Discussions By Condition: Diabetes

Type 1 or 2?

Posted In: Diabetes 5 Replies
  • Posted By: the_one
  • November 2, 2006
  • 06:02 PM

First off, I have no insurance so the doctor I see is from a free clinic, so it is not the best choice of all. First few times I went he said he thought my high blood sugar was due to stress, he took a a1c and it was 6.9% which is average for 168. He had me eat a normal diet for 6 weeks and take another a1c which was higher so he said it was in fact diabetes, this all started around July this year and my levels have gone up slowly throughout this 4 months that have gone by, at first i would eat a high carb meal and it would be around 200, now the same meal would take me to up to 300 and I have also been over 400+. He doesn't seem to want to know what type of diabetes i have and hasn't mentioned anything about it exept that I do have diabetes.

He put me on type 2 meds but there is NO history of diabetes in my family, I am 21 years old and as I mentioned it seems to be worsening slowly and symptoms appeared very suddenly back in July to the point that I had to go to the ER. So, could this be an early caught type 1 that still hasn't gotten to the final stages? or could it just be type 2?... the meds I was put on seem to be working though.

I also wanted to know if a person with type 2 experiences hypoglycemia? because so far I have only heard of type 1's experiencing hypoglycemia and I have definitely had hypoglycemia since i have started on the meds.

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5 Replies:

  • Based off what you said, you can be about 99.9% certain you are a type 2 diabetic. I'm not sure why the doc didn't tell you which type you had since Glyburide only works in Type 2 diabetics (it stimulates release of insulin from the pancrease so you end up with higher insulin levels, in a Type 1 you basically don't have the ability to make insulin thus the drug would never work).As far as becoming hypoglycemic ... it depends, it is far less likely by being Type 2, but certain -medications- can make you hypoglycemic (ie insulin injections, and glyburide can also if your dose is too high). Other medications for Type 2 diabetes include Metformin, Actos, Avandia, Byetta, and just recently Januvia but without insurance you might not be able to afford some of those. These other drugs wont make you hypoglycemic.The fact you have a hemoglobin A1c greater than 7% pretty much means you have diabetes, but a fast glucose test would still help to see how out of control it is. Studies have shown that, especially in early stages, life style modifications are the best form of treatment (it actually works better than the drugs in the early stages) but you have to develop a new life strategy and stick to it very strictly. You need to balance your diet, but most importantly exercise, exercise, exercise. You're BMI should be under 25.Just realize, Diabetes is NOT a benign disease, it increases your risks for countless over illnesses and this is not something you should ignore, diabetes is a serious process that you need to truly focus on getting under control.
    Anonymous 42789 Replies
    • November 11, 2006
    • 02:58 AM
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  • Well actually there's some other things I didn't mention that should be taken into consideration, I'm 21 years old, I weigh around 85Lbs and I'm 4'11 so if anything, I'm underweight. Also, the sugar levels went from pre-diabetic to well over 400 in only a matter of 2-3 months, so pretty fast. Also, the meds worked only to a certain point, I wasn't getting really good readings as I should have been which could mean I still do produce some insulin only about 80% of the cells should be destroyed at this point i'm sure, but its hard to tell. Also I was wondering about what they call the honeymoon period, i've heard of type 1's going on oral meds or insulin and then they come to a point where their body makes enough insulin by itself that's what they call the honeymoon period, it doesnt last too long, maybe weeks or months. Maybe that's the reason I'm having so many lows... i had to lower my dose to only one pill a day which is 5mg and i was still getting lows...
    the_one 39 Replies
    • November 11, 2006
    • 08:47 PM
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  • And I forgot one last thing, there is no medical history in my family of diabetes type 2 or 1.
    the_one 39 Replies
    • November 11, 2006
    • 08:49 PM
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  • Well, I am guessing you are definitely NOT type 2. GUessing you are type 1 or LADA --google the term. And visit the forums on the American Diabetes Association website. Visit the type 1 forum; there are many LADAs there and many started out being dx. as type 2 and put on oral meds. Usually the meds will work for a while (because LADA is adult onset type 1, and it takes a while before all the beta cells are destroyed and you completely stop producing all insulin) but then the meds all start to fail and you have to go on insulin. Was your insulin level tested or a c-peptide done or antibody tests done? those are all clues into type 1.
    Anonymous 42789 Replies
    • November 14, 2006
    • 05:03 PM
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  • well the problem is that the doctor didnt even order any tests to determine wether i was type 1 or 2, no insulin, c-peptide or antibodies tests were done so he just left me guessing. Im going to another place soon and get tested correctly and hopefully find the right treatment.
    the_one 39 Replies
    • November 14, 2006
    • 05:36 PM
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