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Diabetes: Have We Got It All Wrong? (T2D)
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<blockquote data-quote="LittleGreyCat" data-source="post: 2144729" data-attributes="member: 6467"><p>From some posts on this forum, there are T2s who are diagnosed (as are many T1s) due to emergency admission due to Diabetic Ketoacidosis and go immediately onto insulin.</p><p></p><p>I suspect that in these cases they may still be producing a lot of insulin, but can no longer overcome the insulin resistance.</p><p></p><p>I think some have started insulin on diagnosis, but been able to come off insulin after lifestyle changes.</p><p></p><p>I agree that a c-peptide on diagnosis (or even a full IR test) would give a much clearer picture of how the body is behaving and probably the best route to improve the situation.</p><p></p><p>I do recall my GP at the time (who was very diabetes aware) saying that they didn't test to see if it was IR or low insulin production because the treatment was the same in both case.</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 2144729, member: 6467"] From some posts on this forum, there are T2s who are diagnosed (as are many T1s) due to emergency admission due to Diabetic Ketoacidosis and go immediately onto insulin. I suspect that in these cases they may still be producing a lot of insulin, but can no longer overcome the insulin resistance. I think some have started insulin on diagnosis, but been able to come off insulin after lifestyle changes. I agree that a c-peptide on diagnosis (or even a full IR test) would give a much clearer picture of how the body is behaving and probably the best route to improve the situation. I do recall my GP at the time (who was very diabetes aware) saying that they didn't test to see if it was IR or low insulin production because the treatment was the same in both case. [/QUOTE]
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