Difference between type 1 and 2 diabetes?

[pleinster]

And type 1 diabetes is incurable and type 2 is

I don't know any Type 2s who are "cured". The word is way too simplistic.

 

[pleinster]

Tends to be then...

Not really...

 

[misst1mammy]

Well u can get rid of t2 thru diet and excersize

 

[pleinster]

Just a naive view...

I don't think it's naive...nor do I think it is said with any intent other than to inform and help...but it is a little too simplistic is all. In my own case, I was diagnosed with Steroid Induced Diabetes (Type 2) after a couple of months of steroids as part of my anti-rejection treatment post renal transplant. There was no history of diabetes in my family and my lifestyle and diet had nothing to do with it; I spent roughly 50 years underweight for my height. To be fair, though this cause is increasingly more common, it's hardly broadcast by anyone and people probably only become aware of it when they are warned before starting a long term course of steroids...and there are lots of conditions where this is common practice. I think where Type 1s generally cannot produce their own insulin for reason not yet known, it is increasingly important (with so many Type 2s around now) that people are aware that those who have "problems" with their bodies making reliable use of insulin (ie. Type 2s) may be this way for a range of reasons. I totally agree with you that many "GPs are unfortunately not that knowledgeable on it"...and it's a pity that it is commonly held (note...certainly not by yourself) that Type 2 is caused by what people, stuff themselves with...and we should combat that where we can. We all differ and are variations on a ****** theme. Here is hoping many of us whatever Type can stay in control where possible.

 

[pleinster]

Well u can get rid of t2 thru diet and excersize

This is absolutely not the case for a large number of Type 2 diabetics...and for many who can it is a constant struggle. I have no doubt, personally that Type 1 is a more serious condition but it really gets to me that there is a tendency by some to minimise the issues Type 2s deal with like it is walk in the park, and as a result those who have no idea about it look at type 2s like it is their fault ! Note...I am not for a second suggesting that you feel this way. I just wish we could all help each other.

 

[Mike d]

Well u can get rid of t2 thru diet and excersize

This overworked word descriptor gets another outing. No T2 cure is possible ... not yet. The underlying problem is that it remains, regardless of what you do. "Cure" is simply not true, controlled and in remission is fine ....

 

[Alison Campbell]

Well u can get rid of t2 thru diet and excersize

No some people, in some circumstances may be able to control type 2 through diet, exercise or medication combinations.

No one deserves diabetes and no one wants it.

 

[JohnEGreen]

I was diagnosed with Steroid Induced Diabetes

Same here but my diabetes specialist got annoyed when I described myself as T2 insisting I have drug induced that is or was labeled as T3E diabetes I hate labels

 

[Robinredbreast]

https://jdrf.org.uk/information-sup...ifference-between-type-1-and-type-2-diabetes/

 

[Bluetit1802]

Having read this thread from the beginning, it is clear that even on this forum there are T1s with a lack of knowledge about T2, its many forms, its many causes, and whether it is curable.

To those T1s that believe it can be cured, I would like to ask how they think this is brought about because I don't know. If I did I would be cured.

 

[Robinredbreast]

Well u can get rid of t2 thru diet and excersize

From googling :-
The term "cure" means that, after medical treatment, the patient no longer has that particular condition anymore. Some diseases can be cured. Others, like hepatitis B, have no cure. The person will always have the condition, but medicaltreatments can help to manage the disease.

When a disease can't be cured, doctors often use treatments to help control it. For example, one type of diabetes happens when the pancreas does not make enough insulin to get glucose into cells where it's needed. Doctors treat people with diabetes using insulin injections and other methods so they can continue to live normal lives. But right now there's no cure for diabetes. So some people need insulin treatments for the rest of their lives.

[moderator edit for belittling remark.]

@moderator,what on earth is going on, I never wrote any belittling remark, please contact me via pm please

 

[pleinster]

Same here but my diabetes specialist got annoyed when I described myself as T2 insisting I have drug induced that is or was labeled as T3E diabetes I hate labels

I regularly see one of 4 renal specialists and a diabetes consultant and all refer to my diabetes as Steroid Induced Type 2 Diabetes having initially diagnosed it as New Onset Diabetes a couple of months on treatment with Prednisolone (which I had been warned about pre-transplant). None of them are in any doubt that the steroids CAUSED my diabetes...but you still get eejits who think it was lying dormant waiting for its moment to shine (for which there is not the slightest bit of medical evidence) and some medical professionals who still don't fully comprehend the differences between certain types (let alone the best way to diet appropriately). I am fortunate my doctors know what they are talking about.

