Question about type 1 diabetes

In article <[email hidden]>,

(Munchos) said:

Hello ,

I'm 25 years old and i have been diagnosed with type 2 diabetes 6 months ago.Until recently i
had been able to maintain my blood glucose to acceptable levels with diet and sports.But
since 2 months my blood glucose is higher and i find it very difficult to maintain it at
acceptable levels even if i do alot more physical activites and eat well. I wonder if it's
possible that i have type 1 diabetes instead ? I know that peoples with type 1 diabetes don't
produce any insulin and need insulin injections.But does that "stop" of insulin production
happen immediately or is it over time ? i mean does one day your body produces insulin
normally and the next morning you wake up and your body dosen't make any insulin , or is it
slowly decreasing over time (1 year for example) ? And if it's slowly decreasing , how much
time does it take on average ?

Good guess on your part. It is indeed entirely possible that you're Type 1 and not Type 2. The
amount of time it takes for your insulin production to stop altogether varies, but, in general, the
older you are when you first show symptoms (high blood sugar, etc), the slower the decline.

You should go back to your doctor with these questions, because if you are Type 1, you need to be
prepared to deal with insulin before it's absolutely necessary.

Good luck!

--
AF

It's possible for you to be type 1. What was your weight at diagnosis? If you were not overweight,
it's more likely. Insulin production usually decreases over time in that case. However, the length
of the honeymoon phase (with limited insulin production) varies greatly, often with the age of the
diabetic. Young children typically have under 6 months with some residual insulin production. Adults
can go several years sometimes.

Another possibility is your body is dealing with an infection that you haven't recognized. This
raises bg for many diabetics.

In all cases though, diabetes is often progressive and needing meds to regain control is not a
failure. Treat as needed to get good control and reduce your chances of complications that will
impair your quality of life.

Cindy Wells

"Munchos" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Hello ,

I'm 25 years old and i have been diagnosed with type 2 diabetes 6 months ago.Until recently i
had been able to maintain my blood glucose to acceptable levels with diet and sports.But
since 2 months my blood glucose is higher and i find it very difficult to maintain it at
acceptable levels even if i do alot more physical activites and eat well. I wonder if it's
possible that i have type 1 diabetes instead ?

At your age, it wouldn't surprise me, but a few more details might help. things like your weight.
Are you overweight or not. Do you have a "paunchy" belly or not, what are your numbers at present,
things like that.

Quoted message said:

I know that peoples with type 1 diabetes don't produce any insulin and need insulin injections.But
does that "stop" of insulin production happen immediately or is it over time ?

It seems that the older you are when you become a T1, the longer you can hang on to SOME production,
but eventually it stops just about altogether. It doesn't happen overnight with many, and it
certainly didn't with me and there's absolutely no doubt about my type.

i mean does one day your body

Quoted message said:

produces insulin normally and the next morning you wake up and your body dosen't make any
insulin ,

Very unlikely/rare, but it has been know to happen. usually with babies or very yound
infants though.

or is it slowly decreasing over time

Quoted message said:

(1 year for example) ?

It was with me. 9 months from the first symptom (cramps in my calf muscles) until I went to hospital
on my own and told them I needed "something", but I didn't know what. By that time I weighed a lot
less that what I'd weighed a year earlier and had a BG reading over 1000mg/dl

And if it's slowly decreasing , how much time

Quoted message said:

does it take on average ?

There's really isn't an average as we're all so different. If I were you, I'd be back at the doctors
asking for insulin.

Quoted message said:

Thanks Francois (please excuse my poor english 🙁

Please excuse nothing, your English is truly wonderful. Don't apologise for it not being PERFECT,
coz us native English speakers are never that! :-))

Beav

Munchos wrote in message <[email hidden]>...

Quoted message said:

Hello ,

I'm 25 years old and i have been diagnosed with type 2 diabetes 6 months ago.Until recently i
had been able to maintain my blood glucose to acceptable levels with diet and sports.But since
2 months my blood glucose is higher and i find it very difficult to maintain it at acceptable
levels even if i do alot more physical activites and eat well. I wonder if it's possible that
i have type 1 diabetes instead ? I know that peoples with type 1 diabetes don't produce any
insulin and need insulin injections.But does that "stop" of insulin production happen
immediately or is it over time ? i mean does one day your body produces insulin normally and
the next morning you wake up and your body dosen't make any insulin , or is it slowly
decreasing over time (1 year for example) ? And if it's slowly decreasing , how much time does
it take on average ?

Thanks
Francois

It is entirely possible that you are an adult-onset T1.

Adult-onset T1 are thought to outnumber juvenile-onset T1 by perhaps as much as 2:1

An adult-onset T1 honeymoon (period in which insulin injections are usually not absolutely
necessary) varies in length from person to person. In general, younger folk like you can expect to
see "stuff happen" in 6 months or so. Old F*rts like me can drag it out for a couple of years.

