How do they decide who has type I and who has type II diabetes?
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I was wondering how they find out a person (especially a child) has type 1 or type 2 diabetes. I know type 2 is uncommon in children, but how do they decide one or the other. My daughter doesn't really fit the description for type 2 in that she is very very thin, and eats healthy. If she does have type II could it be hereditary? My grandfather had diabetes, I only have gestational. She's already been to the doctor so I will know in a few days whether she has diabetes, but I was wondering if anyone knew how they determined one or the other. The only reason I question whether it's type 1 or 2 is because her fasting levels are normal, but after she eats her levels are higher than usual (which as I said we'll know in a few days whether she even has diabetes or is predisposed).
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Answer:
In type 1 diabetics, your pancreas does not produce any insulin at all, therefore requiring injections. Type 2 can be treated with medication. ------------------------ Not all type 1 diabetics are born with it. I didn't get diagnosed with diabetes until I was 31 years old.
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Other answers
WIth my husband they ran some blood tests to detemine which type he had. They knew he did not have type 2 becuae his body doesn't produce any insulin. He is technically diagnosed with adult onset type 1 becuaes he was 25.
Sm
They will run a c-peptide lab test to determine if she is producing enough, or any, natural insulin. For your information, weight is NOT what determines type of diabetes. Being overweight is only a risk factor for type 2, not a cause. Many thin people have type 2 diabetes.
Bolt
type one diabetics usually get it during their childhood or younger years in life and their pancreas' completely stop working, they have to take insulin shots and have different symptoms than type 2 type two usually will occur in a person's older years and can be caused by not exercising, being overweight, etc. their pancreas' work, just not very well. type 2 diabetics usually will take pills or sometimes shots
ringringhello
If she has Type 1 her fasting levels would not be normal. But the only way to determine that is the A1c and other factors in the blood work that the Dr is waiting on. She could have pre-diabetes, but it depends on how high when you say her post meal readings are high. It is normal for a non diabetic to spike slightly after meals.
The doctor will probably do blood tests to determine the type, a c-peptide or GAD antibody test would be the definitve answer, but chances are if she is a child it is probably type 1 (if it is diabetes at all). The fact that she is testing normal at some times during the day means you may have caught this really early and she still has some insulin production, this is a good thing! She'll need to take less injected insulin for a while, and she'll maintain some insulin production for a longer time if she is getting treatment (injected insulin). This is the honeymoon phase.
erin10009
I am going to leave an article that may answer your question.
Stephen
You're born with type 1. Type 2 is when you cause yourself to get diabetes.
Jango
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