Double diabetes.

[eggyg]

Whilst searching online for double ovens, the first suggestion that popped up was “ double diabetes” ( cookies eh?). It was a diabetes.co.uk article, I have never heard of it. Apparently it’s when you are type 1 with type 2 symptoms such as insulin resistance. Has anyone been diagonosed with this or even heard of it?

 

[Robin]

Whilst searching online for double ovens, the first suggestion that popped up was “ double diabetes” ( cookies eh?). It was a diabetes.co.uk article, I have never heard of it. Apparently it’s when you are type 1 with type 2 symptoms such as insulin resistance. Has anyone been diagonosed with this or even heard of it?

I came across references to it when I was researching stuff after I was diagnosed. The thinking seems to be that just because you're Type 1, it didn't mean you couldn't develop metabolic syndrome, insulin resistance, or type 2, or whatever if your genes were so inclined.

 

[Matt Cycle]

I've seen it mentioned. Presumably that's why some T1's are prescribed metformin. Unless they've been misdiagnosed and are actually T2.

 

[mikeyB]

I can’t think of any physiological reason why a T1 couldn’t develop T2 symptoms, but it’s unlikely that the unholy trinity of high cholesterol, hypertension and obesity will be present in a T1. But if there is history of T2 in the family, and the genes kick in, like many on the forum, it’s perfectly possible. Type 1 wouldn’t protect you against that.

 

[mikeyB]

The addition of type 2 may well include insulin resistance, Benny, so it may not be pointless.

Though it drive Heather mad adding yet another category to her list

 

[everydayupsanddowns]

I've certainly heard of this, though I think it's still quite rare.

 

[mikeyB]

I've certainly heard of this, though I think it's still quite rare.

So is 3c, but we have a little collection on the forum. It could account for folk who find insulin isn’t working as well as it should. It may not be as rare as you think.

 

[TheClockworkDodo]

I've never heard of double diabetes, but I often wonder whether it's possible to have both type 1 diabetes and reactive hypoglycaemia, as I certainly have one and seem to have the symptoms of the other. Would that be yet another category, do you think?!

 

[Ralph-YK]

I've not heard of it. However, I did wonder if there was anyone out there with it. I don't see a reason for it not to be possible. Unless having one would actually prevent you having the other.
(I think of it when there's talk of T2 going on insulin and "Now being T1".)

 

[AndBreathe]

I can’t think of any physiological reason why a T1 couldn’t develop T2 symptoms, but it’s unlikely that the unholy trinity of high cholesterol, hypertension and obesity will be present in a T1. But if there is history of T2 in the family, and the genes kick in, like many on the forum, it’s perfectly possible. Type 1 wouldn’t protect you against that.

Mike - Indulge me please? Why would you think it unlikely a T1 would have raised cholesterol, high blood pressure and obesity?

 

[Matt Cycle]

I've never heard of double diabetes, but I often wonder whether it's possible to have both type 1 diabetes and reactive hypoglycaemia, as I certainly have one and seem to have the symptoms of the other. Would that be yet another category, do you think?!

I'm not sure that would be possible unless you still had endogenous insulin production.

 

[TheClockworkDodo]

Perhaps not, but my body is doing a very good imitaion of it! Actually, about 6 months before I was diagnosed with diabetes I told my GP I thought I had hypoglycaemia, but she didn't run any tests, just told me that when I was shaking and collapsing I should eat a biscuit ...

 

[mikeyB]

Mike - Indulge me please? Why would you think it unlikely a T1 would have raised cholesterol, high blood pressure and obesity?

Simply because it’s hard to get fat counting carbs. It’s possible, but unlikely. And of course high cholesterol problems can be inherited, though that is quite rare too. I was just using shorthand to characterise two possible causes of T2.

 

[AndBreathe]

Simply because it’s hard to get fat counting carbs. It’s possible, but unlikely. And of course high cholesterol problems can be inherited, though that is quite rare too. I was just using shorthand to characterise two possible causes of T2.

Oh, I've seen a goodly number who have managed that feat. Of course, that may mean they don't quite get their food/insulin (dose, time or whatever) quite right, more regularly that one would hope, or they have other conditions like PCOS, hypothyroidism or other comorbidities to contend with. Some are also just rather enthusiastic about food - just like some normie are.

 

[Matt Cycle]

A type 2 who injects insulin, is still type 2. The difference being instead of making their own insulin they are now injecting. The insulin resistance doesn't care where the insulin comes from.
I also don't see why someone with Type 2 couldn't develop type 1 or even Type 3. (As they are all seperate conditions - with a bit of Overlap.)

I agree with this but Juliet was on about reactive hypoglycaemia though. RH is physiological and happens with working beta cells. So I don't see how proper T1 and RH can exist together.

 

[TheClockworkDodo]

I understand what you mean, it doesn't really make sense - but I think it's quite likely that like @Northerner and his lack of need for basal I'm in that small category of type 1s who do still produce a tiny amount of insulin (would that be an improper type 1?!) - as my diabetes is my secondary condition and I need so little insulin for the relatively large amount of carbs I eat. I was never tested to see if I'm still producing insulin, as they had already decided I was type 1 based on my being underweight, DKA, and having a GAD antibody test which was so high it was off the scale.

 

[Ralph-YK]

Simply because it’s hard to get fat counting carbs. It’s possible, but unlikely.

Really? Surely it's really easy to overdo other food. *quickly puts the 4 cheerburger boxes and grated cheese bags quickly in the bin*

 

[Radders]

Simply because it’s hard to get fat counting carbs. It’s possible, but unlikely. And of course high cholesterol problems can be inherited, though that is quite rare too. I was just using shorthand to characterise two possible causes of T2.

I was obese with high bp before I got my pump and I struggle all the time to maintain my weight.

 

[TheClockworkDodo]

there is a lot of recent research that shows there may be a lot more variety in both Type 1 and Type 2.
1 in 3 Type 1's still producing insulin
https://www.webmd.com/diabetes/news...1-diabetes-still-produce-insulin-study-says#1

7 year switch for Type 1's
https://medicalxpress.com/news/2018-06-year-diabetes.html

Those are really interesting articles, Benny, thank you.