In general, it's a slow and steady decrease in insulin production.. However, since most of an Adult-
onset T1's beta cells have already been destroyed by the time anybody notices he's diabetic, a
little bit more destruction can have a strong effect on blood sugars.

"Non-obese" and "well-exercised" are two very strong indicators of adult-onset T1 in a newly
diagnosed diabetic. If you fit that description, you must be aware of a special danger which folks
like you face:

You must never allow the simultaneous presence of

a. High blood sugars, over 200 mg/dL and
b. Ketones in your urine.

That's a sign of Diabetic Ketoacidosis, a serious, life-threatening condition which afflicts adult-
onset T1 at the end of their honeymoon if they don't switch to insulin soon enough. The "cure" is
immediate injection of insulin.

DKA is always a problem for all T1 but if you know you are T1 and have insulin in your possession,
it's easy to treat.

Regards Old Al (T2 since. . .Oops! Surprise! He's an adult-onset T1!)

"Munchos" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Hello ,

I'm 25 years old and i have been diagnosed with type 2 diabetes 6 months ago.Until recently i
had been able to maintain my blood glucose to acceptable levels with diet and sports.But
since 2 months my blood glucose is higher and i find it very difficult to maintain it at
acceptable levels even if i do alot more physical activites and eat well. I wonder if it's
possible that i have type 1 diabetes instead ? I know that peoples with type 1 diabetes don't
produce any insulin and need insulin injections.But does that "stop" of insulin production
happen immediately or is it over time ? i mean does one day your body produces insulin
normally and the next morning you wake up and your body dosen't make any insulin , or is it
slowly decreasing over time (1 year for example) ? And if it's slowly decreasing , how much
time does it take on average ?

It's very likely given your age that you do in fact have type 1 and not type
2. People with type 1 go though what is called a "honeymoon phase" where their pancreas slowly
burns out. During this time, they may need little or no insulin. You need to see your Dr.
because you could suddenly go into something serious called DKA (diabetic ketoacidocis).

--
Type 2 users.bestweb.net~jboveOpen ↗

Munchos said:

Hello ,

I'm 25 years old and i have been diagnosed with type 2 diabetes 6 months ago.Until recently i
had been able to maintain my blood glucose to acceptable levels with diet and sports.But
since 2 months my blood glucose is higher and i find it very difficult to maintain it at
acceptable levels even if i do alot more physical activites and eat well. I wonder if it's
possible that i have type 1 diabetes instead ?

Yes. Ask your doctor for a GAD antibody test. If your immune system is attacking and
killing your beta cells, then this test will detect the antibodies doing that. It's an
indication of Type 1.

E

"Julie Bove" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

"Munchos" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Hello ,

I'm 25 years old and i have been diagnosed with type 2 diabetes 6 months ago.Until recently
i had been able to maintain my blood glucose to acceptable levels with diet and sports.But
since 2 months my blood glucose is higher and i find it very difficult to maintain it at
acceptable levels even if i do alot more physical activites and eat well. I wonder if it's
possible that i have type 1 diabetes instead ? I know that peoples with type 1 diabetes
don't produce any insulin and need insulin injections.But does that "stop" of insulin
production happen immediately or is it over time ? i mean does one day your body produces
insulin normally and the next morning you wake up and your body dosen't make any insulin ,
or is it slowly decreasing over time (1 year for example) ? And if it's slowly decreasing ,
how much time does it take on average ?

It's very likely given your age that you do in fact have type 1 and not

type

Quoted message said:

2. People with type 1 go though what is called a "honeymoon phase" where their pancreas slowly
burns out.

This is sometimes true Julie, but not before the diabetic has begun insulin use. I've never heard of
a T1 honeymooning before they've used exogenous insulin anyway, but |I've heard of plenty who start
withing weeks of beginning injecting.

During this time, they may need little or

Quoted message said:

no insulin. You need to see your Dr. because you could suddenly go into something serious called
DKA (diabetic ketoacidocis).

That's something I forgot to mention to Franciose, and it needed mentioning, particularly as he's an
"exerciser"

Beav

think your right beav... once you start injections and get your bg's back down some, then and only
then comes the honeymoon.

--
RK - t1 In tribute to the United States of America and the State of Israel, two bastions of strength
in a world filled with strife and terrorism.

"Beav" <[email hidden]> wrote in message "]news:[email hidden]...

Quoted message said:

"Julie Bove" <[email hidden]> wrote in message "]news:[email hidden]...

