Can Type 2 Diabetes Turn Into Type 1 Diabetes? (A New Diabetes)

Hello! Well there’s a question that I get
asked often on my blog and the question relates to both type 1 diabetes and type
2 diabetes and the question usually is can type 2 diabetes turn into type 1
diabetes? Interesting question, isn’t it? Interesting! I’ll seek to answer that
question in this video plus I also want to talk to you about a new type of
diabetes in town. It’s not well known but it is becoming widespread. All of that is
what’s coming up shortly. You stay tuned I’ll see you in a couple of seconds Welcome back. I’m Dr Joe of Now, if this is your first time on this channel, can I extend a warm
welcome to you. This is your home of 20/20 ideas to better health.
So, if you haven’t subscribed yet please do subscribe and also please not forget
to click on the notification bell because that is how you get notified of
future videos that I make. So, in this video I want to answer the question:
can type 2 diabetes turn into type 1 diabetes? It’s an interesting question. I
get asked often and I want to talk to you about it in this video. Now, this
video is going to be fact-heavy but don’t worry about it. I just want you to
use this video as a reference video for your type 1 and type 2 diabetes
knowledge. So, you can always refer back to it at a later date and I also give
you some salient points to take away in the course of watching this video. In the
later part of this video, I talk to you about this new type of diabetes that is
in town. It’s not very popular. It’s not well known but it is ravaging through a
particular age group of our population So, let’s get on with the presentation. So
yes I want to use this opportunity to talk about something that’s been going
on on the Internet where conversations have centered around type 2 diabetes and
type 1 diabetes and there’s been some conflation between the two. They seem to
be insinuating that that Type 2 diabetes does turn into type 1 diabetes over time. So, I
want to talk about it today. Now the premise of this belief is that; if you
have type 2 diabetes and you are on insulin that could result in type 1
diabetes later on. Now, I want to be upfront here and actually confirm that;
that is not true. It is a myth because here’s what happens. Most cases of type 2
diabetes are actually diagnosed in adults that is true. If you noticed there, I
underlined the word most. That’s because you know most of the cases are usually in
adults but that is not to say children do not develop type 2 diabetes. In actual
fact as of today, the incidence of type 2 diabetes in children is actually going
up and the reason for that is because of the high consumption of processed foods
and high fructose foods that we actually eats today.
Conversely, most type 1 diabetes cases easily diagnosed
children but that is not to say that adults don’t develop type 1 diabetes
because they do. But most cases are usually diagnosed in children. The
assumption when a diagnosis of diabetes is made in an adult is that, that adult
has type 2 diabetes because one thing we say medicine is that; “common things are
common” so because type 2 diabetes is more
common in adults, if the diagnosis is recently made then we have to assume
that you’ve got type 2 diabetes until proven otherwise. So, what are the tests
that I used to diagnose type 2 diabetes? Well, there are 5 tests. One of them
is; oral glucose-tolerance test. This is a test that requires being fasted
overnight and when you come in the morning, a sample of blood is taken from
you and that’s a fasting sample and then you’re given a sweet drink and 2 hours after you’ve had
the sweet drink, another sample of blood is taken from you to check your blood
glucose levels. So, that’s one. Another one is fasting blood sugar. As the name
implies, that’s a tests that just checks your blood sugar levels having fasted
overnight. The 3rd one is 2 hours post-meal blood sugar and the 4th one
is random blood sugar. As the name implies, it’s done randomly and the 5th
one is, hemoglobin a1c. This is another popular test. The hemoglobin a1c is a
test that checks your average blood sugar levels in the last 90 days or
thereabout. Now, the 2 most popular tests amongst all these five tests are the
fasting blood sugar and the Hba1c They’re the 2 tests are usually
done to diagnose type-2 diabetes. The oral glucose tolerance test, we tend to
use more in pregnancy to diagnose what we call gestational diabetes which is
simply diabetes in pregnancy. Of all the 5 tests, the least reliable is random
blood sugar test because as the name implies is random and you may just have
had 4 donuts before the test is done and your blood
sugar level may be high but that is not to say you are truly diabetic. So, what about
type 1 diabetes? What tests are used? Well is essentially the same block of tests.
So, as you can see, it’s very easy to mis-diagnose one for the other
especially in an adult. Now can you test for type 2 diabetes at home? Well, you
absolutely can! Indeed, I always advise anybody who subscribes to my channel to
actually do a diabetes home test. It’s a very
simple test. All you need is a glucose meter. I’m going to leave links below if
you don’t have one. Do the fasting blood sugar because that’s the easiest to do.
You can do the 2-hour post-meal but just do the fasting and if it is
positive, then you need to see your doctor to validate and confirm the test. Especially
if you are somebody who’s got high blood pressure,it is imperative that you do
the tests. So as you can tell from what I’ve said earlier on, the similarity of
the diagnostic methods used for both the type 1 and type 2 diabetes tests can
actually lead to misdiagnosis. Mainly because we tend not to do the
confirmatory tests for type 1 diabetes routinely and what are these
confirmatory tests? Well, there are two types. One of them is the c-peptide test
and the other is the islet cell antibody test. I just want to say a word or two about the
c-peptide test. The C-peptide is actually a substance that is released
