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Type 1 or Type 2?!?

Becks20

Member
Hi,

I am relatively new to diabetes and learning everyday, but I went to see my doctor today who wants to do further tests as he doesn't know if I am type 1 or type 2 mostly due to my age - i'm 22 - (despite being diagnosed as type 2 in June).

Can anyone explain in simple (ish) terms what the difference between type 1 & 2 is?
Also, should I try to do anything differently in terms of diet?

Any info appreciated,

Becks
 
Hi Becks20!

Type 2 is a metabolic condition usually involving insulin resistance i.e. where your body produces insulin but is unable to use it because it has built up a resistance to it for some reason. This is more common with aging and far less common in people under 40 (or under 25 if you are of Asian origin), but it is not unheard of, especially if you are overweight, have a family history of diabetes or have other metabolic conditions such as high blood pressure or high cholestorol. The absence of these factors should lead your doctor to doubt Type 2 and do further tests as he is doing. Type 2 in young women with low risk factors for the condition can also be connected with polycystic ovaries, so he might also want to test for that to rule it out.

Type 1 is an autoimmune condition where the body develops antibodies that attack your pancreatic beta cells (the things that produce insulin), eventually killing them all off. When this develops in children and young adults, it is usually a rapid process that happens over a matter of a few days and results in insulin dependance i.e. where you no longer produce insulin and have to inject insulin to control your blood glucose levels. However, sometimes, particularly in adults, there is a form of Type 1 that develops more slowly over a few years. This is often mistaken for Type 2 and misdiagnosed as it presents like Type 2 in its early stages. It has a much faster progression than Type 2, though, leading to insulin dependance within a matter of a few years and cannot be successfully controlled long term by diet and exercise alone. You might hear this referred to as Type 1.5 or LADA. This is what your doctor is checking you for, so that you can be given an appropriate treatment. There is growing evidence that early adoption of injected insulin in LADA sufferers can delay the progression into full Type 1 by giving the pancreas some help and preserving the remaining beta cells. This is very important as it helps with your control of the condition.

You will just have a couple of blood tests and wait for the results.

Good luck and let us know how you get on.

Smidge
 
hi becks20, im also 22 and was diagnosed with type1 3yrs ago, just wanted to say good luck with your tests etc (i think smidge has explained your query pretty well) and just let you know that if u want to talk to anyone you know is your own age about anything diabetes related feel free to ask. I dont know anyone my age personally to speak to about diabetic problems so if you do have any questions it would be nice to discuss with someone my age. good luck again!! lucyunited
 
I was diagnosed with type 1 aged 26, which I was told at the time was pretty late to develop type 1. However, it presented itself classically & dramatically: I had a cold/flu virus then within 2 months, lost 1 1/2 stone in weight (I was already slim) always had a raging thirst & couldn't get out of bed in the morning as I was so tired.

If that sounds like you, it's probably type 1.

Whichever, it's a bind, but not the end of the world, so don't be afraid to do all the things you want in life. I travel the world, love watersports & swimming, so make it fit your life not the other way around. I feel lucky that I didn't have to go through childhood/adolescence with diabetes that would have been horrid, it's hard enough growing up anyway.

Good luck.
 
Thanks for all your replies.

I always had a raging thirst, I get through the day in a maze as I am so tired. My eyes feel like fire and it is an effort to do anything. The only thing that is different is I haven't lost weight. I really don't know what to think.

I have low blood pressure and low cholesterol but have a history of both type 1 & type 2 diabetes in the family & I am overweight.

Whenever I say I am diabetic everyone says "oh, your young". It makes you feel rubbish knowing you have to live with it for so long.

I am waiting for the letter and will let you all know how it goes. Thanks for your help,

Becks :)
 
People who say "you're young" are speaking out of ignorance. The media loves scandals & headlines, & the obesity/diabetes timebomb headline is one that they trot out over & over again. I believe that this is the main reason why people think that diabetes is a disease of middle age & confined to those who are overweight. Most people don't know that there are two distinct diseases with different causes which present roughly the same symptoms.

However, I am very concerned about your description of your health. I'm not a doctor, just a fellow diabetic, but I remember the early days well. I was so poorly, I didn't know what was normal. I felt at the time that my GP failed me as he didn't treat my case as urgent & I had to wait two months for a hospital appointment. During that time, I couldn't get out of bed, slept through phone calls from work asking where I was, went to bed as soon as I go home from work, had to get up 15 times to go to the toilet though it was only a dribble each time (excuse the image, but it's important) before I'd get off to sleep as there was so much sugar in my urine my bladder was extremely irritated. I had to drink a pint of water every half hour to try & quench my thirst. I walked around like a zombie. My GP put me on tablets & then asked me how I felt. I used to say "OK", I thought everyone felt like that. Once I got insulin into me, I realised what life should be like.

I eventually went private & was admitted to hospital within a week. The doctor there told me that I'd have been in a coma before my NHS appointment came around. I now know that I had what's nown as DKA & is a very serious condition. I really, really don't want to scare you, you must be pretty scared already. But if you feel very poorly, get straight down to your GP again and tell him/her about every symptom. Tell them how hard it is to deal with every day tasks & make sure they test your blood glucose level with a finger prick test there & then (if possible, go first thing in the mornig and don't eat before you go). Better make an unnecessary visit than end up in an ambulance.

I small tip on diet, as a type 1, you would inject insulin before a meal to match the carbohydrate in that meal based upon the ratio agreed by you & your health team (e.g. I use 1 unit of insulin for every 12 grammes of carb eaten). If I have a no carb meal (e.g. tuna & lettuce or bacon & egg), I don't need to inject any insulin. Type 2s (I believe, though I don't know much about it) often have low carb diets which hekps their diabetic control. So, it might just help you a little while you're waiting for tests/treatment to cut out most of the carbohydrate from your diet or get rid of the sugary carbs & change the quick acting starches (baked potatoes, white rice, white bread) for slower acting carbohydrates such as brown rice, granary bread & pulses. (You mustn't cut it all out as your body needs some carbohydrate to operate properly.)

I will say again though, diabetes is a pain, but not the end of your life as you know it. You'll learn to deal with it. Good luck.
 
I was always told, type 1's need insulin immediately and type 2's start with diet, then tablets and finally insulin. I do find that some dsn's are patronising saying things like 'you look well' I'm just diabetic how am I meant to look! They also said I'd feel much better (although I've never felt unwell being diabetic) once I started insulin! I can't see how you would feel any better.
 
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