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Diabetes


TalonRider

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Being a diabetic can be fun. I was diagnosed as a type 2 a few years ago. I had one of my normal checkups today. It seems I'm moving towards becoming a type 1. It would seems that the oral meds I take aren't doing the job they should be. Besides the oral meds I take, I've also been taking a couple of different injections, mainly at night.

 

As far as my daily activities. There are days I spend most of my time in my office working instead of on the production floor with my staff. I also try to use my treadmill two to three times a week. It's good exercise plus it builds up my stamina for the hills that some amusement parks have. And I'll need that for a park I hope to visit this summer in Virgina.

 

I have my next appointment in April in which I will have the usual lab work done the week before. This time, the doctor has added a test that she hasn't had done before. She's going to have my antibodies checked to see if my body is rejecting, or at least destroying the oral meds I take before they have a chance to work. She did say that I would be a good candidate for the pump if it turns out I've become a type 1. Here's what Wikipedia has to say about the pump. This could prove interesting.

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I have a young friend who is type 1. Lucky her, her father is a biotechnology entrepreneur who has made -- guess what? -- diabetes treatment his life's work. She has a pump. She also has had, for years, a program on her Palm to keep track of her insulin needs (I think it's been made obsolete by the pump). She's really cheerful about the pump. She says it's a tremendous improvement in her daily life.

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Hi :huh:

I'm really sorry for you, but the way you "trifle" with your diabetes is exemplary. In german I would say it is "Galgenhumor" (translated in english : gibbet-humour) :lol: .

Do you know the reason why it went for you from type 2 to 1 ?

I'm diabetic too( type 2), since soon 30 years, and I take twice a day one or two tablets biguanid, checking the level of blood sugar monthly, always keeping it just under the "risk limit". Another point is to restrain the sugar in your alimentation, but that's not so easy :huh: .

I wish you full success in your fight B) .

BTW, my medic told me that diabetics are always people who like good cocking and appreciate an epicurean way of life ;) .

Take care

old bob

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If you need to start taking insulin, a pump is good idea, as somebody who has recently become a diabetic has great difficulty in keeping control. But you should consider why you are having to take insulin. Why are you now type 1 not a servere type 2?? I would recommend that you obtain a diabetic control software programme which can be used to determine what medication is required according to food intake and physical activity.

 

My father developed diabetics late in life and although quite capable finds controlling it difficult, my young neice although very active and not always quite there finds it easy. A "smart" pump could be great help. However, It does get in the way, and restricts your life. It also needs care and maintainance.

 

My father did have an early pump, but had to stop using it because he could not maintain it( In the widest sense)

 

In summary, consider why you are becoming type 1??, take care over diet and activity, will the pump get in the way, can you look after it.

 

Good Wishes, from somebody who has been on the verge of type 2 for 39 years.

 

 

Red

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One thing that has crossed my mind is, if I do get the pump, how is it going to affect my roller coaster riding? There are several different types out there with different types of restraints.

 

The doctor did have me try another pill that didn't seem to do anything. At one, I was taking 3 different pills, one that didn't seem to be helping after a couple of years. I'm down to two pills now and once the current dose of Actos is gone, I will stop taking that one leaving just one pill twice daily. I also take Humalog with my evening meal. The amount I take depends, on the amount of carbs I'll be injesting.

 

Weight is not a problem. At the onset of diabetes, I weighed 210 pounds and over a period of time, I lost 60 of them and have gradually reached 180, which personally, I'd like to lose 10.

 

There is a history of diabetes in the family. All type 1.

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Well, before you jump in and think the pump is the "cure" for you, there is a few things to consider:

 

1) How many blood tests do you do a day?

2) How does your body react to the humalog?

3) How often does your daily activity amounts change day to day?

 

I have been a type 1 for 34 years of my 38. I have seen technologies come and go over the years. A few years back I was looking into the pump, and the above three questions helped me decide on not getting it. My answers were:

 

1) On average, 2-4 blood tests a day, more often than not the two :thumbdown: I HATE taking blood tests, been doing it since I was nine. The other thing to consider is if you are only doing limited blood tests, don't fool yourself into believing that you'll suddenly start doing more. I have increased them numerous times, but always revert back to what I'm most comfortable with.

2) When on the pump, you basically go on a short term "fast acting" insulin. If the Humalog doesn't work for you as it is suppose to, them you may have to explore other insulins, but your limited to about three.

3) If you have basically a sedintry lifestyle with ocasional large bursts of energy, then the pump isn't the way to go (my adult life the last 4-5 years). As you know, too low blood sugar (hypoglycemic), is very bad, and very dangerous. The pump works on a program, which you will have to adjust frequently.

