Type 1 Diabetes Misdiagnosed In Many Adults

Type 1 diabetes misdiagnosed in many adults

Many might think type 1 diabetes is a "disease of childhood", but research, published in the Lancet Diabetes & Endocrinology, has found it has similar prevalence in adults.
More than 40% of Britons diagnosed with the condition are over 30.
Many of these are initially diagnosed with type 2, and receiving the wrong treatment can be life-threatening.
Charity Diabetes UK is calling for doctors not to rule out the possibility a patient over 30 might have type 1.
'Banging my head against a wall'
Helen Philibin, a mother of two from Torquay, who was 40, slim and active when she was diagnosed.
She said: "Having the wrong diagnosis was extremely frustrating. I just knew it wasn't right.
"I'm always running around with my two young kids and I walk the dog every day."
She visited her GP complaining of extreme thirst. A blood test strongly indicated she had diabetes.
Her doctor diagnosed her with type 2 and prescribed metformin, the most commonly-used drug for the condition. She was also sent on a course to learn about lifestyle factors including a low-sugar diet.
"All the other people on the course were in their mid-60s and overweight. I was 5ft 10in and nine-and-a-half stone. I stood out like a sore thumb," said Helen.
"When I raised it with nurses or my GP, I was told that type 1 diabetes is always diagnosed in childhood, so I had to be type 2. I felt like I was banging my head against a wall."
Helen changed her diet to get better blood sugar control - but she began vomiting up to four times a week.
"It was horrible," she said. "Even a single piece of toast would send my blood sugar Continue reading

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Diabetic emergencies: Warning signs and what to do

Diabetes symptoms can quickly turn into emergencies.
The disease of diabetes was the seventh leading cause of death in the United States in 2010, claiming nearly 70,000 lives.
Responding promptly to symptoms of a diabetic emergency can be lifesaving.
Causes and types
Both type 1 and type 2 diabetes inhibit the body's ability to manage blood sugar levels. Type 1 diabetes does so by destroying the cells that produce insulin. Type 2 diabetes reduces how responsive the body is to insulin, while not enough insulin is produced to counter the sugar in the body.
Hence, most diabetic emergencies are related to disruptions in a person's blood sugar levels. Occasionally, even too much of a drug being used to treat diabetes can trigger a diabetic emergency.
The most common diabetic emergencies include the following:
Severe hypoglycemia
Hypoglycemia is when blood sugar levels are abnormally low. When blood sugar dips very low, it becomes a medical emergency.
Hypoglycemia normally only occurs in people with diabetes who take medication that lowers blood sugar. Blood sugar levels may drop dangerously low when a person is:
consuming too much alcohol
exercising, especially without adjusting food intake or insulin dosage
missing or delaying meals
overdosing on diabetic medication
Diabetic ketoacidosis
Diabetic ketoacidosis occurs when the body does not have enough insulin to break down glucose properly, and hormones that normally work opposite insulin are high.
Over time, the body releases hormones that break down fat to provide fuel. This produces acids called ketones. As ketones build up i Continue reading

NHS risking people's health by rationing test strips, Diabetes UK says

The NHS is putting diabetic patients at risk of serious illness by rationing test strips that monitor blood glucose levels in an attempt to save money, a charity claims.
A survey carried out by Diabetes UK found that one in four complained of restrictions placed on the number of test strips they were prescribed by GP practices.
People with diabetes need to test their blood glucose regularly to monitor the condition. If not managed properly, diabetes can lead to health complications such as heart disease, strokes, blindness and amputations.
More than half of those professing problems had type 1 diabetes. Government guidance says this group should test themselves at least four times a day. Older people and those on low incomes were also affected, the charity found. Many said they felt they needed to buy test stripsonline, where quality cannot always be guaranteed.
People with diabetes were given a variety of reasons for the reduced number of strips prescribed, according to the charity. Some respondents to the survey said they had been told they should test less often. Some were told there were “budget constraints”, while others were told it was because they were testing too frequently.
“They said I had my allowance for the month,” said one respondent. Another said: “I was told they were expensive and we should test less. Only need to test four times a day. We use a pump, so need to test every two hours.”
Some said they were having to ask for repeat prescriptions more often. “I now need to order and collect a prescription monthly, or sooner, depending on any issu Continue reading

Can eating too much sugar cause type 2 diabetes?

Olivia Yang was stunned when she learned she had type 2 diabetes six years ago, when she was 19. Her doctor was shocked, too. In fact, her physician tested her twice to be sure there wasn’t some mistake. Yang was young, had a normal weight for her 5-foot-2-inch frame, and didn’t consider herself a particularly bad eater. She certainly didn’t seem like someone at risk.
Now a new study may hint at why some patients end up with type 2 diabetes or prediabetes even when they don’t appear to have all of the typical risk factors such as age, obesity, and an unhealthy diet.
Yang learned of her condition sophomore year of college. She’d gone for a physical — a requirement in order to begin working out with a fitness trainer — but her A1C blood test came back abnormally high, indicating diabetes. An A1C test tells a person’s average blood sugar level over the past few months.
More specifically, an A1C test measures what percentage of your hemoglobin — a protein in red blood cells that carries oxygen — is coated with sugar. It’s used to diagnose type 1 and type 2 diabetes and to keep tabs on how a person is managing their condition over time.
Normal readings land below 5.7 percent. The range for someone with prediabetes falls between 5.7 and 6.4 percent and indicates a high risk of developing diabetes. Anything higher is considered diabetes.
Unexpected diagnosis
Yang, now 25 and an account executive at an advertising agency in Boston, told CBS News, “It was a shock for me. Type 2 runs in my family. But it happened when my parents were older so it was kind of a Continue reading

Think skinny people don’t get type 2 diabetes? Think again.

In the last article we discussed the complex relationship between body weight and type 2 diabetes (T2DM). We learned that although obesity is strongly associated with T2DM, a subset of “metabolically healthy obese” (MHO) people have normal blood sugar and insulin sensitivity and don’t ever develop diabetes.
In this article we’re going to talk about the mirror reflection of the MHO: the “metabolically unhealthy nonobese” (MUN). These are lean people with either full-fledged type 2 diabetes or some metabolic dysfunction, such as insulin resistance.
You might even be surprised to learn that skinny people can and do get T2DM. They are rarely mentioned in the media, and there isn’t much written about them in the scientific literature. Perhaps these folks have been overlooked because type 2 diabetes has been historically viewed as a disease of gluttony and sloth, a self-inflicted outcome of eating too much and not and not exercising enough. But the very existence of the MUN phenotype proves that there’s more to T2DM than overeating and a sedentary lifestyle.
Remember that one in three type 2 diabetics are undiagnosed. It’s possible that a significant number of these people that are lean. They don’t suspect they might have T2DM because they’re under the impression that it’s not a condition that affects thin people. This is one of the biggest dangers of the myth that “only fat people get diabetes”.
It’s well-known that high blood sugar can precede the development of T2DM for as long as ten years. It is during this time that many of the complications as Continue reading