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When Type 2 turns to Type 1 Diabetes
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<blockquote data-quote="Daibell" data-source="post: 1431505" data-attributes="member: 21149"><p>Hi. I'm one of those mis-diagnosed late onset T1s always being slim etc. As you can see there is grand confusion on the subject with Diabetes UK (not this site) and the NHS being more confused than we are! I will put a different slant on this. If you have a c-peptide test and it shows low insulin then you are probably T1. If you have high insulin you are probably T2. The distinction is important as the medication needed is different. I would argue that a GAD test may or may not show antibodies but overall it doesn't matter why your pancreas has non-working islet cells as the medication needed is that for a T1 pathway and effectively the conditions become the same thing. One exception is T2s who have islet cell damage thru long-term high sugar levels over many years. They have effectively become similar to T1s but may still have high insulin resistance and the medication will vary.</p></blockquote><p></p>
[QUOTE="Daibell, post: 1431505, member: 21149"] Hi. I'm one of those mis-diagnosed late onset T1s always being slim etc. As you can see there is grand confusion on the subject with Diabetes UK (not this site) and the NHS being more confused than we are! I will put a different slant on this. If you have a c-peptide test and it shows low insulin then you are probably T1. If you have high insulin you are probably T2. The distinction is important as the medication needed is different. I would argue that a GAD test may or may not show antibodies but overall it doesn't matter why your pancreas has non-working islet cells as the medication needed is that for a T1 pathway and effectively the conditions become the same thing. One exception is T2s who have islet cell damage thru long-term high sugar levels over many years. They have effectively become similar to T1s but may still have high insulin resistance and the medication will vary. [/QUOTE]
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