I finally got a solid diagnosis right before Christmas, after first being diagnosed as “some kind of diabetic” right before Thanksgiving. I’m a Type 2, but because my insulin production is at the very lowest side of normal according to a c-peptide, doc has informed me that my pancreas is going downhill and I will probably be totally insulin dependent within a couple years. I asked if that meant that I’d be Type 1 at that point, and he said “no, you’ll be an insulin-dependent Type 2.”
OK, great! But what does that mean? I’m lucky in that I don’t have the struggles with weight and exercise that a lot of Type 2s have - I’m not overweight, I’ve exercised regularly for many years, and going lower-carb hasn’t been too difficult as I’ve always tried to eat whole-grain unprocessed food. I almost wish I had a few pounds to drop because I’d love to have some hope that I could control this without insulin, but endo pretty much said it’s not gonna happen, at least not to the level it needs to be (even eating next-to-no carbs in a day and 2000 mg metformin, I rarely see <200 blood glucose, I’m taking Lantus now once a day and hopefully will get better control soon!)
Sooo… not too many lifestyle changes I can make, and I am making the ones I need to (that is, I’m resisting the Christmas cookies, and eating fewer carbs in general). What else do I need to concentrate on as a Type 2? Or should I just assume that despite the name, the advice given to Type 1s apply more to me, or at least will when my pancreas totally goes kaput?