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When Type 2 turns to Type 1 Diabetes
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<blockquote data-quote="catapillar" data-source="post: 1431079" data-attributes="member: 32394"><p>Type 2 doesn't turn into type 1. They are two entirely separate conditions. You might have been misdiagnosed type 2 and always actually been type 1, but type 2 doesn't turn into type 1.</p><p></p><p>Type 1 is an autoimmune disease. Ithere immune system gets bored/confused and decides to kill off the insulin producing beta cells in the pancreas. Type 1 is clinically acute onset: very high blood sugar (30+) and ketones on diagnosis, dramatic untried for weight loss peer diagnosis. There are antibodies associated with type 1 and a positive gad test will confirm type 1. But a negative gad test is not definitive, about 25% of type 1 are gad negative.</p><p></p><p>Type 1.5 is type 1. It's just a colloquial term for people diagnosed with type 1 when they are older who retain endogenous insulin production for a while after diagnosis. It take a while for the immune system to kill off all of the beta cells, it doesn't happen in one fell swoop. The period when a type 1 retains insulin production is known as the honeymoon period. For someone diagnosed with type 1 later in life they may have a particularly strong and long honeymoon period which may allow them to avoid insulin for a while.</p><p></p><p>Type 2 diabetes is anything that isn't autoimmune diabetes (type 1) or genetic diabetes (mody), or other defined types of diabetes (3c, NDM). There are plenty of type 2 diabetics who are slim and fit. There are plenty of type 2 diabetics who need insulin. Neither of these factors make them type 1, they continue to be type 2 diabetics treated with insulin.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1431079, member: 32394"] Type 2 doesn't turn into type 1. They are two entirely separate conditions. You might have been misdiagnosed type 2 and always actually been type 1, but type 2 doesn't turn into type 1. Type 1 is an autoimmune disease. Ithere immune system gets bored/confused and decides to kill off the insulin producing beta cells in the pancreas. Type 1 is clinically acute onset: very high blood sugar (30+) and ketones on diagnosis, dramatic untried for weight loss peer diagnosis. There are antibodies associated with type 1 and a positive gad test will confirm type 1. But a negative gad test is not definitive, about 25% of type 1 are gad negative. Type 1.5 is type 1. It's just a colloquial term for people diagnosed with type 1 when they are older who retain endogenous insulin production for a while after diagnosis. It take a while for the immune system to kill off all of the beta cells, it doesn't happen in one fell swoop. The period when a type 1 retains insulin production is known as the honeymoon period. For someone diagnosed with type 1 later in life they may have a particularly strong and long honeymoon period which may allow them to avoid insulin for a while. Type 2 diabetes is anything that isn't autoimmune diabetes (type 1) or genetic diabetes (mody), or other defined types of diabetes (3c, NDM). There are plenty of type 2 diabetics who are slim and fit. There are plenty of type 2 diabetics who need insulin. Neither of these factors make them type 1, they continue to be type 2 diabetics treated with insulin. [/QUOTE]
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