do with the degree of insulin resistance, it may have to do with weight or dietary choices or it may be lacking insulin production. However if you would have very high blood sugars without insulin, you are insulin dependant - that's fairly simple :) If you're not Type 1, the trouble may be less immidiate if you don't get the injected insulin as you can cope some of the way yourself, but there is a nasty condition called HyperOsmolar HyperGlycaemic State that somewhat corresponds the Type 1 DKA, so one is not really less important to treat with insulin when needed than the other. Go ask your GP for a check. [/QUOTE]
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