I work.in rheumatology and all the conditions we see are autoimmune with the exception of fibromyalgia. I have patients with a whole host of AI diseases and really long family histories. I think it's quite well known that these diseases 'travel in packs'. Type 2 diabetes isn't auto immune though, it can definitely be genetic and I can share some.of the above experiences. Have memories of being about 4 and watching an aunt prepare a massive syringe of insulin for my poor.old granny who was diagnosed with what was probably late onset type 1 and lived only a few years after being diagnosed. Since then most of our (very large!) family have got the curse with both type 1 type 2 and a couple.of Modys thrown in to mix it up a bit. Genetics are funny old things.....i think that recognising autoimmune diseases clump together is so new.
well, new to us patients. no idea how new it is to the professionals.
until i encountered this forum i hadn't a clue that the various traditional family 'complaints' were classed as autoimmune. i had heard the term, of course, but i just thought it meant wasting diseases and allergies.
Yes I know that there is research on going and that there are trials underway regarding immunosuppressive therapies and genetic.testing. I also agree that there are more than one cause of type 2 diabetes and that we will probably end up with further classifications. However as it stands there is no.evidence that type 2 is AI more a suspicion and a hypothesis which needs proving. So we can speculate all we like but until actual evidence comes to light type 2 diabetes has to be treated as non autoimmune. The good news is that it will be beneficial and attractive to big pharma to invest in research, drug trials and development, and if it does ultimately be proven that some types of type 2 diabetes end up being AI, then there are already a wide.variety of immunosuppressive therapies out there with more in the pipeline. Of course it would have to be acknowledged that some of the therapies used currently in rheum cost around £10000 a year per patient which could be prohibitively expensive. Anyway that is all light years away and for now we have to assume that type 2 is genetic or lifestyle caused rather than anything else because there is no other evidence.@Lally123
While I agree that Type 2 is not currently considered to be autoimmune, there is growing evidence that it may be
https://www.medicalnewstoday.com/articles/222766.php
https://www.ncbi.nlm.nih.gov/pubmed/12059095 (this is old, 2002, but raises a few questions)
http://www.lmp.facmed.utoronto.ca/news/news/current-news/type-2-diabetes-autoimmune-disease (from 2016)
Personally, I hesitate to make any definitive statements on the subject until there is a lot more research - mainly because there are a lot of different varieties of T2 which are currently clumped under the single heading - and by no means all of them involve fatty livers.
As I previously stated, I prefer not to make those assumptions.
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