 

[Lamont D]

I was misdiagnosed for nearly a decade because my blood glucose levels spiked high. No one checked in that time the amount of insulin I was producing and the insulin resistance was causing liver and kidney function problems, fatty liver, high bad cholesterol levels, and so on, my weight was at least five stone above BMI.
Not one doctor, dsn, and unbelievably an endocrinologist all thought that my misdiagnosis of T2, was causing the problems but they still didn't check my insulin or recommended going without carbs to address the symptoms and weight loss.
Even two years before diagnosis in 2011, my fasting levels, my hba1c was normal!
This was recorded in my food diary.
It was still ignored and blamed on the T2!
I had hyperinsulinaemia for years, but my symptoms showed this, but ignored!
Yes, high circulating insulin, insulin resistance and high blood glucose levels, were the problem like most T2s, but not the fasting and hba1c levels.
Not one tested for Hypoglycaemia!
Until I was referred for a second time!

You cannot put every endocrine or diabetic condition under the same label or group them into one category.
Every type or individual has different symptoms and conditions, which makes them unique, how they got to the stage for diagnosis, how they treat or control, what they eat, the diversity, the cultural differences, the availability, the affordability, the palette, everything into consideration.
I'm unique and wonderfully weird!
Don't you consider yourself as special in some way?
Individually?

 

[JohnEGreen]

I regularly see one of 4 renal specialists and a diabetes consultant and all refer to my diabetes as Steroid Induced Type 2 Diabetes having initially diagnosed it as New Onset Diabetes a couple of months on treatment with Prednisolone (which I had been warned about pre-transplant). None of them are in any doubt that the steroids CAUSED my diabetes...but you still get eejits who think it was lying dormant waiting for its moment to shine (for which there is not the slightest bit of medical evidence) and some medical professionals who still don't fully comprehend the differences between certain types (let alone the best way to diet appropriately). I am fortunate my doctors know what they are talking about.

I have been taking prednisolone for several years incredibly in all that time no one thought to check for diabetes till I reported losing peripheral sensation I do believe that people on long term steroids should be checked regularly.

 

[pleinster]

I have been taking prednisolone for several years incredibly in all that time no one thought to check for diabetes till I reported losing peripheral sensation I do believe that people on long term steroids should be checked regularly.

I know that transplant patients (at least here in Scotland) are warned before taking the steroids the doctors are prescribing that there is a risk of developing Type 2 as the blood sugar will spike and, loosely speaking, the pancreas will be challenged the longer one is on steroids. Those on a short course of corticosteorids will probably have there blood sugar return to normal levels after the stop the course but those on longer courses or permanent dependence (as in my case and in yours) standa strong chance of this developing into Type 2 diabetes. Now, as I have said before, I would make the same choice again rather than face the risk of rejection of an organ and then dialysis...and there is a place for these drugs (of which Prednisolone is the main offender...a drug some clinics now refuse to use with transplant patients...still seen as risky itself) but I do think all patients whatever their condition should be warned in advance of starting a course of corticosteroids as standard practice. I persuaded by renal docs to cut the dose to the minimum to minimise damage.to prevent long spikes I couldn't counteract though diet...taking a bit of a risk ...but so far that reduction has made the difference to my blood sugar allowing me to control it...and no impact ..yet..on the kidney. GPs and others..and the public...need to be far more aware of the risks associated with drugs like Prednisolone.

 

[JohnEGreen]

@pleinster Yes even if I knew then what I know now I would still have accepted the risks associated with prednisolone I was first prescribed them about 17 years ago first low dose for short periods building over time to 40 mg a day was at that level for about eight years but now down to 10 mg day but that's it can't go lower or stop. but people as you say should be better informed and I think more closely monitored while on them.

 

[pleinster]

@pleinster Yes even if I knew then what I know now I would still have accepted the risks associated with prednisolone I was first prescribed them about 17 years ago first low dose for short periods building over time to 40 mg a day was at that level for about eight years but now down to 10 mg day but that's it can't go lower or stop. but people as you say should be better informed and I think more closely monitored while on them.

10mg still makes control of the blood sugar way less than easy, John. I think I started on either 40 or 80mg and that was being slowly reduced in the first year post transplant. I believe the intention was to keep me on around 20mg for life (or the life of the kidney) but I was getting spikes that pushed my blood sugar up by about 10mmols and took about 5 hours to come down...so I spoke to my doctors and they agreed to reduce it to 10mg. I was still getting sustained spikes. I pushed to get it down to 5mg and finally to 2.5mg (for the last year or so) and that made all the difference. They refuse to let me come off it...and I don't feel like arguing as it is such a risk. The levels you seem to be getting from what I can recall from your posted morning readings are very good...are you managing to avoid spikes after your take your steroid ?