Quoted message said:

"Munchos" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Hello ,

I'm 25 years old and i have been diagnosed with type 2 diabetes 6 months ago.Until
recently i had been able to maintain my blood glucose to acceptable levels with diet and
sports.But since 2 months my blood glucose is higher and i find it very difficult to
maintain it at acceptable levels even if i do alot more physical activites and eat well.
I wonder if it's possible that i have type 1 diabetes instead ? I know that peoples with
type 1 diabetes don't produce any insulin and need insulin injections.But does that
"stop" of insulin production happen immediately or is it over time ? i mean does one day
your body produces insulin normally and the next morning you wake up and your body
dosen't make any insulin , or is it slowly decreasing over time (1 year for example) ?
And if it's slowly decreasing , how much time does it take on average ?

It's very likely given your age that you do in fact have type 1 and not

type

Quoted message said:

2. People with type 1 go though what is called a "honeymoon phase"

where

Quoted message said:

Quoted message said:

their pancreas slowly burns out.

This is sometimes true Julie, but not before the diabetic has begun

insulin

Quoted message said:

use. I've never heard of a T1 honeymooning before they've used exogenous insulin anyway, but |I've
heard of plenty who start withing weeks of beginning injecting.

During this time, they may need little or

Quoted message said:

no insulin. You need to see your Dr. because you could suddenly go into something serious called
DKA (diabetic ketoacidocis).

That's something I forgot to mention to Franciose, and it needed

mentioning,

Quoted message said:

particularly as he's an "exerciser"

Beav

"]news:[email hidden]...

Quoted message said:

think your right beav... once you start injections and get your bg's back down some, then and only
then comes the honeymoon.

Yeah, I think it's something to do with "us" making our produciton more regular again, and of
course, wer're taking the stress off our pancreas, so it has a temporary recovery period. Shame it's
not a full blown recovery, but we can't have everything:-(

Beav

A GAD antibody test may not be definitive, but still a good idea. And how about C-peptide? Best for
someone to know what he is dealing with.

BL

"As the waves pass the rock, their shape is changed. There is a hologram of the rock within the wave
that comes forward and crashes on the beach, then there's a reflected wave back." Ralph Abraham

"I'd like to learn to windsurf." BL

c-peptides are inaccurate often

best bet is a GAD if it's done within 6months i believe of dx. otherwise there are other tests
insulin antibodies and islet antibodies i believe.

--
RK - t1 In tribute to the United States of America and the State of Israel, two bastions of strength
in a world filled with strife and terrorism.

"BL 1204" <[email hidden]> wrote in message news:20031113175230.11680.00000185@mb-
m22.aol.com...

Quoted message said:

A GAD antibody test may not be definitive, but still a good idea. And how about C-peptide? Best
for someone to know what he is dealing with.

BL

"As the waves pass the rock, their shape is changed. There is a hologram

of

Quoted message said:

the rock within the wave that comes forward and crashes on the beach, then there's a reflected
wave back." Ralph Abraham

"I'd like to learn to windsurf." BL

"BL 1204" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

A GAD antibody test may not be definitive, but still a good idea. And how about C-peptide? Best
for someone to know what he is dealing with.

Neither of the tests are definitve, but one thing is. That's to start using insulin, then after a
few weeks, come off it (after any honeymooning is over and done). If your sugar skyrockets even when
you don't eat, and you feel like death warmed up, followed by stomach cramps, vomitting and death,
you're a T1 :-) If you're still alive and kicking after 6 weeks, you're not
T1:-)

T2's don't suffer from DKA (that frst paragraph describes some of the DKA symptoms). T1's die from
it if it goes on for too long and that could be as little as a single day.

If you stop short of dying, you're sorted, which is something we should ALL do at least once in our
lives (stop short of dying I mean:-)

So what I'm saying is does it REALLY matter which type you are so long as you're treated
appropriately?. If your BG's are in range and you're not falling apart at the seams, living a
relatively "normal" life, you're not on the wrong treatment.

If you're dx'd as a T2 and oral meds don't keep your BG's in line when you eat normally, then
you're not T2, and if you're dx'd as T1 and you need huge amounts of insulin to eat normally, then
you're not T1.

Beav

Beav wrote in message ...

Quoted message said:

"BL 1204" <[email hidden]> wrote in message news:20031113175230.11680.00000185@mb-
m22.aol.com...

Quoted message said:

A GAD antibody test may not be definitive, but still a good idea. And

how

Quoted message said:

Quoted message said:

about C-peptide? Best for someone to know what he is dealing with.

Neither of the tests are definitve, but one thing is. That's to start using insulin, then after a
few weeks, come off it (after any honeymooning is

over

Quoted message said:

and done). If your sugar skyrockets even when you don't eat, and you feel like death warmed up,
followed by stomach cramps, vomitting and death, you're a T1 :-) If you're still alive and kicking
after 6 weeks, you're not
T1:-)

T2's don't suffer from DKA (that frst paragraph describes some of the DKA symptoms). T1's die from
it if it goes on for too long and that could be as little as

a

Quoted message said:

single day.

