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type 2 to type 1
- Thread starter chocks63
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Lucyr
Well-Known Member
- Relationship to Diabetes
- Type 1
You can’t change from type 2 to type 1. The only time this happens is if you were misdiagnosed initially.
Type 1 is caused by an autoimmune problem whereas type 2 is not. You can become a type 2 on insulin.
What medication are you on at the moment and have you had an appointment to talk about your hba1c and next steps?
Type 1 is caused by an autoimmune problem whereas type 2 is not. You can become a type 2 on insulin.
What medication are you on at the moment and have you had an appointment to talk about your hba1c and next steps?
Robin
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
There isnt a cut off point at which you become one or the other, because they are two separate conditions.
Type 1 is an autoimmune condition, where your body turns on your pancreatic cells and destroys them.
Type 2 is where initially, your body is producing plenty of insulin but your cells can’t use it properly.
(Thats a very simplified version, it’s actually much more complicated than that, but no, one can’t turn into the other, and no, they aren’t characterised by how high the HbA1c is)
Type 1 and type 2 are completely different conditions.
Both are serious if untreated.
Type 1 is always treated with injected insulin (because our bodies don’t make it). Type 2 can be treated with injected insulin but that does not make it Type 1.
I suspect your question is more “At what HBA1C will someone with type 2 have to inject insulin?”.
The answer to this is “it depends”. This is something you will discuss with you diabetes team/nurse/GP and vary according to your lifestyle, health and more.
Both are serious if untreated.
Type 1 is always treated with injected insulin (because our bodies don’t make it). Type 2 can be treated with injected insulin but that does not make it Type 1.
I suspect your question is more “At what HBA1C will someone with type 2 have to inject insulin?”.
The answer to this is “it depends”. This is something you will discuss with you diabetes team/nurse/GP and vary according to your lifestyle, health and more.
PattiEvans
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
Hi @chocks63
It's nothing to do with Hba1c. You don't change from T2 to T1, they are two distinctly different diseases (I know it's confusing due to both being called diabetes, but the causes are different). Some people have been misdiagnosed initially as T2 when they are actually T1. The way to determine whether someone is T1 is by specialised tests such as a GAD antibody test. Sometimes a T2 will need insulin to control their diabetes when their pancreas production of insulin wanes, but they are still T2s, just T2 on insulin.
Can you give us some background on your diabetes so our suggestions may be more appropriate i.e. how long have you had it, what meds are you on and what is your latest Hba1c.
Hope this helps.
Sorry if I am being repetitious, I was typing whilst @Robin and @helli were posting.
It's nothing to do with Hba1c. You don't change from T2 to T1, they are two distinctly different diseases (I know it's confusing due to both being called diabetes, but the causes are different). Some people have been misdiagnosed initially as T2 when they are actually T1. The way to determine whether someone is T1 is by specialised tests such as a GAD antibody test. Sometimes a T2 will need insulin to control their diabetes when their pancreas production of insulin wanes, but they are still T2s, just T2 on insulin.
Can you give us some background on your diabetes so our suggestions may be more appropriate i.e. how long have you had it, what meds are you on and what is your latest Hba1c.
Hope this helps.
Sorry if I am being repetitious, I was typing whilst @Robin and @helli were posting.
I tried Metformin and had a very bad reaction Doctor took me off it. Then he put me on gliclazide, side affect were ok but I put on weight with it.
Now on sitagliptin 100mg a day been on then for about 1 year. Even with good diet tablets do not lower my HBA1C that great deal.
Due a HbA1c test this month. Last 12 months tests were 57mmols and 65 mmols.
Now on sitagliptin 100mg a day been on then for about 1 year. Even with good diet tablets do not lower my HBA1C that great deal.
Due a HbA1c test this month. Last 12 months tests were 57mmols and 65 mmols.
Last edited:
I tried Metformin and had a very bad reaction Doctor took me off it. Then he put me on gliclazide, side affect were ok but I put on weight with it.
Now on sitagliptin 100mg a day been on then for about 1 year. Even with good diet tablets do not lower my HBA1C that great deal.
Due a HbA1c test this month. Last 12 months tests were 57mmols and 65 mmols.
Leadinglights
Well-Known Member
- Relationship to Diabetes
- Type 2
If you are Type 2 then dietary changes need to go alongside any medication you are taking as if you continue to eat more carbohydrates than your body can tolerate then blood glucose levels will continue to be high to be despite medication.
Starting my low carb diet next food shop this wednesday. Cleared food cupboards with naughty stuff. I going to try a limit of 130 carbs per day limit for 4 weeks and see what happens.
Then if happy? lower them further. 🙂
Hi. Were you using Metformin SR (Slow Release)? If not do ask the GP for that. Gliclazide is not the first drug of choice for T2 as it stimulates the body to produce more insulin and if you are an insulin resistant T2 you may already have enough/too much. Gliclazide can help if you are potentially a mis-diagnosed T1 (LADA) as I was and one pointer is having lost weight unexpectedly as the body is burning fat to get energy. Weight gain with Gliclazide implies that reducing your carbs may help. Sitagliptin only works for meals to prolong insulin output after a meal and mops up a bit more BS.
I had Metformin 500mg modified-release tablets. If thats the same as slow release.
Hi I was diagnosed in September with an hba1c of 89 (shockingly high) I wasn’t and still haven’t been put on any meds, i instantly changed my diet completely and in 12 weeks I lost just over 3st and my repeat hba1c at the end of November was down to 45 (out of diabetic and into pre diabetic range) since then I’ve lost another 10lbs so I’m hoping to get that down still further and just to repeat this is without any medication at all simply diet and exercise I opt for low calorie and low carb I try to stay under 120g per day (every day)
Lucyr
Well-Known Member
- Relationship to Diabetes
- Type 1
Yes those are the same thing
Well done you 🙂
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