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The Question
08/26/09 08:07 PM

"I was just diagnosed with type 1 diabetes. 6 months ago I was diagosed with type 2. Can I continue oral meds or do I have to have insulin for type1?"
Asked By: respiratory12  
Category: Type 1

Background Info Hide
I am 46 years old diagnosed with type 2 6 months ago by primary care doctor. The endocrinologist diagnosed me with type 1. I am currently on oral meds actos and starlix. Will I have to take insulin or can I stay on oral meds as long as my bg are ok?

Expert Answers (1)

08/27/09 08:41 PM

Dear respiratory12, Thank you for your question about why your diagnosis of type 2 diabetes is now changed to type 1 diabetes. Since many doctors make the assumption that most adults who have elevated blood sugars have type 2 diabetes, I can understand why that diagnosis was made. You were put on oral medication. The oral medication must not be working adequately, so the second doctor probably did some tests that showed that your pancreas is not making very much insulin. Sometimes it is making a little bit, as failure does not occur overnight. I expect that within a short time, the oral diabetes medications will not control your blood sugar and you will need to be solely on insulin. Insulin is what we treat people with type 1 insulin with, almost exclusively. On the dLife website, there are informational sections about type 1 and type 2 diabetes. You might want to read those columns, then ask your physician to answer any further questions.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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Community Answers (5)

09/02/09 09:01 AM

Even if you get your kids tested there is no way to avoid getting Type I diabetes. Type II on the other hand in most cases can be avoided.
Answered By: wheber2
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08/28/09 07:56 PM

This really helps to know that there are others that are diagnosed with type 1 at my age.. I start insulin tomorrow for the first time, I spoke to my endocrinologist and she started me on insulin and told me to continue the actos but stop the starlix. I am very scared to give the first shot tomorrow, but I am sure I will be fine. I will make sure that my kids and their kids are tested for pre diabetes. Thanks
Answered By: respiratory12
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08/28/09 04:08 PM

I was misdiagnosed with type 2 (at 40) and the oral meds lowered my blood sugars a bit, but I went on losing weight and my hair started to fall out. Correctly diagnosed as a type 1 a few months later, I stopped taking the oral meds and started on insulin - check with your endocrinologist. Type 1 tends to skip a generation, and some doctors think that it might be virally caused, particularly in Latent Autoimmune Diabetes of the Adult (LADA). But there are plenty of tests to find out if your kids are pre-diabetic.
Answered By: lada04
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08/27/09 09:39 PM

Is this genetic? Do I need to make sure my kids have this checked out for themselves they are27, 23, and 20 years old. My Gad 65 autoantibodies are high and with type 1 diagnosis at age 46, I just want to know if they might could catch it early in their lives before I did?
Answered By: respiratory12
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08/27/09 06:10 PM

Much of that of course depends on your bs. If you can not control it that means the orals no longer work. You could be in what they call the honeymoon phase where the pancreas works and then wears out.
Answered By: furball64801
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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