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The Question
Fri Jun 21 19:27:39 EDT 2013

My endocrinologist diagnosed me with type 1 but left me on metformin and lantus with no fast acting insulin. How can I be type 1?
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Background Info Hide
I was diagnosed by my primary care physician as a type two diabetic in February. Only this week did I finally get into an endocrinologist and she decided to do a blood test because I'm only 23 and I am overweight, but I've never been "huge" as my doctor put it.
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Expert Answers (1)
2013-06-20 20:08:04.0

Hello,

Thanks for asking dLife.

Initially, the pancreas of many newly diagnosed people with type 1 diabetes may still be producing some insulin. During this "honeymoon phase," less insulin would be required. The length of the honeymoon phase varies. This phase can cause confusion as to the accuracy of the diagnosis. As the homeymoon phases out, rapid-acting insulin would eventually be needed to cover meals.

Extra body weight contributes to insulin resistance. Although we typically see insulin resistence among people with type 2 diabetes, people with type 1 diabetes may also experience insulin resistance. Metformin (glucophage) is becoming more frequently prescribed therapy to treat insulin resistance among people with type 1 diabetes.

Talk with your doctor about your concerns. It is importance that you understanding your diabetes ttreatment plan.

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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Community Answers (4)
2014-04-14 08:35:57.0

The only reliable way to know if you need a meal time insulin (rapid acting) is to test your blood sugars before and after meals. Accuchek (I am not an Accuchek rep) has a good form called 360 degree testing. It has you check 8 times a day for 3 days to give you significant insight to what your body does in certain situations. I am not considered an 'expert,' here, but AM a CDE and type 1 for 45 years. If I were wondering, along with the antibody and C-peptide testing, I would be doing the 360 testing on my own as well. This is all SELF management, as we know. The 360 testing can also shed light on what approach to 'diet' you may find preferable. Find what works for YOU. Last suggestion is to find somewhere to attend DSME./T classes (Diabetes Self-Management Education/Training) so you can understand, perhaps, a bit better of what your body is doing. http://www.ncbi.nlm.nih.gov/pubmed/15266224 as well as others listed below in sources. (not enough space in the sources box.) Regards! Joan Geohegan, BSN, RN, CDE
Answered By: smartblnde

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2014-01-24 04:37:23.0

Hi!! I m type 1 too. And what I can say is the pancreas can be more or less damaged. I dont totally agree with the inevitability of the end of what profesionals call "the honey moon" Some people stay into it for life : if they are lucky or if they do not eat to much carbs. or if they succed to be perfectly regulated I m doing a ketosis diet which is to eat protein and fat and just a few carbs (just an apple a meal) And I m sad I didnt do it right away when I was diagnosed! I wouldnt need that much insulin! Dr Richard Bernstein's book The Diabetes Diet (which is a little too strict too me) http://www.survivediabetes.com/ http://press.endocrine.org/doi/full/10.1210/jc.2004-1041 http://www.nutritionandmetabolism.com/content/1/1/2 for sportive, some disagree with ketosis : http://anthonycolpo.com/why-low-carb-diets-are-terrible-for-athletes-part-2/
Answered By: tryf

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2014-01-17 10:04:58.0

I have been Type 1 since 6/73 and I do NOT use any fast acting insulin since it has a residual effect. I only take Lantus and nothing else. I have no problem. I take blood glucose readings 3 times a day. I keep a record of what I eat. If I'm on the honeymoon period, it's been a LONG honeymoon. Just do as your doctor says.
Answered By: dianalafond

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2013-10-19 12:47:00.0

The Diabetic Educator that I had was telling me the same thing except saying that I was a type 1.5. She was trying to claim that I was a type 1 that could use metformin. I think partially because my glucose at my diagnoses was 753. She kept telling me that my body was on a holiday also. I brought the numbers down. I'm off the Insulin all together, & I haven't had a high number since 4-2012! When I say a high number, I mean a number that is 5 over my threshold. I think that these 2 professions in the medical field are at odd's & that a lot of this is just an educated guess. Good Luck,
Answered By: bobegan

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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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