Type 1 diabetes and Type 2 diabetes are not different levels of diabetes. Once you are diagnosed as either one or the other, you stay with that type of diabetes. No switching can occur.
If I had a nickel (well $20.00 bill) for every time I heard someone say, “Well so-and-so was Type 2 but now they are on insulin so they are Type 1,” I would be rich. Or at least be able to take my family out for a great dinner and some really good ice cream sundaes with all the trimmings, of course. This is just not possible or true.
MedicineNet.com explains both types of diabetes with great clarity. Type 1 diabetes is “an autoimmune disease that occurs when T cells attack and decimate the beta cells in the pancreas that are needed to produce insulin, so that the pancreas makes too little insulin (or no insulin). Without the capacity to make adequate amounts of insulin, the body is not able to metabolize blood glucose (sugar), to use it efficiently for energy, and toxic acids (called ketoacids) build up in the body.”
It goes on to explain Type 2 diabetes as, “one of the two major types of diabetes, the type in which the beta cells of the pancreas produce insulin but the body is unable to use it effectively because the cells of the body are resistant to the action of insulin. Although this type of diabetes may not carry the same risk of death from ketoacidosis, it otherwise involves many of the same risks of complications as does type 1 diabetes (in which there is a lack of insulin).”
Let me explain these definitions rather quickly.
Type 1=Autoimmune disease…Type 2=not Autoimmune disease.
Type 1=Body has NO insulin…Type 2=Body still makes it’s own insulin
Type 1=Death AND complications…Type 2=Death FROM complications
When a person is diagnosed with Type 2 diabetes, they are usually given exercise advice, nutritional counseling, and possibly a medication to help their bodies start using their insulin properly. Over time, their doctor will check their glucose levels and determine how this plan of action is working. If it is not working, then the doctor may prescribe insulin as a way for the patient overcome their own body’s insulin resistance.
This in no uncertain terms means the person has switched to having Type 1 diabetes. It simply means they are a person with Type 2 diabetes taking insulin as part of their plan to help stabilize their blood sugars. It is actually an insult to my five year old insulin dependent son to assume that anyone on insulin has Type 1 diabetes. He was not given the option of exercise first. There was no meal plan he could follow. He didn’t get to try any other drugs before insulin. He became insulin dependent the minute his sugar was over 1000 in the pediatrician’s office.
If you have Type 2 diabetes or you know someone with Type 2 diabetes that is taking insulin to help stabilize their sugar, then that is exactly what it is. You are, or they are, a person with Type 2 taking insulin to help stabilize their sugar.
There is no switching of the two diabetes (no matter what crazy Halle Berry said). You can bet if there was, I would sell my soul to switch my son from Type 1 to Type 2 diabetes so that he could exercise and eat his way to healthy stabilized blood glucose level.
