Can Type 2 Become Type 1?

alodeny

Member
Messages
8
Type of diabetes
Type 2
it is yes and no. diabetes is a progress disease, so type 2 with poor control of the blood sugar will became type 1 over time. however, with good controlling of your blood sugar you slow the progress of the disease.
 

Kristin251

Expert
Messages
5,334
Type of diabetes
LADA
Treatment type
Insulin
S
Was there an element of confusion between the initial T2 diagnosis and your current T1/LADA then? Just to tie in with the question that the OP raised initially.
sorry. I didn't read the whole thread.

There was!!! Most definatley. In fact I never got a type 2 diagnosis formally. I used to work on an ambulance and when I got the virus was the 1st I heard of high bs so I immediately got a meter and started testing. I have eaten Atkins style ( less than 20 carbs per day) for about 25 years and I always excersised. So I controlled it that way. I'm sure I was just postponing the inevitable.

Eventually it got harder and harder to control and it didn't matter what's I ate or did I was always popping up. Off to the docs many times for weight loss and explaining even a small salad or a hard boiled egg raises me. Finally to a diabetic endocrinologist specialist. WHO DIDNT TAKE ONE DROP OF BLOOD OR RUN A SINGLE LAB TEST.

So by now I'm 5'8 weighing 94 #'s. Ended up in three hospitals in one month before diagnosis and insulin. Gained my 25 much needed pounds back in 2 months and it stopped there.

So, after lots of nasty letters to my doctors for missing this diagnosis I was awarded a bit of a monetary settlement for malpractice.

TYPE 1 is an autoimmune disease. You can't eat yourself there. Your body attacks your Pancreas and kills off your beta cells.

You can become type 2 ( insulin resistant) and require insulin for many reasons. One being eating but there are lots of other reasons.

Type 1 and 2 are polar opposites. Type ones produce no ( or very little ) insulin and type 2 have too much circulating insulin that isn't being used efficiently.
 

Kristin251

Expert
Messages
5,334
Type of diabetes
LADA
Treatment type
Insulin
it is yes and no. diabetes is a progress disease, so type 2 with poor control of the blood sugar will became type 1 over time. however, with good controlling of your blood sugar you slow the progress of the disease.
This is absolutely incorrect.

Type 1 don't produce enough insulin and it's an autoimmune disease. Type twos have too much circulating insulin that is not being used. Sometimes type 2 require insulin but it doesn't make them type 1. Type 1 always requires insulin.
 

catapillar

Well-Known Member
Messages
3,390
Type of diabetes
Type 1
Treatment type
Insulin
it is yes and no. diabetes is a progress disease, so type 2 with poor control of the blood sugar will became type 1 over time. however, with good controlling of your blood sugar you slow the progress of the disease.

This is nonsense. Type 2 does NOT become type 1. They are separate conditions, with separate causes.

My type 1 diabetes was not caused by poorly controlled type 2 diabetes, thanks. It was caused by my immune system killing off my insulin producing beta cells.

A type 2 diabetic might require treatment with insulin. It seems rather an unnecessariarly sweeping statement to say that insulin treatment in a type 2 is caused by poor control. However being treated with insulin does NOT turn someone with type 2 diabetes into someone with type 1 diabetes. All it does is turn them into someone with type 2 diabetes treated with insulin.

How your diabetes is treated doesn't determine what type of diabetes you have. What determines what type of diabetes you have is what causes the diabetes. In type 1 diabetes is caused by an autoimmune attack of the beta cells, in type 2 the causes are broad and varying, from lifestyle (which would include diet, exercise, high stress work, shift work), genetics (there is a very strong genetic element to the risk of type 2) hormonal imbalances and other medications (for example steroid induced type 2 is well recognised, so someone constantly taking steroid inhalers for their chronic asthma may develop type 2 as a result of their necessary asthma treatment.
 
P

pollensa

Guest
Hi Everyone. I have been a Diabetic since 2001. Prior to being diagnosed I gave platelets and a blood donar. I have been BULLIED BY A Consultant to go onto INSULIN, I totally refused ( My body my choice ) I have also lost 9 stone this has NOT been taken into consideration, l haven't had a review of my drugs. My reason is because every DIABETIC I know who inject INSULIN have either lost limbs or their eye sight, they have other issue's going on. I have also refused to take certain drugs ie STATINS as they are related to BOWEL CANCER and causes other issue's. GP's and CONSULTANTS need to listen to their patients, discuss it with us and NOT make decisions for us. We are the one's who know what is going on with our bodies, you may go on all these courses and think you know what best for us. Yes I do get upset when they won't listen or won't discuss it with me, I also understand that I could be causing further problems, I had a Triple Bypass 1/12/2014 and Stents put in 8/11/2015. I have immediate family who are NOT Diabetic's who have had to have Heart Surgery. I also understand that they think they have our best interest. SO PLEASE LISTEN AND NOT TELL US OR BULLY US INTO WHAT YOU THINK IS BEST FOR US. THANKYOU.

