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what KIND of diabetes?

I know this is a question for my endocrinologist, but I'm not due to see him for a little bit, and I am just curious.

I was diagnosed with diabetes over a year ago, but no one ever told me if it was type 1 or 2 or anything. I WAS told at one point BEFORE I developed diabetes that I was prediabetic and in danger of developing Type 2, because I have PCOS. But, that's not how I got diabetes! I had a very bad case of Pancreatitis that did damage to my pancreas. As a result, I have chronic pancreatitis, and I have to take pancreatic enzymes (creon) and insulin (lantis) and my sugar is not all that well controlled. I already have neuropathy and vision changes. I suspect that clinically speaking I have both types 1 &2?!? I read this is possible and sometimes referred to as "double diabetes" but i cannot find too much on the subject.

Again, I am going to ask my doctor, but in the mean time I was hoping someone who is knowledgeable about this subject could explain it to me? Thank you.

Update:

to the first poster, thank you, but I think you misunderstood, I AM on insulin every day.

15 Answers

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  • Anonymous
    1 decade ago
    Favorite Answer

    Diabetes Mellitus, Type 1

    Diabetes mellitus characterized by insulin deficiency, sudden onset, severe hyperglycemia, rapid progression to ketoacidosis, and death unless treated with insulin. The disease may occur at any age, but is most common in childhood or adolescence.

    Diabetes Mellitus, Type 2

    Diabetes characterized by the ability to survive without ketoacidosis in the absence of insulin therapy. It is usually of slow onset and patients exhibit a tendency to obesity

    If your pancreas can no longer produce insulin and if you didnt progress to full on t2, then I'd call you t1. T2 is due to insulin resistance (which you didnt get a chance to fully develop) as opposed to insulin deficiency. Hope you are able to sort your health problems out :)

  • 5 years ago

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  • 1 decade ago

    Taking insulin does not make you a type one diabetic. Type one diabetes is actually an autoimmune disease that causes the body to stop producing beta cells of the pancreas. So..technically you're not a type one diabetic. You are a type two diabetic as a result of your pancreatitis.

    Type two diabetes and type one diabetes are two completely different diseases. With type two diabetes your body isn't processing insulin the way it once did - this is referred to as insulin resistance and that is why many type two diabetics can keep their blood sugar levels in line with diet, exercise and pills. But the key thing here is that you are 1.) still producing insulin on your own and, 2.) you are just having trouble processing it. Over time this may change and the type two diabetic may need to go onto insulin if it is found that the pills, diet and exercise no longer work for them.

    Type one diabetes is, like I said above, an autoimmune disease. From the day that we are diagnosed we no longer produce insulin on our own and are placed on artificial insulin.

    If you were diagnosed as having pre-diabetes then likely your doctor saw you as a type two. If you came in as a type one you would have been deemed a type one right then and there. There is no grace period of "pre-diabetes" time with type one diabetes.

    Now, if you were unable to produce insulin on your own and also had trouble processing the insulin that you injected...that might make you a "double diabetic". Or a type one diabetic with insulin resistance. But that doesn't sound like what you're going through if I'm understanding you correctly.

    Take what I say with a grain of salt and be sure to ask your doctor anyhow. :)

    Source(s): 15 years of type one diabetes www.tudiabetes.com <--great resource!
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  • 1 decade ago

    Sounds to me that you are being treated as a type 2 Diabetic with you only taking the Lantus injections, this type of insulin never peaks, it just stays in your system for 24 hours and is meant to aid, in type 1 Diabetics, the fast acting insulin you take various times throughout the day, this is known as a sliding scale system for managing Diabetes Type 1. In type 2 Diabetes, Lantus is most likely used to aid what pancreatic function you have left, or if you are taking oral supplements to manage your Blood Sugar, the lantus will aid those as well. Type 2 WILL NEVER escalate into type 1. Type 1 is genetic, Type 2 comes about as a result of, most often, Obesity and sedentary lifestyle. Also, most often, Type 1 Diabetes is onset and diagnosed very early in age, however with your particular situation(the chronic pancreatitis) it could have developed from that problem. Hope this helps:D

    Source(s): Type 1Diabetic for 15 yrs.
  • 1 decade ago

    Because you're only taking Lantus insulin, this would indicate, to me, that you are being treated as a type 2 diabetic.

