Can type 2 diabetes become type 1 diabetes?

[Inka]

Then they aren't T2...just misdiagnosed?

No. Mr Bloggs gets Type 2. He’s insulin resistant and over-produces insulin for years. Because of the strain of this over-production, his beta cells burn-out/become exhausted and he now can’t make sufficient insulins for his needs. He’s still Type 2. At no point has there been an auto-immune attack. His beta cells just wore out. He was not misdiagnosed.

 

[bulkbiker]

Ultimately T2 is not ONLY insulin resistance / high insulin production. There are other forms and stages.

Beta cell loss in T1 is autoimmune, and different.

Yes there are many T1 variants that all result from insulin underproduction.. from not enough to none.

In my view there is only one T2 and that's hyperinsulinemia caused.

If doctors realised this we'd all be in a far better place.

 

[bulkbiker]

No - T1 is caused by an autoimmune reaction in the body, when the pancreas was previously completely normal and then the beta cells are suddenly killed off. Which is completely different from the cells wearing out due to overproduction of insulin when the pancreas is frantically trying to get blood sugars down in T2.

Which is precisely why I said

" If you underproduce insulin you are a T1 or variant of T1."

 

[bulkbiker]

overproduction of insulin

So once they have "worn out" what do you have?
A T1 variant under producer of insulin.

 

[bulkbiker]

His beta cells just wore out.

So he's becomes an insulin under producer (unless they are lucky enough to try low carb once diagnosed).
A T1 variant.. like LADA, MODY etc..

 

[Inka]

So once they have "worn out" what do you have?
A T1 variant under producer of insulin.

No, you have a Type 2 with beta cell loss/dysfunction. Type 1s don’t just underproduce insulin. They produce insulin just fine - until an auto-immune attack destroys those healthy insulin-producing cells. Type 1 is an auto-immune disease. It’s linked with an increased risk of other auto-immune conditions.

 

[everydayupsanddowns]

So once they have "worn out" what do you have?
A T1 variant under producer of insulin.

No.

T1 is autoimmune. It is the immune system attacking and destroying beta cells.

Not glucose disregulation / signalling errors damaging and destroying beta cells and reducing beta cell mass.

T2s who need insulin because they have lost beta cell mass are not T1. They are T2s on insulin.

T1 = autoimmune.

Edit. @Inka beat me to it.

 

[bulkbiker]

" Please be respectful of other peoples' opinions about diabetes."

 

[bulkbiker]

No.

T1 is autoimmune. It is the immune system attacking and destroying beta cells.

Not glucose disregulation / signalling errors damaging and destroying beta cells and reducing beta cell mass.

T2s who need insulin because they have lost beta cell mass are not T1. They are T2s on insulin.

T1 = autoimmune.

" If you are hypoinsulinemic T1 or one of the variants of T1 (LADA, 1.5 etc)."

 

[Inka]

So he's becomes an insulin under producer (unless they are lucky enough to try low carb once diagnosed).
A T1 variant.. like LADA, MODY etc..

No, you’re just rehashing an old misassumption - that anyone who takes insulin must be Type 1. A Type 2 who now needs insulin because their beta cells have been damaged by having to over-produce insulin doesn’t magically become Type 1. They’re still Type 2, but now need insulin.

 

[everydayupsanddowns]

" Please be respectful of other peoples' opinions about diabetes."

But what you are suggesting is factually incorrect, and could confuse other members.

T1 being an autoimmune condition is not open for debate.

In my view there is only one T2 and that's hyperinsulinemia caused.

This is your opinion. And it is not supported by experts and researchers in the field, who understand T2 to be more nuanced and complex.

This conversation has become cyclical. So I’m closing the thread.