If you stop short of dying, you're sorted, which is something we should ALL do at least once in our
lives (stop short of dying I mean:-)

So what I'm saying is does it REALLY matter which type you are so long as you're treated
appropriately?. If your BG's are in range and you're not falling apart at the seams, living a
relatively "normal" life, you're not on the wrong treatment.

If you're dx'd as a T2 and oral meds don't keep your BG's in line when you eat normally, then
you're not T2, and if you're dx'd as T1 and you need

huge

Quoted message said:

amounts of insulin to eat normally, then you're not T1.

Beav

Hear, Hear!

Regards Old Al (T2 since. . .Oops! Surprise! He's an adult-onset T1)

Quoted message said:

If you're dx'd as a T2 and oral meds don't keep your BG's in line when you

Quoted message said:

eat normally, then you're not T2, and if you're dx'd as T1 and you need

huge

Quoted message said:

amounts of insulin to eat normally, then you're not T1.

What is eating normally? I consume only about 20 gr/meal but do manage to keep under excellent
control (last A1c = 4.9%) and my fasting bg = 100 2hrs pp around 120 - 130.

"Jerbear" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Quoted message said:

If you're dx'd as a T2 and oral meds don't keep your BG's in line when

you

Quoted message said:

Quoted message said:

Quoted message said:

eat normally, then you're not T2, and if you're dx'd as T1 and you need

huge

Quoted message said:

amounts of insulin to eat normally, then you're not T1.

What is eating normally?

That all depends on the individual. Some people need a lot more food than others for a variety of
reasons, but if normal eating for you is 20g of carbs pre meal, that's normal. (I usually have
around 20grams per meal too)

I consume only about 20 gr/meal but do manage

Quoted message said:

to keep under excellent control (last A1c = 4.9%) and my fasting bg = 100 2hrs pp around
120 - 130.

If you're happy with your current diet (including the amount of food as well as the nutrition) and
you're not leaving the table feeling like you "could eat that again", plus you're having the numbers
you are, then you're eating well and that's what I'd consider to be normal. But that's just MY
opinion of course.

Beav

Jerbear wrote in message ...

Quoted message said:

Quoted message said:

If you're dx'd as a T2 and oral meds don't keep your BG's in line when you

Quoted message said:

eat normally, then you're not T2, and if you're dx'd as T1 and you need

huge

Quoted message said:

amounts of insulin to eat normally, then you're not T1.

What is eating normally? I consume only about 20 gr/meal but do manage to keep under excellent
control (last A1c = 4.9%) and my fasting bg = 100 2hrs pp around 120 - 130.

If you substitute "eating a current Western Diet" for "eating
normally", you would be using a diet containing about 200 gram or more of
carb per day as a **** diagnostic test **** for Type 1 or Type 2 diabetes.

If standard Type 2 oral meds won't control bG on a "current Western Diet", odds are you are T1
or at least have progressed so far in the Standard Type 2 Diabetic Progression that you need
insulin. That Progression usually takes many years so if you were diagnosed in the past few
years, the failure of oral meds in response to the diet strongly suggests T1.

If you control with insulin-only and need substantially more than 0.5 -
.7 units per day per kg body weight while on a 200 gram carb diet, odds
are that you are T2. Metformin or Actos/Avandia will reduce your daily
insulin needs so this criterion applies only to "control with insulin-only"

There are better ways to diagnose but many docs don't use them.

One of the problems with this technique, however, is that a T1 on honeymoon can get away with a low
carb diet until his beta cells finally [censored] out. Then he can go into life-threatening Diabetic
Ketoacidosis which requires insulin ASAP. However, you may not notice unless you monitor your bG
carefully.

Regards
Old Al

oldal4865 said:

If you substitute "eating a current Western Diet" for "eating
normally", you would be using a diet containing about 200 gram or more of
carb per day as a **** diagnostic test **** for Type 1 or Type 2 diabetes.

If standard Type 2 oral meds won't control bG on a "current Western Diet", odds are you are
T1 or at least have progressed so far in the Standard Type 2 Diabetic Progression that you
need insulin. That Progression usually takes many years so if you were diagnosed in the past
few years, the failure of oral meds in response to the diet strongly suggests T1.

So to continue to beat a dying horse - what you are saying is that if I cannot consume the "American
Standard" 200 gr carbs per day on the meds I am taking then the odds are good that I may be a T1 on
a honeymoon?

I went back to my records of when I was diagnosed and cannot find any reference to the doc running
the antibody tests - doesn't mean that he didn't - I just cannot find any reference now and I was
very sick at that time any not really in much shape to ask questions or remember.

Old Al - you referenced more tests that some docs run to help in this type of diagnosis, what are
those tests?

Regards, Jerry