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What Are Some Differences Between Type I Diabetes And Type Ii Diabetes?

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What Exactly Is The Difference Between Type 1 And Type 2 Diabetes?

We hear about diabetes all the time, so it’s easy to forget that there are two very different types of the condition. Both involve problems with insulin, but they deviate from there. Type 1 diabetes is an autoimmune disease where, in general, people have a complete lack of insulin. People with type 2 diabetes are unable to use their own insulin effectively, either because they don’t make enough or because their cells are resistant to the insulin they do make. (These are the silent signs you might have diabetes.) “Type 1 is largely a genetic condition, but since not all identical twins get diabetes, we do think that exposure to an additional environmental factor may trigger an immune response that ultimately destroys the insulin-producing cells of the pancreas,” says Sarah Rettinger, MD, board-certified endocrinologist at Providence Saint John’s Health Center in Santa Monica, California. “On the other hand, type 2 diabetes has a stronger genetic component, caused by a complicated interaction of genes and environment. A person with a first degree relative with type 2 has a 5 to 10 times higher risk of developing the disease than a person the same age and weight without th Continue reading >>

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Popular Questions

  1. provlima

    I have been diagnosed a pre diabetic for 15 years with my A1C hovering around 6 all those years.
    My doctor doesn’t seemed concerned about it, and I’ve followed his advice to lay off the carbs. He has never suggested any drug therapy.
    Last May I started daily BG testing and "eating to the meter", but there has been no significant change in my A1C, despite my strict low carb diet .
    I am wondering if my long term condition might be causing damage resulting in possible future health problems. I am thinking if taking a drug like metformin might affect my A1C in a positive way.
    Is there a downside to this drug?
    I realize that the 6 reading is relatively good compared to those on this board who have higher readings, but still want to bring that reading lower and if its possible to do it why not try.
    Would appreciate any comments from those who have been dealing with pre diabetes.

  2. Barnette84

    My situation is similar to yours, however, my A1c was in pre diabetic territory for around four years when I requested to be on Metformin. I'm a thin exerciser, but T2 is in my family so I guess I'm genetically predisposed to it. When my A1c hit the high 5's I also bought a meter and drastically cut my carbs. Initially, my A1c dropped to 5.5, but then it crept back up again despite hardly eating any carbs for the next 4ish years. When it hit 6 I asked for Metformin, which I've been on for around three years. On Metformin, my A1c bounces back and forth between 5.6 to 5.9, with my last two staying at 5.7. As far as a downside to Metformin, I've been lucky in that I haven't experienced any of the digestive issues and diarrhea that a lot of people do taking this drug. It hasn't lowered my A1c as much as I had hoped. I think that may be because I'm not classically insulin resistant, meaning my fasting insulin has always been low before Metformin and continues to be the same on Metformin. Also, my fasting glucose has always been normal, in the high 80's to low 90's. My husband, on the other hand, is overweight and has high fasting insulin and slightly elevated fasting glucose. When he takes Metformin, his fasting insulin and glucose goes down in addition to his A1c, and he loses a little weight. Unfortunately, he does experience the digestive side effects so he's not as diligent in taking it as he should be. You can always give Metformin a try to see if it does anything. I'm on the ER form, which I've read is easier on the stomach (two 500 mg per day). I'd also like to add that I've read that non-diabetic women going through menopause often experience a rise in their A1c, as well as older men, and it is theorized that this rise may not be glycemic based. Have you had your fasting insulin tested? That would tell you more regarding insulin resistance. Also, if you have weight to lose, you may want to start there before the Metformin. The strange thing with me is that that when I added carbs back to my diet in the form of bread, my A1c actually went down from 5.9 to 5.7 and stayed there for my last two tests. So, I'm eating bread in moderation and as long as my A1c does not go back up to 6 I will continue. Good luck to you!

  3. kooka

    My doctor accepts 6.0 as good for older people. I doubt if it would lead to complications. The ADA now says 7.0 for elderly people but I disagree. Some doctors want you in the mid 5's. It would be great if they would all agree on something but thats doubtful.

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