 

I wouldn't say don't get a pump, but saying you should really analyze why you have gone from type II to type I. I wouldn't want to see you spend the $1500-$3000 and about $250 a month on supplies if it doesn't fit your lifestyle. I do have a few friends who do have one, and works great for them. One plays hockey 3-4 times a week, so shouldn't interfer with the rollar coasters. They are about the size of a pager now, and the butterfly needle and shunt are pretty secure.

 

So, there is my two cents worth, but once again, don't take anyone else's word about it. Only you can decide if it is right for you, and if you actually can adapt to the changes that you will have to accomodate to use one.

 

Best of luck.

 

Steve

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Diabetes Type 2 cannot turn into type 1.

 

Type 1 happens when the body's defence(immune) system attacks and kills all the pancreatic cells that produce insulin. Insulin is essential so that the body can use the energy we eat. So for Type 1, injections are essential for life.

 

Type 2 diabetes is when the body makes less (but there is always some) insulin but the second and usually the biggest change is often that the body cells do not let the insulin transfer the sugar out of the blood and into the muscles and other cells as quickly as before (called insulin resistance).

 

All adults have less insulin over time and our cells don't let the insulin move the sugar. So with diabetes these changes are already exagerated and with time these changes progress whether or not you already have diabetes.

 

Even if you have a "perfect" diet and exercise everyday, the body has changed and most people need oral medicine to help keep blood sugar normal. But due to ongoing changes over time, a diabetic ( type 2) may need more (amount or kinds) medicine to keep blood sugar normal. Insulin is just one more option. In itself, insulin does not mean you have more severe diabetes nor do you become type1.

 

Both diabetes affect the body's ability to use sugar but they are not on one continum of severity.

 

frances

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An update:

 

Something that I forgot to mention in the initial post is that a sister of mine is and my mother were both type 1's. So diabetes does run in the family.

 

To answer some of the comments/questions in other replies:

From Wildone:

Well, before you jump in and think the pump is the "cure" for you, there is a few things to consider:

 

1) How many blood tests do you do a day?

2) How does your body react to the humalog?

3) How often does your daily activity amounts change day to day?

1) Normally, I do this twice daily, once in the morning and again before bedtime. If I happen to be in my office before lunch, I will take it before I eat. After todays appointment, at the request of the doctor, I will be taking a reading before my evening meal for a comparison reading to the bedtime meeting. More on this coming up.

2) There times that I know it's working as I can feel things changing, as in going down.

3) As far as daily activities, as stated in another blog entry, the past couple of weeks I've been doing some maintenance work which means more activity. Because of this, I don't take the 3 units of humalog in the morning. And a few times, it's been a good thing. Normally, I may spend a good part of my day in the office. There are days that I feel like a yo-yo where I'm in an out of the office all day.

With spring and summer coming, that means the amusement parks will be opening soon and I'll more to do on the weekend. And since the parks seem to like to spread the Coaster out in the park, that means more walking to get to them.

 

At todays appointment, it has been confirmed that I am a Type 1. The oral med's that I take aren't effective anymore. That will save me a few bucks on my co-pay on my Rx plan which ranged from $5 to $35 depending on the Rx.

 

Who knows, maybe the original diagnosis was wrong. But as the doctor said this morning, "The honeymoon period is over."

 

Jan

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Diabetes Type 2 cannot turn into type 1.

 

Actually, it can, but it is very rare. A type 2 is not immune to the autoimmune problem that is the primary cause of Type 1.

So, it is possible, and does occur on occasion, that a T-2 will become an adult onset Type-1. They will still have the high insulin resistance of a T-2, though. More commonly, a T-2 will become insulin Dependant when their pancreas finally fails, but that isn't the same thing as type-1, and they are not type-1's.

 

You are absolutly right in the there is no "progression" from type 2 to type 1: they are very different diseases.

 

An update:

 

With spring and summer coming, that means the amusement parks will be opening soon and I'll more to do on the weekend. And since the parks seem to like to spread the Coaster out in the park, that means more walking to get to them.

 

At todays appointment, it has been confirmed that I am a Type 1. The oral med's that I take aren't effective anymore. That will save me a few bucks on my co-pay on my Rx plan which ranged from $5 to $35 depending on the Rx.

 

Who knows, maybe the original diagnosis was wrong. But as the doctor said this morning, "The honeymoon period is over."

 

LADA's (Late onset adult type 1 diabetes) does indeed have a honeymoon period, and that could well be part of the cuase of your problems with humalog; your pancreas will, intermittently and unevenly, still have residual function.

 

If you have antibodies for T-1, and given that the orals are innefective, I'd say the original T-2 Dx was certainly wrong.

 

Sorry to hear about the T-1, Jan :hug:

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