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Type 2 to Type 1

J

Jellyb

Active Member
Messages
33
Type of diabetes
Type 2
Treatment type
Diet only
Is it possible to progress from Type 2 to Type 1?
My partners mother says she started off as Type 2 and is now Type 1. I asked if she was a Type 2 who needed to inject insulin and she says no she is definitely Type 1.

Mind you - I don't know what to think when she tells me things like eat a sandwich in the middle of the night and drink regular fizzy....
 
Strictly speaking, - no it's not possible. I think she may be confused as she is a Type 2 on insulin, but that does not mean she is now Type 1.

The difference is that a Type 1 is autoimmune, and has never been a Type 2. In some Type 2's however, they may require insulin as diabetes progresses.

Another scenario is where an initial Type 1 or adult onset person with diabetes was misdiagnosed as a Type 2, then correctly diagnosed , but they would have always been insulin dependent from the outset.

In short, Type 1 is not a progression from Type 2, it's a completely different condition.

Signy
 
Heathenlass said:
Strictly speaking, - no it's not possible. I think she may be confused as she is a Type 2 on insulin, but that does not mean she is now Type 1.

The difference is that a Type 1 is autoimmune, and has never been a Type 2. In some Type 2's however, they may require insulin as diabetes progresses.

Another scenario is where an initial Type 1 or adult onset person with diabetes was misdiagnosed as a Type 2, then correctly diagnosed , but they would have always been insulin dependent from the outset.

In short, Type 1 is not a progression from Type 2, it's a completely different condition.

Signy
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Thank you for your reply. It's just as I thought. She is insistant that she has been told she is Type 1. I didn't think so but she cannot be disagreed with. I think she is trying to prove that 'her' diabetes is far more serious than mine (Type 2). It's not a competition!! I've decided to avoid the subject of diabetes altogether when talking to her. I've even told her as much because she has completely different ideas from me. To be honest, I find it upsetting and confusing to be constantly told that my Doctor and Nurse are talking rubbish. She says I hardly have to change my diet at all and should eat plenty of carbs and drink regular fizzy juice and also orange juice. Her present to OH and myself was a box of sugary biscuits and she got annoyed when I said that OH had eaten them. Also grapes are fine - not the advice from my diabetic nurse.

Decided to leave her to it.....she can eat what she wants and I will follow the advice and guidelines from my own doctor.
 
Jellyb said:
Thank you for your reply. It's just as I thought. She is insistant that she has been told she is Type 1. I didn't think so but she cannot be disagreed with. I think she is trying to prove that 'her' diabetes is far more serious than mine (Type 2). It's not a competition!! I've decided to avoid the subject of diabetes altogether when talking to her. I've even told her as much because she has completely different ideas from me. To be honest, I find it upsetting and confusing to be constantly told that my Doctor and Nurse are talking rubbish. She says I hardly have to change my diet at all and should eat plenty of carbs and drink regular fizzy juice and also orange juice. Her present to OH and myself was a box of sugary biscuits and she got annoyed when I said that OH had eaten them. Also grapes are fine - not the advice from my diabetic nurse.

Decided to leave her to it.....she can eat what she wants and I will follow the advice and guidelines from my own doctor.
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I agree. Leave her to it. You are controlling your Type 2 with diet alone, so the right diet is essential for you. Insulin users can inject more insulin to cover any carbs they eat. The more carbs, the more insulin is needed. The choice is hers.
 
Agreed here too :)

It's irritating and frustrating, but for your own serenity adopt the "Nodding Dog" approach - agree with everything by nodding and smiling then go your own sweet way :) I've used this with certain otherwise annoying HCP's and it works well :D

I had an elderly relative who was always giving me advice about diabetic diets/cures/what Mavis at-the-post office swore by, all whilst swigging tea with three sugars and hobnobs dunked in , before taking her "Insulin tablets " ;)
Nod smile . Nod smile .....

Signy
 
Heathenlass said:
Strictly speaking, - no it's not possible. I think she may be confused as she is a Type 2 on insulin, but that does not mean she is now Type 1.

The difference is that a Type 1 is autoimmune, and has never been a Type 2. In some Type 2's however, they may require insulin as diabetes progresses.

Another scenario is where an initial Type 1 or adult onset person with diabetes was misdiagnosed as a Type 2, then correctly diagnosed , but they would have always been insulin dependent from the outset.

In short, Type 1 is not a progression from Type 2, it's a completely different condition.

Signy
Click to expand...
In theory you could first get the slowly misbehaving pancreas of type two and at a later stage develop antibodies typical of type one, couldn't you?
 
Totto said:
In theory you could first get the slowly misbehaving pancreas of type two and at a later stage develop antibodies typical of type one, couldn't you?
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In theory - I suppose you could, stranger things have happened ! :D I'm sure that there is a name for this occurrence if it happens:rolleyes:

Though I can't help but think that if people are genuinely confused or mistaken about what they have, any condition at all not just diabetes, there's something wrong with the information they received. .

Or else they receive perfectly adequate information and just don't understand .

Or....just enjoy being annoying and awkward like my Aunt :D

Signy
 
Heathenlass said:
In theory - I suppose you could, stranger things have happened ! :D I'm sure that there is a name for this occurrence if it happens:rolleyes:

Though I can't help but think that if people are genuinely confused or mistaken about what they have, any condition at all not just diabetes, there's something wrong with the information they received. .

Or else they receive perfectly adequate information and just don't understand .

Or....just enjoy being annoying and awkward like my Aunt :D

Signy
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........something wrong with the information? Oh yeah that'll be like the hospital telling me I'm a onsie and the GP's diabetes nurse insisting I'm a twosie. Hopefully they'll agree on something at some point in the not too distant future.
 
Same here urbanracer.

Consultant at hospital got GAD and C-pep results and said immediately that I was LADA / autoimmune but because I didn't need to take insulin immediately my GP surgery refused to list me as type 1 and listed me as type 2 instead on their system.

Consultant found out and wasn't happy so got it changed!
 
urbanracer said:
........something wrong with the information? Oh yeah that'll be like the hospital telling me I'm a onsie and the GP's diabetes nurse insisting I'm a twosie. Hopefully they'll agree on something at some point in the not too distant future.
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Unfortunately that does happen :(
The majority of diabetic patients seen at a health centre are indeed Type 2, and Type 1, LADA, MODY, and even Tye 2's on insulin are outside their comfort zone. I actually had a DN tell me that she didn't know a lot about Type 1, indeed, I was the only one on their books :eek:

Signy
 
elaine77 said:
Same here urbanracer.

Consultant at hospital got GAD and C-pep results and said immediately that I was LADA / autoimmune but because I didn't need to take insulin immediately my GP surgery refused to list me as type 1 and listed me as type 2 instead on their system.

Consultant found out and wasn't happy so got it changed!
Click to expand...
I was sent to the Acute Medical Unit. AMU gave me insulin from the start. GP's nurse just looked me up and down and said "I think you're type 2".
 
I was Diagnosed type 2. Which continued for 18 months. Then rediagnosed type 1. I am inclined to believe it was a mis diagnosis, as I was on Metformin and lost a dramatic amount of weight over the 18 mths.
Couldnt tell you how my Bg wad during the 18 mths as my gp never gave me test strips. But I'm guessing it was probably off the chart since it was DKA and hospital that decided it was type 1.
I do however think I may have always had type one intermittently throughout my teenage years. I went though a period of weight loss in my mid teens and I would have a lot of (what I would now class as) hypoglycaemia episodes.
And it makes me wonder Wether my pancreas was indeed already starting to fail then.
 
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