5 Responses

  1. Brian (bsc)
    Brian (bsc) June 1, 2013 at 6:43 am | | Reply

    I agree, T2 does not “convert” to autoimmune T1. And autoimmune T1 cannot convert to T2. But an autoimmune T1 can develop T2 (double diabetes) and it is entirely possible for a T2 to develop autoimmune T1. And the actually pathology of both T1 and T2 is a lot more complicated. And while we can perhaps point to autoimmune T1 as having one (or more) specific pathologies, T2 is a lot more complicated (and is actually diagnosed by exclusion). And while it is easy to “simplify” T2 to being primarily a defect of insulin resistance, that is also simplistic. Ralph DeFronzo in his 2008 Banting lecture noted that by the time they are diagnosed, T2s have lost 80% of their beta cell function, hardly what I would call “superstar.”

    I really worry that doctors stereotype T2 and make this critical error, denying many T2s access to insulin and bringing clear harm to their patients.

    1. Mary Dexter
      Mary Dexter June 1, 2013 at 9:26 am | | Reply

      Thank you for this reply. The assumption that all those with high blood sugar are given the correct diagnosis and the assumption that all Type 2s stem from the same cause mean that many are denied insulin and suffer needlessly because of their health care team’s ignorance and bias. Whether your beta cells are attacked or your pancreas slowly wears out trying to keep up with a malfunctioning system, the result is the same. If you don’t make enough insulin, you need to be able to purchase it.

  2. Elinor
    Elinor June 1, 2013 at 11:33 am | | Reply

    Great post! Even better without the “sh-t” interjection!!!!

  3. Lisa
    Lisa June 7, 2013 at 7:19 am | | Reply

    My daughter has diagnosed T2 about three years ago which we successfully beat back with diet alone…strictly adhering to a very low carb diet with the help of a dietician. The diabetes went away with weight loss and after a year they told us she could say she didn’t have diabetes anymore…it was gone. That was until three months ago, when she was admitted to the PICU with DKA and a new diagnosis of T1! Now we continue the diet we were already very familiar with and have added in insulin and all that goes with that. She was quite the “celebrity” in the hospital for having T2 and T1 which, we were told over and over, just doesn’t happen…or at least extremely rarely. But then, she has another autoimmune disease that is very rare, so we are getting comfortable with being “rare.” Unfortunately.

  4. Glen Porter
    Glen Porter June 7, 2013 at 12:53 pm | | Reply

    Thanks for he detailed explanation. I suffer from Type 2 diabetes and can’t imagine how someone can think that one type of diabetes could convert into another. I am also shocked to know that it’s people from the medical community, who help propagate such kinds of myths.

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