Guest guest Posted January 2, 2002 Report Share Posted January 2, 2002 Terry and all: I have always been told the following: Type I is insulin-dependent. Type II is not. It can be controlled by oral meds and/or diet and exercise. I have the latter. Here's what the NIH has to say: An American Diabetes Association expert committee recently recommended a change in the names of the two main types of diabetes because the former names caused confusion. The type of diabetes that was known as Type I, juvenile-onset diabetes, or insulin-dependent diabetes mellitus (IDDM) is now type 1 diabetes. The type of diabetes that was known as Type II, noninsulin-dependent diabetes mellitus (NIDDM), or adult-onset diabetes is now type 2 diabetes. The new names reflect an effort to move away from basing the names on treatment or age at onset. That's why I raised the question about insulin use. When I've been in excruciating pain and when I recently ran close to 105 fever, my sugar went sky high. That's when the hospital administered insulin. Once the crises were over, I went back to my pills. -E Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2002 Report Share Posted January 2, 2002 Mark: Your data confirms what I have always known. So, how can someone be Type 2 when they're on insulin? -E Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2002 Report Share Posted January 2, 2002 My glucose began to rise at the time that this all started in 1993. It was over 200 when the gallbladder went crazy. It normalized after the surgery. But it would, of course, rise whenever I was in pain or sick. I do so well on oral meds, that I often have to cut back on the dosage. My sugar tends to low when things are quiet. While in the hospital for my recent fundoplication, they questioned the diagnosis. -E Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2002 Report Share Posted January 2, 2002 Type 1 Diabetes Mellitus Previously known as juvenile diabetes and insulin-dependent diabetes mellitus (IDDM). Type 2 Diabetes Mellitus Previously known as adult-onset diabetes and non-insulin-dependent diabetes mellitus (NIDDM). What is Diabetes It is important for everyone at risk of type 2 diabetes to understand the causes of the disorder because it is by treating the causes early - and effectively - that we can prevent or minimize the severity of the complications associated with this disease. Below you will find answers to some of the questions frequently asked by people learning about diabetes. We hope this information helps you better understand what diabetes is. What is diabetes? Diabetes mellitus (diabetes) is a condition characterized by high levels of blood glucose (the simple sugar that " fuels " the cells of the human body). Diabetes develops when the body can't produce or effectively use a hormone called insulin that helps to remove excess glucose from the blood. The most common type of diabetes is type 2 diabetes, which is caused by the body's failure to make enough insulin or to be able to use it properly. The second most common type of diabetes is type 1 diabetes, which happens when the body can no longer make this vital hormone. What is Type 1 diabetes? Type 1 diabetes develops when the body can no longer make insulin, the hormone that helps to remove excess glucose (the simple sugar that " fuels " the cells of the human body) from the blood. People with type 1 diabetes must be treated with injections of supplemental insulin. Type 1 diabetes accounts for 10-15% of all diabetes and occurs most frequently in children and adolescents. What is Type 2 diabetes? Type 2 diabetes, which occurs mainly in adults, is a much more common than type 1 diabetes and accounts for roughly 85-95% of all cases diagnosed. Patients with type 2 cannot produce or effectively use a hormone called insulin that helps to remove excess glucose from the blood. Type 2 diabetes has different causes and can develop and go undetected for years in people at risk. Decades can pass before it begins to show any signs, which is why type 2 diabetes is usually detected first in the middle aged or elderly, long after damage to the body has already started. The World Health Organization (WHO) estimates that 135 million people worldwide are affected by type 2 diabetes, and it is probable that even more will have developed this condition by the year 2025 -- from 200 to 300 million. What are the symptoms of diabetes? Diabetes type 2 is symptomatic only when blood glucose levels are above normal. Common symptoms of high blood sugar in diabetes include being very thirsty, frequent urination, weight loss, lethargy, blurred vision, and recurrent infections. On the other hand, many people do not have any symptoms at all and therefore early detection is very important. The main sign of diabetes is too much glucose in your blood, something your doctor can detect. What causes type 2 diabetes? Sedentary lifestyle, obesity, smoking, high cholesterol levels, high blood pressure and age accelerate development of the disease in susceptible individuals. The factors that determine