Type 1 diabetes...do I have it?
Go get tested is the simple answer. It's easier than playing what if and panicking.
I will also throw out there that type 2 can eventually become type 1, especially over a long period of time or if uncontrolled, so I would be hesitant to say your dad was necessarily misdiagnosed. Could be but also might not be.
I will also throw out there that type 2 can eventually become type 1, especially over a long period of time or if uncontrolled, so I would be hesitant to say your dad was necessarily misdiagnosed. Could be but also might not be.
To amplify on what Rags said:
Type I diabetes is caused by the islet cells of the pancreas not producing insulin. There is a genetic susceptibility factor. It is thought that it is in some cases an autoimmune disease, caused by the body attacking and killing the islet cells, perhaps after infection with the Coxsackie virus - the body makes antibodies to fight the virus, and those antibodies accidentally have a cross-reactivity with a protein on the surface of pancreatic islet cells, and kills them.
Type 2 diabetes is a completely different disease, a metabolic disorder resulting in the body's cells becoming resistent to the effects of insulin, which is necessary to get glucose absorbed by the cells. In response to the cells giving off the signal that they are starving, the islet cells make more insulin, trying to overcome the resistence of the other cells to uptake of glucose. After years of overproducing insulin, the islet cells become exhausted and die - and then the patient becomes in effect a type 1 diabetic - no longer producing insulin.
Another possibility is that your father had latent autoimmune diabetes: "Latent autoimmune diabetes of adults is a condition in which Type 1 diabetes develops in adults. Adults with LADA are frequently initially misdiagnosed as having Type 2 diabetes, based on age rather than etiology."
But insofar as what YOU have, you need to be tested yourself to rule out the other types. However, no matter which type you have, the DS should improve your utilization of insulin and other risk factors including cardiovascular disease.
Type I diabetes is caused by the islet cells of the pancreas not producing insulin. There is a genetic susceptibility factor. It is thought that it is in some cases an autoimmune disease, caused by the body attacking and killing the islet cells, perhaps after infection with the Coxsackie virus - the body makes antibodies to fight the virus, and those antibodies accidentally have a cross-reactivity with a protein on the surface of pancreatic islet cells, and kills them.
Type 2 diabetes is a completely different disease, a metabolic disorder resulting in the body's cells becoming resistent to the effects of insulin, which is necessary to get glucose absorbed by the cells. In response to the cells giving off the signal that they are starving, the islet cells make more insulin, trying to overcome the resistence of the other cells to uptake of glucose. After years of overproducing insulin, the islet cells become exhausted and die - and then the patient becomes in effect a type 1 diabetic - no longer producing insulin.
Another possibility is that your father had latent autoimmune diabetes: "Latent autoimmune diabetes of adults is a condition in which Type 1 diabetes develops in adults. Adults with LADA are frequently initially misdiagnosed as having Type 2 diabetes, based on age rather than etiology."
But insofar as what YOU have, you need to be tested yourself to rule out the other types. However, no matter which type you have, the DS should improve your utilization of insulin and other risk factors including cardiovascular disease.
(deactivated member)
on 11/5/11 9:55 pm - Woodbridge, VA
on 11/5/11 9:55 pm - Woodbridge, VA
What Ragamuffin said. It's quite possible your father DID have type 2, and, over the years, his pancreas eventually burned up all the beta cells and could no longer produce insulin, thereby eventually essentially making him a type 1.
Different types have slightly different symptoms as far as certain lab results, certain reactions to food/fasting, etc. In the end, does it matter what type you have as long as you are treating it effectively? Let your glucometer be your guide.
I was diagnosed with type 2 diabetes at age 25 (had never been pregnant, so no gestational prior). I have no question that it's not really type 2, as I had consistently high levels and never experienced a single hypo. Age has little to do with it.
Different types have slightly different symptoms as far as certain lab results, certain reactions to food/fasting, etc. In the end, does it matter what type you have as long as you are treating it effectively? Let your glucometer be your guide.
I was diagnosed with type 2 diabetes at age 25 (had never been pregnant, so no gestational prior). I have no question that it's not really type 2, as I had consistently high levels and never experienced a single hypo. Age has little to do with it.
You can be diagnosed with Type 2 and then a few years later, your pancreas stops producing insulin--then it becomes evident that you had a misdiagnosis. It's not always discovered early on that you have Type 1.5 or LADA. Check out these two links for more clarification. My brother was diagnosed with Type 2 at the age of 35 and responded well to oral meds like Metformin (which I'm not now). Then two or 3 years later his pancreas stopped producing insulin and he's now on an insulin pump and considered VERY diabetic--type 1.5 or LADA. We have a strong Diabetic history in my family--my mother, my uncle, my aunt, my grandfathers, one of my great grand mothers....the list goes on and on. My brother wasn't heavy at his first diagnosis--but still they assumed that because of familial history, he had type 2.
Here are the links--I hope they are helpful.
http://diabetesupdate.blogspot.com/2008/05/lada-epidemic-wha ts-going-on-here.html
and I loved this one: http://www.diabetesmine.com/2010/03/clarifying-lada-type-1-d iabetes-in-adults.html
Sher-
Here are the links--I hope they are helpful.
http://diabetesupdate.blogspot.com/2008/05/lada-epidemic-wha ts-going-on-here.html
and I loved this one: http://www.diabetesmine.com/2010/03/clarifying-lada-type-1-d iabetes-in-adults.html
Sher-
Sher--the bear mama
(deactivated member)
on 11/7/11 12:35 am - Woodbridge, VA
on 11/7/11 12:35 am - Woodbridge, VA
On November 7, 2011 at 6:34 AM Pacific Time, Sunday77 wrote:
Thanks all. I got a little more information. When my Dad was diagnosed, he went into the ER and had a glucose level of 1300. He has always had to be on insulin as oral drugs never worked. It seems that he probably always was Type 1. I will get tested.