Hi folks –
I’m newly diagnosed as of mid-Dec, probable type 1. I am 39, have never been overweight, eat reasonably well (vegetarian for a long time) and am quite fit. Or at least I was until I started feeling like crap and losing weight for no reason and and and… you know the drill. Fasting glucose 254, A1C 11.5 at diagnosis.
Complication: I was diagnosed while temporarily living away from home. So I saw Endo #1 about 3 times, and will see Endo #2 (at home) in a couple of days. Because of the move etc., I haven’t had the kind of full on education some of you have had – e.g., I have not seen a dietician yet, or been taught to carb count (I’m doing really well figuring it out, though.)
I say “probable type 1” because that’s what my dr said. No family history, no obesity, and GAD test positive. I think islet test was negative. I don’t know about C-peptide; I do know that my “serum insulin” was <2.
OK, so here’s my question: if I’m going to be insulin dependent, what DIFFERENCE does it make whether I’m type 1 or type 2? (I know many type 2s are insulin dependent.) Is there an actual medical reason that we are all obsessed with this distinction? Or is it just the sociological stuff that is behind the occasional type 1 vs. type 2 squabbles? I.e., that type 2s allegedly “did it to themselves” and type 1s didn’t?
I’m not immune to that stuff. I will flat out confess that I want to be type 1 because then I know that there is no sense in which it is my fault. I don’t actually endorse that attitude. But I will admit that I feel it.