whether an individual develops type 2 diabetes or not are mainly genetic (i.e., in the family). What is Insulin? The primary " tool " used by the body to keep blood sugar levels under control is a hormone called Insulin. Insulin is made by special cells (called beta cells) found in the pancreas. When a person who does not have diabetes eats something, the body releases insulin the pancreas as part of the process that converts food into fuel. Insulin helps cells in various organs to take in the glucose (sugar) that they need as fuel and also helps remove high levels of glucose from the bloodstream. In this way, post mealtime glucose spikes (high blood sugar levels after meals) are turned into normal blood sugar levels. Someone who cannot make insulin or one who cannot make proper, effective use of the insulin produced, ends up " starving " the cells of insulin and leaving blood sugar levels higher than they should be. Mark E. Armstrong www.top5plus5.com Oregon State Chapter Rep Pancreatitis Association, International Diabetes 1 vs 2 > Terry and all: > > I have always been told the following: > > Type I is insulin-dependent. > Type II is not. It can be controlled by oral meds and/or diet and exercise. > > I have the latter. > > Here's what the NIH has to say: > > An American Diabetes Association expert committee recently recommended a > change in the names of the two main types of diabetes because the former > names caused confusion. > > The type of diabetes that was known as Type I, juvenile-onset diabetes, or > insulin-dependent diabetes mellitus (IDDM) is now type 1 diabetes. > > The type of diabetes that was known as Type II, noninsulin-dependent diabetes > mellitus (NIDDM), or adult-onset diabetes is now type 2 diabetes. The new > names reflect an effort to move away from basing the names on treatment or > age at onset. > > That's why I raised the question about insulin use. > > When I've been in excruciating pain and when I recently ran close to 105 > fever, my sugar went sky high. That's when the hospital administered insulin. > > Once the crises were over, I went back to my pills. > > -E > > > > > > PANCREATITIS Association, Intl. > Online e-mail group > > To reply to this message hit " reply " or send an e-mail to: Pancreatitis (AT) Yahoo > > To subscribe to this e-mail group, simply send an e-mail to: Pancreatitis-subscribe (AT) Yahoo > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2002 Report Share Posted January 2, 2002 Good question. I have been diagnosed with Type 2 Diabetes. I think The Dr. just give it a name. I am diabetic because I don't have enough pancreas left to create insulin. I did get this as an adult though.......lol Hope you are doing well Mark E. Armstrong www.top5plus5.com Oregon State Chapter Rep Pancreatitis Association, International Re: Diabetes 1 vs 2 > Mark: > > Your data confirms what I have always known. > > So, how can someone be Type 2 when they're on insulin? > > > -E > > > > PANCREATITIS Association, Intl. > Online e-mail group > > To reply to this message hit " reply " or send an e-mail to: Pancreatitis (AT) Yahoo > > To subscribe to this e-mail group, simply send an e-mail to: Pancreatitis-subscribe (AT) Yahoo > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2002 Report Share Posted January 2, 2002 interesting.......I hope you never have to take insulin......that would be awesome Mark E. Armstrong www.top5plus5.com Oregon State Chapter Rep Pancreatitis Association, International Re: Diabetes 1 vs 2 > My glucose began to rise at the time that this all started in 1993. > > It was over 200 when the gallbladder went crazy. It normalized after the > surgery. > > But it would, of course, rise whenever I was in pain or sick. > > I do so well on oral meds, that I often have to cut back on the dosage. My > sugar tends to low when things are quiet. > > While in the hospital for my recent fundoplication, they questioned the > diagnosis. > > > -E > > > PANCREATITIS Association, Intl. > Online e-mail group > > To reply to this message hit " reply " or send an e-mail to: Pancreatitis (AT) Yahoo > > To subscribe to this e-mail group, simply send an e-mail to: Pancreatitis-subscribe (AT) Yahoo > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 3, 2002 Report Share Posted January 3, 2002 Mark: Dr. Sutherland was in agreement with me when I told him that I do not want a pancreatectomy at this time and, hopefully, ever. That's because it would make me a Type 1 immediately. However, he further went on to say that some with Type 2 have sufficient islets for the autograft. I hope I never have to find out. His surgical option will be my last resort if and when the blocks cease to be effective. And it's comforting to know that I have that option. BTW, now that my pancreas has calmed down, my blood sugar is 94. Nice and normal again as it usually is. Happy January 3rd! -E Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 3, 2002 Report Share Posted January 3, 2002 I think, like many things, there are varying degrees, and it's one of those things without a black and