Forgive my ignorance - re renaming T1

[lovinglife]

Sorry to ask this regarding the thread renaming T1 - I don't really want to get anymore involved in that discussion, I said what I have to say on the thread - I stopped the "my dad's bigger than your dad" stuff when I left primary school and frankly whilst I acknowledge a difference I find it sad and counter productive on a site where we should be helping each other regardless - although I suppose it has proved useful in that it has revealed others prejudices

so to my question:

Does a T2 that becomes insulin dependant have the same problems regarding serious hypos etc as a T1 - e.g.) fits diabetic coma etc?

Not wanting to fan any flames just want to know if at that point in T2 are the dangers the same as T1

 

[catherinecherub]

Hi lovinglife,

Type 2's on insulin have all the inherent problems that a Type 1 can experience. Before oral medications existed that is how they were treated. There are type 2's who do not respond to diet changes and oral medications.

Hope this helps,

Catherine.

 

[lovinglife]

Thanks Catherine - I did think that but wanted to be sure my knowledge was correct

 

[totsy]

yep u were correct, its the insulin causing the hypos whatever type u are

 

[phoenix]

Yes they are just as likey to have serious hypos, they are caused by too much insulin in the system for the amount of food and/or exercise but you did say etc
People with type 2 are far less likely to experience DKA.(diabetic ketoacidosis) They will normally be still producing enough insulin to avoid it *, unless they have an uncommon type of type 2 (ketosis prone type 2) or are in fact misdiagnosed and they actually have LADA (becoming more common)http://en.wikipedia.org/wiki/Diabetic_ketoacidosis
Ketones can rise very quickly in type 1. The risks to very young children are great but even in adults, there is risk of coma and death.
There may be other differences, for example in how well signals are sent to the liver during hypos. This might because of length of time with diabetes, or maybe to do with the disease process itself.

*very, very, very high levels in type 2 can though cause HONK
http://ziabetes.info/index.php/2007/10/11/hyperosmolar-non-ketotic-acidosis-honk/

Sorry rather a depressing answer.
edited to change link the original honk one was a bit stark

 

[Synonym]

With all that information above it sounds as if there needs to be much more education of everyone and not just those with the Diabetes diagnosis. How to do it - that is the question.