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Slim Type 2

Interesting Phoenix. Wonder why it concentrated on women? Can't men have this thin/fat syndrome? I was diagnosed T2 as a man with a BMI of 25.6, so barely overweight. Only thing is, I had a scan close to this time for other reasons, and apparently both my Pancreas and liver looked normal, with the liver having only mild fat deposits "as you would expect for a healthy man my age" (Age = nearly ready to be written off presumably! :lol: ) Does this discount the theory in my particular case I wonder, or are the internal fats referred to not readily visible uinder scans - I only had an ultrasound.
Thanks for the post anyway!
 
I guess that men are less likely to try to control their weight through diet alone (or, possibly, at all) or yo-yo diet, etc.

The media and Dr. Bernstein do not disappoint:
"The definitions of type 1 and type 2 are too vague," he says.
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The definition is perfectly fine (absolute insulin deficit vs insulin resistance), it's the the lack of tests that's the problem.
"Many adults show symptoms of both."
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So many adults show symptoms of an autoimmune condition (GAD antibodies and all that)?
So it's important to get tested for both types (the typical type 2 screen does not look for the autoantibodies that come with type 1). "
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Now they seem to have changed their mind, and decided that, in fact, insufficient testing is the problem.
Your best bet, of course, is preventing type 2 symptoms altogether
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So preventing the disease itself is not good enough?
Even if you have type 2–prone DNA
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A patient may be at risk of developing diabetes but his DNA isn't.
 
I disagree that the present definitions are clear . There are people who could fit into either T1 or T2 boxes and antibody and C peptide tests don't necessarily discriminate between the 2.

*Type 1
(beta-cell destruction, usually leading to absolute insulin deficiency)
1a Autoimmune
1b Idiopathic
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by definition T1b encompasses the 10-15% percent of children and adults diagnosed with T1 who when tested have no autoimmune markers (ie we don't know it's cause.)
I'd note that an intermittent variety of T1b, found mainly in people of African or Asian descent. is specified as T1b in the official classification but is now often referred to as ketosis prone T2 . I'd also note tha new forms of idiopathic T1 have been described in the last few years.
eg fulminant T1 a very rapid onset T1 with no detectable antibodies.

*Type 2 :predominantly insulin resistance with relative insulin deficiency or predominantly an insulin secretory defect with/without insulin resistance
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That encompasses a very wide spectrum. The committee who devised the definition knew this
There are probably several different mechanisms which result in this form of diabetes, and it is likely that the number of people in this category will decrease in the future as identification of specific pathogenetic processes and genetic defects permits better differentiation and a more definitive classification with movement into "Other types".
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The report says that by definition in T2
autoimmune destruction of the pancreas does not occur
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Is it not possible that some of the people who fit in this rather large T2 box , those who are insulin deficient but not insulin resistant and are antibody negative actually have a slowly developing form of T1b ?
I've certainly ' met' some people like this online; lean, very low c peptide, insulin sensitve but no antibodies detected. Some have been diagnosed as T1, some as T2 it depends on the consultants clinical judgement.

I think it is also very likely that some groups of people in this category may have a form of genetic diabetes, like MODY which was once thought to be a form of T2 (hence the name)
* Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications
http://www.staff.ncl.ac.uk/philip.home/who_dmc.htm
 
Wow, that article seems to describe me exactly! I've always been slim and haven't had to work for it, could always pretty much eat what I liked without gaining much weight, never done much exercise. But on a rare occasion when I went the gym and had my body fat measured, I was told it was above average, and he suggested it was hiding around my organs!

I've also, always controlled my weight, when I've needed to, with diet much more than exercise, plus my mum and mum's mum were both skinny type 2's. And here was me wondering why I've developed diabetes at only 36, now seems lucky that I didn't develop it at a much younger age!!
 
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