    The reason you're finding it difficult to find much information about "mixed diabetes" is because it's a comparatively rare condition. It normally affects type 1 diabetics that go on to develop insulin resistance ... something that affects type 2 diabetics.

    Type 1 diabetics would normally have both a long-acting insulin, such as your Lantus, but also take fast-acting insulin as a bolus injection at meal times. (A bolus is an insulin injection taken to take 'cover' the amount of carbohydrate taken at a meal.)

    Having said this, however, do please check with your endocrinologist as s/he will be the one that KNOWS what the truth of the matter is. (There are blood tests that s/he can do to determine whether or not your pancreas is producing C-Peptide. If you are, then your pancreas is naturally producing insulin, so you would, in fact, be a type 2 diabetic.)

    Whatever the outcome, I wish you the very best of luck for a long, happy, healthy, complication-free life.

    Edit:

    Unfortunately, young Nikki, isn't quite right. Many type 2 diabetics do go on to having to take insulin injections.

    Edit 2:

    Unfortunately, the information offered by Gary B is almost totally wrong ... again!

    You CAN have "mixed diabetes" where you do, in fact, have both type 1 and type 2 diabetes mellitus. It is as I stated earlier.

    Type 2 diabetics do NOT, and NEVER, "progress" to type 1 diabetes. They are, in fact, two totally separate conditions.

  • Anonymous
    1 decade ago

    Actually, you are a Type 2 diabetic, but you are taking insulin shots because your sugar is not totally controlled right now as a result of your pancreatitis. Your endocrinologist would probably confirm that you are Type 2 but now could be considered having "mixed diabetes|" because of the insulin shots you are taking.

  • Anonymous
    5 years ago

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  • Gary B
    Lv 7
    1 decade ago

    Given that you are taking Lantus ALONE (and no other types opf insulin that you mentioned) you are Type 2. Type 1 Diabetes cannot live without the "regular" insulin, and Lantus alone is not recommended for Type 1 Diabetes.

    you cannot have BOTH Type 1 and Type 2 at the same time, but it IS possible for poorly treated Type 2 to '"progress" to Type 1 (if you call that progress...!?)

    You are CLEARLY out of control. First off, you are not seeing your endocrinologist frequently enough. you need to see him/her at least once a month for the first years in order to get stabilized.

    But your treatment seems normal and reasonably aggressive, so I have to assume that the proboem with the blood sugars is due to YOUR poor attention to diet and exercise. Medicine alone will NOT help you! YOU must control your diet, exercise, and weight in order to reduce and control your blood sugars. In about 95% of cases where the blood sugars are not controlled, it is the PATIENT'S fault, not the doctor or the medicine.

    Type 1 Diabetes is characterized by a FAILURE of the pancreas.. In this case 3-4 times daily injections of "regular" insulin are required to keep the patient alive. Lantus alone will NOT do the trick for a Type 1 Diabetic.

    Type 2 Diabetes is characterized by poor personal lifestyle habits and being overweight -- even by as little as 10 pounds. in this case there are several oral drugs than can be used along with a slow-acting insulin like Lantus. but even MORE important are a proper sugar-FREE, resudce carbohydrate diet and increased exercise, along with calorie reduction in order to lose weight.

    Given your history of pancreatitis, I suspect that you are already on the road to "progression" from type 2 to Type 1 -- pancreatic failure. in that case you need to maintain CLOSE contact with your endocrinologist, as even more aggressive treatement is soon going to be necessary, including mandatory pre-meal injections of regular insulin every day.

    of course, you can simply ignore the whole mess, sit on your butt, eat what you want, and take your medicien when and if you see fit. in this case the disease will manage itself and kill you in 5-7 years, after first placing you in a nursing home for 3-4 years. Look at yourself now -- in danger of blindness, and already suffering from neuropathy. think what will happen in 3-4 years, as you become totally blind, and the nerves that control your digestion and sexual function no longer work! you become a person with little sensory input )no vision and no touch), unable to walk, setting around making messes in your clothes. Nice Life!

    Your choice -- Work WITH the doctor for proper and aggressive treatment and save your life, or work AGAINST the doctor and die.

  • 6 years ago

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