Well said!. I threw my metformin out of the window, the damage it can cause by simply shuffling the sugar on place to another in the body not getting it out of the body, seems crazy medical recommendations, Iagree, one is responsible for taking care of ones own body, listen, respect, but one does not have to take medications and Doctors can be wrong.

I was given Metformin why Doc felt levels a bit high on testing Random I was way below old200mg/dl i.e.11mol/l I think UK,
if one was not over the cut off threshold, and well below, why would one consider metformin, when a more pragmatic recommendation of change lifestyle, exercise diet should have been the first order of the day!!! that made me realize
my body my choice as you say.

Now, no meds, normal levels, revered A1C in 4 months 23% .lost 18 kilos, most bewildering of all when I showed my Doc results he did not really listen, said Oh, good excuse to get new dress, keep taking your metformin, its working well, hello Doc,I have not taken any and are out of the window..... Doctors have to start and view individuals situations one side, one medication does not fit all sizes......and this is the problem, another problem, with them all...they are barking down the wrong avenue......

The Medical profession should start and target focus on the CAUSE insulin resistance for Diabetes 2 and not the symptom which is High Sugars, currently, it seems this is overlooked....

Well said...
Mallorca
 

eventhorizon

Well-Known Member
Messages
456
Type of diabetes
Type 1
Treatment type
Insulin
In answer to the OP a type 2 could become type 1. Having type 2 diabetes doesn't mean you can't later have a autoimmune destruction of beta cells. Must be rare and probably wouldn't be diagnosed anyhow. Conversely could a t1 develop t2 ie insulin resistance?

Sent from my Redmi Note 3 using Diabetes.co.uk Forum mobile app
 
Last edited:

Emily95

Well-Known Member
Messages
98
Type of diabetes
Type 1
Treatment type
Insulin
No. Type 1's can have insulin resistance but I despise it being called 'double diabetes' or having type 1 and 2. That doesn't help with people understanding they are two very different diseases. So no a type 1 can never have type 2 diabetes :)
 
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catapillar

Well-Known Member
Messages
3,390
Type of diabetes
Type 1
Treatment type
Insulin
No, although colloquially a type 1 with insulin resistance is referred to as double diabetes, technically it is not clinically possible for someone with type 1 to also have type 2 as a key feature of type 2 diabetes is the over production of insulin and a type 1 diabetic cannot produce any insulin.
 
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JohnEGreen

Master
Messages
13,189
Type of diabetes
Other
Treatment type
Diet only
Dislikes
Tripe and Onions
"
One thing I hear occasionally among type 1 diabetics is, “Well, at least I can’t get type 2 diabetes!” This reasoning makes sense if you think only about the two diabetes as two points along a single spectrum, with type 2 diabetes being a metabolic disease that is “the less severe” type 1 diabetes.

I felt compelled to answer: Yes, yes you can. You absolutely can. Yes you can have type 1 and type 2 diabetes at the same time. You’re unlikely to get diagnosed with type 2 diabetes if you already have type 1, because it’s hard to measure the difference in blood sugar values, but you can still suffer from both types of diabetes simultaneously."

https://asweetlife.org/type-1-and-type-2-diabetes-at-the-same-time/
 

Mep

Well-Known Member
Messages
1,461
Type of diabetes
Type 2
Treatment type
Insulin
This is absolutely incorrect.

Type 1 don't produce enough insulin and it's an autoimmune disease. Type twos have too much circulating insulin that is not being used. Sometimes type 2 require insulin but it doesn't make them type 1. Type 1 always requires insulin.

And there are type 2's like myself who become insulin deficient and will need to be on insulin therapy. I think I mentioned this earlier. So many people get confused between the 2 types and assume just because type 2 needs insulin they're suddenly type 1 when they're not. It just means the treatment of the 2 diseases can be the same.
 

Togfather

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Ill manners
Technically, unless you had a GAD test done which was positive and showed the presence of the autoimmune antibodies that destroy beta cells, then you are still type 2, all be it an insulin dependent Type 2.

You may have progressed to insulin as a result of your beta cells dying due to exposure to too high blood glucose levels, which the C-Peptide test shows as a reduction in insulin output, but as long as the cause of your beta cells dying is not an autoimmune attack, you aren't a Type 1!
Hello. Clicked on the link you gave for FREE low carb programme, but they want £30.
 

tim2000s

Expert
Retired Moderator
Messages
8,934
Type of diabetes
Type 1
Treatment type
Other
I felt compelled to answer: Yes, yes you can. You absolutely can. Yes you can have type 1 and type 2 diabetes at the same time. You’re unlikely to get diagnosed with type 2 diabetes if you already have type 1, because it’s hard to measure the difference in blood sugar values, but you can still suffer from both types of diabetes simultaneously."
Technically, no, no you can't. To have type 2 diabetes you have insulin resistance and over production of insulin. If you have no beta cells then you can't over-produce insulin. You can be insulin resistant though, which requires additional exogenous insulin, but you can never over produce your own.
 
