- Messages
- 4,395
- Location
- Suffolk, UK
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
- Dislikes
- Diet drinks - the artificial sweeteners taste vile.
Having to forswear foods I have loved all my life.
Trying to find low carb meals when eating out.
Sudden weight loss is an indicator of Type 1... no insulin production...hyperglycemia
Unexpected weight loss is often noticed in people prior to a diagnosis of type 1 diabetes but it may also affect people with type 2 diabetes.
Welcome to the forum. I have been through these horrible symptoms and know well the lack of sleep and irritable days spent trying drag myself to work. Don't let this happen to you.Note: new thread to avoid derailing original thread any further.
I have always thought (and read in some places) that unexpected weight loss is also a possible symptom of T2.
http://www.diabetes.co.uk/symptoms/unexplained-weight-loss.html says
I know that I was diagnosed soon after the classic symptoms of thirst, tiredness, frequent urination, and the sudden loss of half a stone.
I think that both are due to the same basic cause; the body is not getting enough glucose so switches to burning fats.
In some cases this may be due to lack of insulin, and in others may be due to insulin resistance preventing the insulin from acting.
Welcome to the forum. I have been through these horrible symptoms and know well the lack of sleep and irritable days spent trying drag myself to work. Don't let this happen to you.
My reason for questioning that thought was that if someone diagnosed as Type 2 mentions unexpected weight loss then loads of people usually say "are you sure you're not Type 1" and recommend further tests.I have always thought (and read in some places) that unexpected weight loss is also a possible symptom of T2.
My reason for questioning that thought was that if someone diagnosed as Type 2 mentions unexpected weight loss then loads of people usually say "are you sure you're not Type 1" and recommend further tests.
From what I have read, weight gain due to insulin resistance is a sign that the body is producing plenty of insulin - which also ramps up the insulin resistance. Which ramps up the hunger, and the blood glucose levels, but the glucose isn't reaching the muscles or the organs which are insulin resistant - but fat cells don't get as insulin resistant, so the glucose is carried into fat cells by the abundant insulin. Jason Fung's blog Intensive Dietary Management is a great source for this info, and on how insulin works.
By contrast, sudden weight loss is (may be) due to insufficient insulin, uncontrolled high blood glucose, glucose being peed out via the kidneys, and the body effectively consuming itself to try and feed the cells which are not getting the glucose due to insufficient insulin.
The first situation is common in T2s, while the second situation is common in untreated T1s.
However, if T2s are untreated for so long that their beta cells die off (because beta cells die in the presence of too high glucose, and dead beta cells can't produce insulin) then the person can lose the ability to generate insulin, their insulin levels fall, their insulin resistance falls too, and they start to experience insufficient insulin (and weight loss).
There is a figure that is often bandied about (I am sorry, I cannot quote a specific source) that says most T2s have lost half their beta cells by the time they are diagnosed. If this is correct, it must mean that the remaining cells are working hard, and are more likely to fail, especially if blood glucose continues uncontrolled. If that were to happen, then the T2 would (presumably) transition from insulin resistant and fat storing to insulin deficient and losing weight. I believe that this process is what leads T2s to start injecting insulin.
That makes perfect sense to me.
Most disturbingly, subjects in the upper tertile of IGT (2-h PG = 180–199 mg/dl) have lost 80–85% of their β-cell function (see second arrow in Fig. 3). Although not commented upon, similar conclusions can be reached from data in previous publications (2,3,7,15). The therapeutic implications of these findings are readily evident. By the time that the diagnosis of diabetes is made, the patient has lost over 80% of his/her β-cell function, and it is essential that the physician intervene aggressively with therapies known to correct known pathophysiological disturbances in β-cell function.
Thus subjects with FPG between 95–100 mg/dl, which is considered to be normal, already have lost ∼60% of their β-cell function compared with subjects with a FPG concentration of ∼70 mg/dl.
Still trying to figure out the difference between dysfunction and death of beta cells, the studies were too complex for my little brain.
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?