alongside your insulin and usually by the same amount as well. So, say for
instance, if your pancreas pushes out 30 units of insulin in the last 24 hours,
you’re gonna have a similar amount of C peptide in circulation because the
insulin tends to get degraded a lot faster than the c-peptide. The
c-peptide tends to outlive and outlast the insulin, so when the insulin is long
gone the C-peptide that was released
alongside it, is still persisting in circulation. So checking the c-peptide
levels is a very good way of gauging how much insulin your pancreas has been
pushing into circulation in the previous 24 hours. That’s why it’s a very good
test. As for the 2nd test, the islet cell antibodies; if we find antibodies
against islet cells in circulation, that is confirmatory of type 1 diabetes.
So, from what I’ve just said, the c-peptide test is actually a useful
test that can be used to either confirm type 1 diabetes or even type 2 diabetes.
Because if your c-peptide levels are very low, despite the fact that you’re
eating, that means your pancreas hasn’t been responding to stimulation from the food
you’re eating and that is typical of type 1 diabetes because in type 1
diabetes you are making very little or no insulin at all as opposed to type 2
diabetes where your c-peptide level will be high because in type 2 diabetes
you’ve got insulin resistance. So, your pancreas tends to push out lots and lots
of insulin in response to the high blood sugar levels. But because your cells are
resistant to the insulin, they don’t respond at all. So high c-peptide
levels are highly suggestive of insulin resistance which is type 2 diabetes. And very
low c-peptide levels are highly suggestive of type 1 diabetes. So the bottom line here
is that; type 1 diabetes can actually be misdiagnosed as type 2 initially because
of the reluctance to do confirmatory tests and also the assumption that if
you are an adult and you’ve been diagnosed as diabetic then we just
assume you’ve got type 2 diabetes. But this misdiagnosis can actually be
corrected later on. But that is not to say when this misdiagnosis is corrected,
that is not to say that type 2 diabetes has now turned into type 1 diabetes. This
is the conversation that has been going on the internet and people tend to be
driving the view that type 2 diabetes does become type 1 diabetes later on.
That is not true and that is one reason why I decided to do this video. So, the
salient point here is this: You can develop type 1 diabetes or type 2
diabetes at any age. Another point to note is that type 1 diabetes will always
need insulin Conversely type 2 diabetes may not
necessarily need insulin. They tend to start off with oral medications and if
the oral medications are not effective then insulin may be introduced at a later
date. Another point to note here is that, type 1 and type 2 diabetes are two
distinct diseases. Having said all of that, I have to say there’s a new kid in
town and his name is latent autoimmune diabetes in adults or LADA for short or
as some of us prefer to refer to it as type 1.5 diabetes. LADA is smack
bang in the middle of type 1 diabetes and type 2 diabetes. So it behaves a
little bit like type 1 diabetes and a little bit like type 2 diabetes as well
because it is in the middle. Lada is slower in onset than type 1 diabetes but
at the same time it is faster in and type 2 diabetes because it’s
behaving like the middleman. Another characteristic of LADA
is that, it tends to be diagnosed more commonly in the 30 – 50 year-olds. That
is not to say, a 60 year old cannot be diagnosed with Lada, just like a 25 year
old can also be diagnosed with LADA but so far it seems to be more common in
the 30 – 50 year olds. Another characteristic of Lada is that it tends to
be more common in people who are of normal weight. People within the normal
BMI range. Indeed if you’re normal weight and you have diabetes as an adult, that
should raise the index of suspicion for your doctor and he should be wondering
whether you actually have type 1.5 diabetes as opposed to type 2. So, LADA
is not common in overweight people as tends to happen with type 2 diabetes. Now,
because LADA is a type 1.5 diabetes, we have noticed that most
LADA sufferers tend to start off with oral medications but they do move
quickly on to insulin faster than a typical type 2 diabetic. That’s just a
peculiarity of the type 1.5 diabetes. At the moment, this is how much
we know about LADA but research is still ongoing and only time will tell if
the management of Lada is going to improve as time goes on. So, that’s it.
Hopefully you’ve learnt a lot from this video. Now, if you’ve enjoyed this video as
usual give it a ‘Thumbs-up’. Please share this video with your friends, family and
colleagues. If you haven’t subscribed yet, please do subscribe. If you’ve got any
questions, any comments, please leave them down below as usual. I think that’s about
it. Until next time, well, this is Dr Joe signing out

8 thoughts on “Can Type 2 Diabetes Turn Into Type 1 Diabetes? (A New Diabetes)

  • Yeees! First here, i had type one over 15 years taking insulines of various types, but thank God it turned to type two and i take just metformine 850 mg

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  • So in 1.5 diabetes is there any antibodies, or low C-Peptide? What actually defines it medically? Thank you. You also need to discuss type 3 diabetes, insulin resistance of the brain next!

  • I had a look at gp's blood test form and C-peptide test is not listed.
    Does that mean that our NHS does not provide this test?
    That being the case, where can I get the test done?
    Also, do I need it in the first place as it seems that if the results are high then you are T2 and low indicates T1, but what I want to know is that having been on WFPB diet, have I still got the insulin resistance?

  • It's Thanksgiving today in the USA. So, with gratitude, I thank you for bringing more knowledge, information, smiles and health awareness into my life.

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