We may need more to go on.

have older child 25 that has informed us he has diabetes.
now the doctor could not say what type it was as it did not fit type 1 or 2
as you could be aware i have not got full details.
hes a bit of a fitness dude and eats very well and lots of exercise.
he’s a body builder/gym type dude.

and thoughts

There are blood tests that can help differentiate. Really he should see an endocrinologist (diabetes and other hormone specialist) to work it out for sure.

Type 1 is usually related to the immune system attacking itself and the body doesn’t make enough insulin. Usually it develops in childhood, but I’ve seen someone develop it in their 70s.

Type 2 is not related to the immune system. For whatever reason, the body stops responding to insulin – usually the pancreas makes more insulin than usual for a while, then it gives up. This generally happens in older, fatter people, but now occurs even in children.

Type 1 always end up needing insulin injections, but some people take longer than others to need insulin – so-called ‘honeymoon period’. I’ve seen some very fit young people with type 2 diabetes in whom you wouldn’t expect it. Type 2s often end up needing insulin, but some can be controlled just with diet, or with tablets.

The reason you need to be certain which type it is, is that if for some reason he needs to fast, eg for an operation, without insulin type 1s can become very crook, and even die, whereas type 2s can go without injections sometimes.

There are blood tests that can help differentiate

has had but seems to be inconclusive ?

is on insulin injections

Has to be asked – he hasn’t been taking any steroids, has he? Some of those buggers can set off diabetes-like things. (I know, because it happened to me,)

Usually you can work out pretty well whether they’re 1 or 2, if you do the right tests.

If people have really high sugars at the beginning, we often start insulin to get their levels good, and then gradually cut down.

Geoff D said:

Has to be asked – he hasn’t been taking any steroids, has he? Some of those buggers can set off diabetes-like things. (I know, because it happened to me,)

:)

as i was thinking :(
any more info Geff D

robadob said:

Geoff D said:

Has to be asked – he hasn’t been taking any steroids, has he? Some of those buggers can set off diabetes-like things. (I know, because it happened to me,)

:)

as i was thinking :(
any more info Geff D

Steroids can put people’s sugar levels up. Even if they go back to normal later, it still means they have diabetes. Sugars should improve after stopping, but not always.

OCDC said:

Usually you can work out pretty well whether they’re 1 or 2, if you do the right tests.

If people have really high sugars at the beginning, we often start insulin to get their levels good, and then gradually cut down.

I may not be getting whole story off him so im not sure,
been tested but he could not say if it was 1 or 2

robadob said:

OCDC said:

Usually you can work out pretty well whether they’re 1 or 2, if you do the right tests.

If people have really high sugars at the beginning, we often start insulin to get their levels good, and then gradually cut down.

I may not be getting whole story off him so im not sure,
been tested but he could not say if it was 1 or 2

Try to convince him to see an endocrinologist – he might not tell you or the endo everything, but the blood tests tend not to lie (sometime they do, but in a predictable manner so one can correct for it).

see a endocrinologist

should his doctor tell him this?

Hope he gets it sorted, robadob. I’m one of the luckyish ones who can control mine by watching what I eat and drink. But it did go mad when I was on prescribed steroids which were, I admit, at much higher doses than would normally be prescribed..

robadob said:

see a endocrinologist

should his doctor tell him this?

Some GPs don’t, but my opinion is that newly diagnosed people should see a specialist to work out for sure exactly what type of diabetes they have, unless they’re old and fat with sugars that aren’t particularly high. Young people with diabetes should have decades of diabetes ahead, which is a long time to try and avoid complications (for example, in Victoria, and probably most of the developed world, diabetes is the main cause of kidney transplants).

robadob said:

see a endocrinologist

should his doctor tell him this?

His doctor should refer him to an endocrinologist, yes.

OCDC said:

robadob said:

see a endocrinologist

should his doctor tell him this?

Some GPs don’t, but my opinion is that newly diagnosed people should see a specialist to work out for sure exactly what type of diabetes they have, unless they’re old and fat with sugars that aren’t particularly high. Young people with diabetes should have decades of diabetes ahead, which is a long time to try and avoid complications (for example, in Victoria, and probably most of the developed world, diabetes is the main cause of kidney transplants).

Dr Mark immediatel called in an endocrinologist when my sugars went crazy on the first day of chemo.

I saw an amazing lady one day. It was her first clinic visit, three months after diagnosis. Her HbA1c went from >10 to <5 in that time!

OCDC said:

I saw an amazing lady one day. It was her first clinic visit, three months after diagnosis. Her HbA1c went from >10 to <5 in that time!

i want what she’s having…

stumpy_seahorse said:

OCDC said:

I saw an amazing lady one day. It was her first clinic visit, three months after diagnosis. Her HbA1c went from >10 to <5 in that time!

i want what she’s having…

A functional pancreas…

more info

got tested , finger prick come up as 31 , 11 show diabetes

fasted went back 17

but if it was type 1 there should have been KREITEN ? in his urine but there was none
?

robadob said:

more info

got tested , finger prick come up as 31 , 11 show diabetes

fasted went back 17

but if it was type 1 there should have been KREITEN ? in his urine but there was none
?

The sugar level itself doesn’t indicate which type it is. I’ve seen up to 80 before.

I think you mean creatinine.

creatinine. :)