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Type 1 then 2 then back to 1 again

Messages
2
Type of diabetes
Type 1
Treatment type
Insulin
Afternoon all,

Without boring you with my back story (he says before boring you with his back story) I was admitted to hospital with BG of 28mmol in Feb 2017, started insulin was told by the consultant it's Type 1 then round about September I noticed that my BG was fine when I forgot to inject, came off it and told I was Type 2. Been diet and exercise controlled since then and everything was fine and dandy......flash forward to Monday this week there was no change in my diet or exercise routine from the past 6 months but for some reason my BG has shot up to 20 and has not come down. Rang the clinic and they have instructed me to start insulin again and I'm just wondering for my own mental sanity whether anybody out there has experienced anything similar or can shed some light. I feel an important point to add is that I'm only 22 with a Type 2 Diabetic father.
 
Afternoon all,

Without boring you with my back story (he says before boring you with his back story) I was admitted to hospital with BG of 28mmol in Feb 2017, started insulin was told by the consultant it's Type 1 then round about September I noticed that my BG was fine when I forgot to inject, came off it and told I was Type 2. Been diet and exercise controlled since then and everything was fine and dandy......flash forward to Monday this week there was no change in my diet or exercise routine from the past 6 months but for some reason my BG has shot up to 20 and has not come down. Rang the clinic and they have instructed me to start insulin again and I'm just wondering for my own mental sanity whether anybody out there has experienced anything similar or can shed some light. I feel an important point to add is that I'm only 22 with a Type 2 Diabetic father.

Sometimes when a T1 starts to inject insulin it relieves pressure on the pancreas and allows it to start producing its own insulin again. This reprieve normally lasts anything from a few weeks to a few months (but can sometimes be much longer) and is often referred to as the honeymoon period. After this, ones pancreas will eventually stop making enough insulin to keep glucose levels in check.

It is normal to conduct various tests to establish the 'type' more accurately. If you are overweight when you present with the symptoms, medical people can be a bit lazy with the diagnosis. Overweight, older = T2, on the younnger side and slim = T1. They can be right, but this method of diagnosis often leads to errors.

Welcome to the forums by the way.
 
Sometimes when a T1 starts to inject insulin it relieves pressure on the pancreas and allows it to start producing its own insulin again. This reprieve normally lasts anything from a few weeks to a few months (but can sometimes be much longer) and is often referred to as the honeymoon period. After this, ones pancreas will eventually stop making enough insulin to keep glucose levels in check.

It is normal to conduct various tests to establish the 'type' more accurately.

Welcome to the forums by the way.
Is it not unheard of for it to last 2.5 years then?

And thanks for having/hosting me
 
Is it not unheard of for it to last 2.5 years then?

And thanks for having/hosting me

No it's not unheard of but it is uncommon. Another possibility is that you have developed some insulin resistance which is more in-line with the T2 diagnosis. Your pancreas is still producing insulin but your body cannot use it.

Get the tests done.
 
I'm just wondering for my own mental sanity whether anybody out there has experienced anything similar or can shed some light.

I'm not medically qualified but it seems to me that there are two components to diabetes, the production of insulin by the pancreas and the body's resistance to insulin. Both of these can change, which might go someway to explain a change in diagnosis. Only a theory.
 
I would guess at extended honeymoon. I was diagnosed in my 40s and still producing insulin 3 years later. Less common at your age but not unknown.

Can you ask your diabetes team to run blood tests for anti bodies and c-peptide
 
Perhaps you should get the relevant blood testing done to confirm diagnosis (C-peptide, antibodies etc). This could go a long way to putting your mind at ease.
 
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