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flowerthym

Member
Messages
10
Type of diabetes
Type 2
Provided as a type 2 diabetic you do the sensible things, like getting your weight under control, eating a LCHF diet, doing some sensible regular exercise, there should be no reason for you to need insulin injections.
However by not following the sensible diabetic routine and eating foods that have a consistently high GL/Gl loading or foods high in sugar content and little or no exercise, it will result in high blood/glucose levels in your bloodstream, which in turn will place a heavy demand on the insulin producing beta cell of you pancreas.
Over time this high demand will weaken the beta producing cells within the pancreas to the point where they slowly start to fail (often referred to as 'Burn Out'), at which point it then becomes necessary to supplement this insulin loss by resorting to regular insulin injections.
Type 2 diabetes is a long term serious condition, but if you look after yourself you can successfully avoid all the horrid long term problems that can go along with someone not looking after themselves properly.
Sadly once you have been correctly diagnosed as diabetic you will have this condition with you throughout you lifetime, and though you might manage to come out of the higher blood/glucose levels associated with having diabetes, you will still be diabetic. It's one of those condition that is forever there though it might appear hidden away in the background.

Best of luck in keeping your diabetes under tight control for all the years to come - Lazybones
 

flowerthym

Member
Messages
10
Type of diabetes
Type 2

Not overweight me. Always eaten healthy diet, plenty of exercise but now after 18 year inject insulin (Type 2) + 3 Metformin and 4 Gliclazide.
 

Zilsniggy

Well-Known Member
Messages
428
Type of diabetes
Type 2
Treatment type
Insulin
Hi I have been diagnosed 7 months ago I'm on metformin ! I'm feeling nausea / exhausted / blurred vision / pains in my tummy when I eat / increased trips to the toilet . Just feeling so unwell !! Anyone help me with some advise ? Suzuki ...

Hi, sometimes if your carbohydrate consumption is too high you can have real issues, such as you describe, with metformin. There are a couple of ways to deal with it:
1) Lower your carb consumption(possibly to 50g or less a day)
2) Ask for the slow release form of metformin.
Hope you start feeling better soon.
 

DCUKMod

Master
Staff Member
Messages
14,298
Type of diabetes
I reversed my Type 2
Treatment type
Diet only
Hello. Clicked on the link you gave for FREE low carb programme, but they want £30.

Togfather - I will send you a PM. Apologies this has not been picked up earlier.
 

buffyiscool

Well-Known Member
Messages
46
Type of diabetes
Type 2
Treatment type
Other
Hi Everyone. I have been a Diabetic since 2001. Prior to being diagnosed I gave platelets and a blood donar. I have been BULLIED BY A Consultant to go onto INSULIN, I totally refused ( My body my choice ) I have also lost 9 stone this has NOT been taken into consideration, l haven't had a review of my drugs. My reason is because every DIABETIC I know who inject INSULIN have either lost limbs or their eye sight, they have other issue's going on. I have also refused to take certain drugs ie STATINS as they are related to BOWEL CANCER and causes other issue's. GP's and CONSULTANTS need to listen to their patients, discuss it with us and NOT make decisions for us. We are the one's who know what is going on with our bodies, you may go on all these courses and think you know what best for us. Yes I do get upset when they won't listen or won't discuss it with me, I also understand that I could be causing further problems, I had a Triple Bypass 1/12/2014 and Stents put in 8/11/2015. I have immediate family who are NOT Diabetic's who have had to have Heart Surgery. I also understand that they think they have our best interest. SO PLEASE LISTEN AND NOT TELL US OR BULLY US INTO WHAT YOU THINK IS BEST FOR US. THANKYOU.
I appear to be the opposite of you. I asked and asked and asked why they wouldn't consider putting me on insulin. I'd had quite high blood sugars, mainly in high teens low twenties, since diagnosis in March last year, spent numerous stays in hospital either due to severe infections, MRSA and sepsis included, or in the case of three of those stays for surgery. All the while the doctors and consultants would show concern over my BM levels but wouldn't do anything pro-active. It took the stay in hospital with sepsis for one of the consultants to say "enough is enough, your tablets alone aren't doing anywhere near enough work to bring BM levels down we're going to instigate the switch to insulin". Currently on Gliclazide and Humulin I, both twice daily along with other meds for related/non-related problems. BMs eventually showing signs of improvement. Hope everything works out ok for you. Good luck.