 

[kokhongw]

type 2 was u have too much

Generally for obesity related T2D that is true. We spend years with chronically high levels of insulin till our beta cells are exhausted trying to overcome the insulin resistance.

This is a good read on T2D.
http://diabetes.diabetesjournals.org/content/58/4/773
Here is an excerpt:-

Obesity was associated with a 29% decline in insulin sensitivity, but glucose tolerance remained perfectly normal because of the compensatory increase in insulin secretion. With time the obese NGT individuals progressed to IGT in association with a further 28% reduction in insulin sensitivity (total decrease = 57% from NGT to IGT). However, the rise in plasma glucose concentration was quite modest because of a further compensatory increase in insulin secretion. However, people with IGT are in a very precarious position. They are maximally or near-maximally insulin resistant, and their β-cells are functioning at less than maximum capacity. With time the β-cells cannot continue to produce these very large amounts of insulin and the obese IGT individual progresses to overt diabetes. The decline in glucose tolerance is associated with a marked decrease in insulin secretion without further change in insulin sensitivity (Fig. 2). This characteristic rise in insulin response to insulin resistance and hyperglycemia, followed by a subsequent decline, has been referred to as Starling's curve of the pancreas (1). This natural history of type 2 diabetes has been demonstrated in many prospective studies carried out in many diverse ethnic populations (1–18,36,37). Although the relative contributions of insulin resistance and β-cell failure to the development of type 2 diabetes may differ in different ethnic groups (38), the onset and pace of β-cell failure determines the rate of progression of hyperglycemia.

 

[Tophat1900]

10mg still makes control of the blood sugar way less than easy, John. I think I started on either 40 or 80mg and that was being slowly reduced in the first year post transplant. I believe the intention was to keep me on around 20mg for life (or the life of the kidney) but I was getting spikes that pushed my blood sugar up by about 10mmols and took about 5 hours to come down...so I spoke to my doctors and they agreed to reduce it to 10mg. I was still getting sustained spikes. I pushed to get it down to 5mg and finally to 2.5mg (for the last year or so) and that made all the difference. They refuse to let me come off it...and I don't feel like arguing as it is such a risk. The levels you seem to be getting from what I can recall from your posted morning readings are very good...are you managing to avoid spikes after your take your steroid ?

My diagnosis is CFRD - but it's easier to say steroid induced. Even though my pancreas now no longer produces enough insulin, it's still really a T2 like lifestyle. I only get high readings from food. So, it's not really even similar to T1 I don't think. Except that i now require insulin.. I had figured out the pancreas wasn't producing enough after weight loss and went to my GP and asked for insulin. Up til and explained why. l had till this point, maintained a A1c of 5.9% or 41... which I can tell you was a lot of work, wasn't easy, but worth it..I still take prednisone, have done for the last 20 yrs every day. Down to 7mg per day, but that is a recent change. Took 10mg everyday before. Was never told about the risk of T2, but had no choice being a double lung transplant recipient. If you want to keep breathing and annoying people, then you take it. So, not complaining one bit about it. Still should of been told. Life is good.

 

[JohnEGreen]

10mg still makes control of the blood sugar way less than easy, John. I think I started on either 40 or 80mg and that was being slowly reduced in the first year post transplant. I believe the intention was to keep me on around 20mg for life (or the life of the kidney) but I was getting spikes that pushed my blood sugar up by about 10mmols and took about 5 hours to come down...so I spoke to my doctors and they agreed to reduce it to 10mg. I was still getting sustained spikes. I pushed to get it down to 5mg and finally to 2.5mg (for the last year or so) and that made all the difference. They refuse to let me come off it...and I don't feel like arguing as it is such a risk. The levels you seem to be getting from what I can recall from your posted morning readings are very good...are you managing to avoid spikes after your take your steroid ?

Surprisingly yes but I have to be very strict with my self as far as carbs are concerned and tend to make sure I take my preds first thing after or with breakfast had a pharmacist once tell me that preds are best taken early in the day and keep to that religiously still get the odd spike in the 8's and 10's and at times have gone up to 14 or higher. But tend to drop drastically some time later so now averages out. And am holding the cushings at bay also no moon face now and keeping the weight down it all helps but still getting the bruising due to thin and week skin.


Took me two years of nagging to get my neurologist to allow me to cut down to 10 mg a day and he's still not happy with it and is adamant that this is as low as he will allow. Had hoped to come off them all together but thats not going to happen.