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What type of diabetic
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08/29/09 02:01 AM

"What type of diabetic is a person that had whipple surgery who must take insulin? Also, I have diabetic retinopathy already. Why has this happened?"
Asked By: hestok  
Category: Other

Background Info Hide
My doctor says I am type 2, but no prior tests for diabetes were positive even though I am considered obese. Also, after only 16 months I was told I had the beginnings of retinopathy. My exam a year ago was normal. My A1-c tests are all below 6.3 since I have had the diabetes. How could this happen in such a short time when I seem to be well controled? Is their anything more I can do to prevent the retenopathy from progressing? I do have many other medical problems. Asthma, Allergies, mild heart disease, HBP, High cholesterol, fibromyalgia, and a past history of DVT's for which I take warfarin. And as you can assume from the list of problems many other medications. Hope you can Help!

Expert Answers (1)

09/03/09 12:15 PM

Dear hestok, I can understand your confusion regarding what type of diabetes you have. I would call you a 1.5 . I know that sounds funny, but it doesn't appear that you had type 2 prior to your surgery. You have lost enought pancreas that you are dependent on insulin. However, you may have some insulin resistance, especially if you are overweight. There are other cases where the pancreas is destroyed due to illness or surgery. Again, the person must have insulin, but usually has few of the typical characteristics we ascribe to those with type 1 diabetes. You don't have antibodies to insulin. You don't have an automimmume illness, such is the case with most who have type 1 diabetes. So, as I said before, most of us refer to people like you as having 1.5 diabetes.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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