Health
Dr. Miriam Stoppard: Why it’s difficult to distinguish between the two types of diabetes-Miriam Stoppard
As a rule of thumb, type 1 diabetes is defined as requiring insulin and first appears in childhood or teenagers.
Type 2, on the other hand, tends to appear later in life, usually in middle age, most often without insulin and is mainly caused by excessive weight.
Obviously the body can still produce insulin, as lifestyle changes can often suppress it, but type 1 does not. So far, so good.
However, better knowledge of the development of diabetes has blurred the line between types 1 and 2. So how do you distinguish them?
Alexandra Butler and David Misselbrook of the Diabetes Research Center in Doha, Qatar explained the characteristic features of the BMJ.
First, Type 1 often loses weight, which is unusual for Type 2.
Symptoms then develop in days to weeks for type 1 and months or years for type 2. Type 1 symptoms are often severe, but type 2 is rare.
Type 1 has a family history and Type 2 is less frequent. The peak age of type 1 is preschool and teenage, Usually 40 or later for type 2..
However, I’ve heard that type 1 can develop at any age. Also, the feature used to make a clear distinction between the two types no longer works.
Surprisingly, we found that 40% of cases of type 1 diabetes occur in people over the age of 30. In a study of 2,000 newly diagnosed type 1 adults, the average age was 40 years.
There also seems to be a crossover in which people under the age of 40 who first need insulin appear to have type 2 diabetes.
In addition, some patients over the age of 40 with late-onset diabetes (classical type 2) require insulin and have a normal weight like type 1. Are you confused?
Do these patients, who are supposed to have type 2 diabetes, actually have early-evolving type 1 diabetes called LADA? Like type 2, LADA has few symptoms, but continues to develop type 1 diabetes.
It is important to identify these patients who are newly diagnosed with type 1 diabetes because they are in desperate need of insulin.
There are tests that confirm type 1 such as immune markers that diagnose adult-onset type 1 and confirm autoantibodies to insulin-producing pancreatic cells.
The third is a C-peptide test that proves that insulin is produced by the pancreas. The level of type 1 diabetes is very low.
If you are diagnosed with diabetes, follow-up planning is essential along with glucose testing guidance and urinalysis education.
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