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Medical Forum / Diseases and Disorders / Diabetes / December 2005

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Please help me...

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teedee - 29 Dec 2005 23:49 GMT
I was recently diagnosed with type 1 diabetes but after reading
everything i really believe im type 2. I have really honestly always
lived on chocolate bars for my entire life, i really believe im
addicted to them its not even that i like them i just eat them, i am
only about one stone overweight which isnt too bad on the scheme of
things.  My fasting glucose is around 8.4 and after a gtt was 11.4 - im
34 years old and 5'3".  My doctor believes im type one on the basis
that im not too much overweight but that doesnt mean im not type 2.  I
have been prescribed to take 6mmol of insulatard the slow acting one
once at night - i take nothing else, when i wake in the morning i feel
really sick with it and my glucose level is around 5 - it leaves me
feeling really low at around 3pm when my levels drop to around 3.4.  I
have read most of the emails posted and tried to experiment - if i do
excercise in the evening for one hour only and take no slow acting
insulin i  wake at 5.5 mmol and that is eating more than 150 g of
carbs. I have relayed my concerns to my doctor but he still stands by
his diagnosis but wont tell me why.  If i take even 2mmol of fast
acting novorapid i hit a low withing 30 mins of taking it. Surley this
is not type 1 diabetes.  My GAD level when tested was only 1.1 which is
negligible.  Please help i am really upset at fact doctor wont change
his mind.   I really have a strong feeling i am type 2.  I know im
producing insulin as i only need to take 6mmol of slow acting
insulin....please please help

Please explain if im type 1 as i dont think i am...
Alice Faber - 30 Dec 2005 00:10 GMT
> I was recently diagnosed with type 1 diabetes but after reading
> everything i really believe im type 2. I have really honestly always
[quoted text clipped - 21 lines]
>
> Please explain if im type 1 as i dont think i am...

First of all, take a deep breath and relax. Really.

Type 1 diabetes involves the gradual loss of insulin-producing ability.
(Someone else will interpret the GAD test; I'm going to stick to more
basic stuff). The older you are when your pancreas decides (erroneously)
that you don't really need it, the slower the loss. The thing is, when
you start taking insulin before your innate insulin production stops,
things get erratic. You're not stressing your pancreas as much, so
there's some recovery. This is referred to as "honeymoon". It can make
it really hard to predict how much insulin you need. If you are, indeed,
in honeymoon, it *will* end, and your injected insulin needs will be
more predictable. Type 2 diabetes, in contrast, is a problem processing
insulin. It takes a type 2 much more insulin to metabolize a given
amount of carbs. When newly diagnosed type 2s are given insulin (it's
not normally the first line of attack, but look for Chris J's posts), my
impression is that it's a lot more than 6u.

The T1s here will give you a lot more insight into insulin dosing, but I
don't think anything you've posted contradicts your doctor's diagnosis.
However, diabetes is a condition where the patient does all the heavy
lifting, with the doctor's advice (and prescriptions). If you don't feel
that your doctor is taking your concerns seriously, your second priority
should be to get a new doctor. (Your first is to get control of your
blood sugar!). You might want to simply ask for a referral to an
endocrinologist, especially one who specializes in diabetes.

Finally, relax and stick around.

Signature

AF
"Non Sequitur U has a really, really lousy debate team."
             --artyw raises the bar on rec.sport.baseball

teedee - 30 Dec 2005 00:20 GMT
Thanks so much for your post at least i know im not cracking up.  I had
bought some glyciphage from a franco-indian company to test my type 2
theory has anyone else bought diabetes treatment from here - im too
scared to try it in case its not the real thing....
Annette - 30 Dec 2005 12:43 GMT
> Thanks so much for your post at least i know im not cracking up.  I had
> bought some glyciphage from a franco-indian company to test my type 2
> theory has anyone else bought diabetes treatment from here - im too
> scared to try it in case its not the real thing....

Acurately diagnosis as to whether a patient has T1 or T2 diabetes is not an
easy matter. So it is not for any of us to determine this, since even
doctors are not always sure. The tests that are available are somewhat
tricky, and of course the best of them are very expensive and may require
hospitalisation.

Sometimes a T2 might be dx'd as T1, and on the other hand, T1's may be
misdiagnosed as T2's.  In most cases the type is pretty obvious and clear,
due to the collection of symptoms that are common in each case, but in cases
like yours, where it is not the standard set of related symptoms, it's not
easy for even a specialist to be 100% sure at this stage of the disease.

For some idea of the range of tests that can be applied, and *might* be
helpful, see;
http://www.endotext.org/protocols/protocols5/protocols5.htm

You could ask for a C-peptide test, if it has not already been done, but as
you will see in the above article, even this may not be definitive.

Probably, you might just have to wait and see how you go. Do, however,
discuss the problem of the frequent hypos with your doctor. He may wish to
re-evaluate and/or adjust your treatment.

Annette
TigerLily - 30 Dec 2005 02:08 GMT
when i was first diagnosed with diabetes i took
TWO units of Regular insulin and Four units of NPH
insulin to cover breakfast and lunch....... dinner
was another 2 units of Regular insulin with 2
units of NPH for overnight

small doses of insulin don't mean you are type 2
rather than type 1..... more the opposit.......
small doses mean type 1 diabetic

kate (type 1 18 years)
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> I was recently diagnosed with type 1 diabetes but after reading
> everything i really believe im type 2. I have really honestly always
[quoted text clipped - 21 lines]
>
> Please explain if im type 1 as i dont think i am...
Frank - 30 Dec 2005 16:55 GMT
There are complicated medical tests to tell which type of diabetes one
is. Even competent medical personnel couldn't diagnose over the
Internet, and those who hang out here aren't.
One possibility is to follow your doctor's advice closely. If that
relieves your symptoms, then he's probably right. If that relieves your
symptoms, for that matter, it's all you need -- the diagnosis matters
only for the treatment.
If it doesn't relieve your symptoms, then your doctor might be more
amenable to finding out whether you're type 2.
In any event, the first treatment for type 2 diabetes is to reduce your
caloric input (and eat small individual meals when you do eat -- don't
skip meals) and increase your exercise. That's something you can do
without a doctor's prescription, and it would be good for you whether
you are type 2 or not.
Michael - 30 Dec 2005 18:58 GMT
> I was recently diagnosed with type 1 diabetes but after reading
> everything i really believe im type 2. I have really honestly always
[quoted text clipped - 21 lines]
>
> Please explain if im type 1 as i dont think i am...

Hey teedee

I was DX'd T2 back in may with a fbg over 200 and an A1c of 10.1.

7 months later, I'm now 40 and well controlled on Metformin.  BTW, at
DX, my BMI was 25.9; now I'm 23.6, and my last A1c was 5.0.

Here's how my doctor decided I was T2:  he put me on the most
conservative treatment plan -- Metformin -- and it worked.  To him, that
means I'm T2.  However, for my body type and family history, I am atypical.

There is a risk (oldAl pointed it out to me, IIRC) that I may be a
honeymooning T1.  But that's what my meter is for.

mt
RK - 30 Dec 2005 19:50 GMT
| Here's how my doctor decided I was T2:  he put me on the most
| conservative treatment plan -- Metformin -- and it worked.  To him, that
[quoted text clipped - 3 lines]
| honeymooning T1.
| mt

Incorrect, oral meds simply will _not_ work on even a honeymooning
T1.

There are thin T2's.  Someone doesn't have to be obese or overweight to
be a T2.  But there will very rarely be an obese onset T1.

----
RK, T1/pumper/Animas IR1250
Joined 8/2000 - Last A1C 12/05 (6.3)
 
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