white answer or dx, but rather a long gray continuum upon which most of us will find our general position - then regularly slide ever so slightly one way or the other, depending on a couiple million factors. That's just my perception. Some days I'm certain that my dx of Type II is right on the nose. Other days I probably fit what has often been described as " Type III " , and I have definitely gone through phases where my body has told me that I need to treat it like I'm a brittle. In the end, though, the dx is still Type II, because the med. community needs a name for the chart, and that is what, generall speaking and most often, I am the closest to. Terry in KC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 3, 2002 Report Share Posted January 3, 2002 Terry: Type 3 sounds more like it for most of us. I just wonder how many doctors know about it. -E Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 3, 2002 Report Share Posted January 3, 2002 I also think that is why " insulin dependent " is attached when describing one's Diabetes dx. Type II, for instance, can take varying degrees, as I said earlier. I was not diagnosed as a child, rather when I was 35. AND I do take insulin shots twice daily - most of the time. Other times I don't take insulin for two or three days at a time, though this is certainly less common. In Type I, " the body can no longer make insulin " . Most Type II's can produce some insulin, though that level is generally inadequate and needs supplementation. Also, Type II, as I said, can fluctuate, and it is even possible for Type II diabetics to actually " recover " to the degree that they may no longer require insulin supplementation entirely - injection or pill - though of course they will forever have to watch contributing factors such as weight, diet, activity level, etc. Thanks. Terry in KC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 3, 2002 Report Share Posted January 3, 2002 Terry and all: I stand corrected. As in many instances, I've been given incorrect information by physicians. Here's what I just found on the ADA site: Type 2 Diabetes Type 2 diabetes is the most common form of diabetes. In Type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin. Insulin is necessary for the body to be able to use sugar. Sugar is the basic fuel for the cells in the body, and insulin takes the sugar from the blood into the cells. When glucose builds up in the blood instead of going into cells, it can cause two problems: Right away, your cells may be starved for energy. Over time, high blood sugar levels may hurt your eyes, kidneys, nerves or heart. Finding out you have diabetes is scary. But don't panic! Diabetes is serious, but people with diabetes can live long, healthy, happy lives. You can too by taking good care of yourself. Is It Curable? In people with Type 2 diabetes, glucose (sugar) builds up in the blood. But with treatment, your blood sugar levels may go down to normal again. But this does not mean you are cured. Instead, a blood sugar level in your target range shows that your treatment plan is working and that you are taking care of your diabetes. Taking Care Of Your Diabetes The goal of treatment is to lower your blood sugar and improve your body's use of insulin with: Meal planning Exercise Weight loss Meal planning and getting regular exercise can help your body maintain healthy blood sugar levels. If you're overweight, losing weight can be another big part of your diabetes treatment. It will help your body use insulin better. The best way to lose weight is to exercise and follow a meal plan. With a weight loss meal plan, you will eat fewer calories. Decide with your health care provider how much to lose. Sometimes, just 10 or 20 pounds is enough to bring diabetes under control. Read more about meal planning and exercise in Healthy Living. Checking Your Blood Sugar In addition to eating healthy, losing weight and keeping fit, check your blood sugar levels at home to keep track of how you're doing. To check your blood sugar, you need a drop of blood. Place the drop on a special test strip. A device called a glucose meter measures sugar in the drop of blood. Your health care provider will tell you how often to check your blood sugar. Write down each result, along with the time and date. You will soon learn how well your treatment plan is working, and you will learn how exercise and food affects you. **A Back-Up Plan** Sometimes, using a meal plan, losing weight and being active are not enough. In addition, your doctor may have you take diabetes pills, insulin shots or both. Your doctor will probably try you on diabetes pills first. But sometimes pills don't work. Or they work at first and then stop. When this happens, your doctor may have you take both pills and insulin, or maybe just insulin alone. Your doctor will tell you what kind of insulin to take, how much and when. Read more about these medications in Medical Information. -E Quote Link to comment Share on other sites More sharing options...
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