Sunday, December 2, 2012

Whats the difference between type 1 diabetes and type 2?

Q. Hi everyone.
My boss just found out her 16 year old daughter has type 1 diabetes. We were all very sad to hear the news. Apparently she will be taking medication everyday for the rest of her life and she has a strict diet to follow. What's the difference between type 1 and type 2? Also, do people with diabetes have a tendency to be thin and lose a lot of weight because of their diet? Apparently before she was diagnosed, she lost 10 pounds within a month.

Thanks!

A. Type one is usually diagnosed early in life, from birth to around the age of 30. There are many theories on why and what happens to the pancreas in type 1. It is thought to be a viruse that attacks it at some point. There are more cases of type 1 in states that have cold weather. These people are always insulin dependent and must inject insulin sometimes up to 6 times a day. The pancreas does not make any (or very little) insulin. In type 2, it is usually diagnosed after the age of 35, but can develop earlier. With this type there are 2 things that can happen. The pancreas can be making lots of insulin but the body is not using it correctly (this is insulin resistance) or the pancreas is not making enough insulin. People with type 2 usually have to take some type or oral meds, but some take insulin, and some take both. There are some type 2's that can control their disease with diet and exercise for many years. Both types of diabetes can be genetic. Both types are caused by malfunctions of the pancreas and are not caused by the wrong diet, or being overweight. Both types of diabetics need to get daily exercise and watch their diets.


What are some psychological characteristics of type 1 diabetes?
Q. Hi.
Are there any psychological characters of type 1 diabetes?
So far I have : Higher risk for eating disorders, depression, and dementia/
What am I missing?

A. Even though type 1 diabetes is an autoimmune disease, I guess quality of life could be decreased in some people who have it. A major diagnosis that is going to affect you for the rest of your life frequently causes depression - both at the time of diagnosis and throughout your life due to dealing with the constant monitoring and care that type 1 diabetes requires.
I recently read a nursing journal article that young females with type one diabetes are at higher risk for anorexia nervosa due to the strict adherence of a 'diabetic diet' and it discussed insulin omission with this.

I haven't heard about the dementia one though - hope you're not right there!


What are the chances of my 2 year old daughter to develop type 1 diabetes?
Q. Both my husband and sister in law have type 1 diabetes. My husband develop type 1 diabetes when he was 5 years old, but his identical twin did not. His younger sister developed type 1 diabetes when she was 12 years old.

A. If a father has type 1, the child has a 1 in 17 chance of developing diabetes.
A child has a 1 in 25 chance of developing diabetes if the mother has type 1 and gave birth before the age of 25. Chances are 1 in 100 if the child was born after the mother was 25.
A child has a 1 in 7 chance of developing diabetes if the father has type 2 diabetes and was diagnosed befor the age of 50, chances are 1 in 13 if the father was diagnosed after the age of 50.
If both parents have type 2 diabetes, a child has a 1 in 2 chance of developing the disease.
This is just a tid bit of information that I got out of one of my diabetes magazines recently


What are the many factors contributing to getting type 2 diabetes?
Q. Why do you think so many more people are being diagnosed with type 2 diabetes in recent years than ever before? One of my guesses is all of the preservatives and junk that has been included in people's diets as more prepared foods have been in the markets, and fast foods.
Everyone had helpful information about diabetes factors. Thanks for the comments. :)

A. Diet does not cause diabetes.

http://www.mayoclinic.com/health/type-2-diabetes/DS00585/DSECTION=risk-factors
http://www.nlm.nih.gov/medlineplus/ency/article/002072.htm
http://diabetes.niddk.nih.gov/DM/pubs/riskfortype2/

http://www.diabetes.org/risk-test.jsp





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