Always annoying. Another person that doesn’t understand the difference. He obviously has heard that a type 2 often progresses to needing insulin and needing insulin must mean you become a type 1. It’s one of the reasons I want a name change.
It’s sort of understandable, the confusion arises from the conflation of “type 1” and “insulin dependant”.
Probably better to refer to the distinct entities as distinct diseases with different causes and able to be treated without insulin in many (but not all) cases of type 2 and never without insulin with type 1.
Talking about things you don’t understand seems to be the modern reality.
Back 200 years ago no one knew there were 2 distinct diseases with totally different disease processes.
I can forgive people who came up with the term to cover anyone who has glucose spill into the urine.
It’s harder to give a pass with so much knowledge out there. It’s not as complicated as it appears to be.
I agree we should dump the term completely.
I have autoimmune islet cell failure.
Or Islet cell failure w/o autoimmune disease
Or you have insulin resistance.
Or insulin resistance paired with later stage insulin insufficiency
Geriatric insulin insufficiency
It could just be that easy. But old habits and labels die hard
Problem with going back to juvenile diabetes - many adults presenting with classic T1D symptoms will be mis-dx’d with T2D and many insurance company claims people think that adults with T1D are to old to have T1d - after all “it’s a childhood illness that you grow out of” I wish T2D would be renamed to “insulin resistancve” sijnce that is the hallmark of T2D.