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<blockquote data-quote="rmz80" data-source="post: 1716991" data-attributes="member: 306547"><p>I had a similar experience to you on going to hospital. I suspect hospitals are diagnosing type 1 without doing a full set of blood tests i.e. GAD and c-peptide to save money.</p><p></p><p>Diagnosis being by just by high ketones, high HbA1c, high BG’s and unexplained weight loose.</p><p></p><p>I was prescribed base and fast insulin. I subsequently starting a diet and noticed there was a <strong>sharp</strong> drop in need for insulin for every kg lost.</p><p></p><p>It was if the insulin I was on was only needed for my excess weight above what’s called "lean body mass" i.e. the insulin resistance of cells storing fat (a t2 symptom)</p><p></p><p>This is an (simplified) example of what I reasoned about telling if your t1 or t2 from a diet.</p><p></p><p>A type 2:</p><p>You weigh 80kg and your insulin need is 10units</p><p>Your lean body mass is calculated as 70kg</p><p></p><p>You lose 5kg to 75kg and your insulin need drops to 5 units (i.e half. The insulin needed is just working on the excess weight from lean body mass, the rest is handled by pancreas)</p><p></p><p>Versus type 1</p><p>You weigh 80kg and your insulin need is 10units</p><p>You lose 5kg to 75 kg and your insulin need drops to 9 units (ratio 75/80; i.e. the insulin is needed for all the body because you not producing any)</p><p></p><p>In other words a really big fall for every kg if type 2</p><p></p><p>I also had two other big falls: 1) Starting Statins 2) about a week after stating serious exercise.</p></blockquote><p></p>
[QUOTE="rmz80, post: 1716991, member: 306547"] I had a similar experience to you on going to hospital. I suspect hospitals are diagnosing type 1 without doing a full set of blood tests i.e. GAD and c-peptide to save money. Diagnosis being by just by high ketones, high HbA1c, high BG’s and unexplained weight loose. I was prescribed base and fast insulin. I subsequently starting a diet and noticed there was a [B]sharp[/B] drop in need for insulin for every kg lost. It was if the insulin I was on was only needed for my excess weight above what’s called "lean body mass" i.e. the insulin resistance of cells storing fat (a t2 symptom) This is an (simplified) example of what I reasoned about telling if your t1 or t2 from a diet. A type 2: You weigh 80kg and your insulin need is 10units Your lean body mass is calculated as 70kg You lose 5kg to 75kg and your insulin need drops to 5 units (i.e half. The insulin needed is just working on the excess weight from lean body mass, the rest is handled by pancreas) Versus type 1 You weigh 80kg and your insulin need is 10units You lose 5kg to 75 kg and your insulin need drops to 9 units (ratio 75/80; i.e. the insulin is needed for all the body because you not producing any) In other words a really big fall for every kg if type 2 I also had two other big falls: 1) Starting Statins 2) about a week after stating serious exercise. [/QUOTE]
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