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Question: From Davenport, Iowa, USA: I am 40 years old and was diagnosed with diabetes about a year and a half ago. I was sick with a virus and for about two weeks, had no energy, and was tired and thirsty all the time. My doctor did a blood tests which showed high blood sugar. I was put on Glucophage [metformin] for about two weeks then changed to Amaryl for about a month. At the time of diagnosis, my hemoglobin A1c was 7%. I continued to lose weight, about 40 pounds in one month. I am overweight and African American. I was sick with a virus or stomach flu and produced a large amount of ketones when my blood sugars were only slightly above 200 mg/dl [11.1 mmol/L]. My doctor then started me on insulin, and I have been on the insulin pump for about 10 months. My HbA1c is 6.8%, and I have very good control. My doctor feels I am a type 1 because of the small dose of insulin I am on. I currently take anywhere between 18-20 units a day on the pump, despite being overweight. Could this be possible? I did not think overweight people could get type 1. Answer: The small dose of insulin does speak to type 1 diabetes over type 2 diabetes. I believe we see people who have both type 1A (autoimmune) and, in a person with a family history of type 2 diabetes, some insulin resistance. It is reassuring you only need a small amount of insulin. Other antibody tests are available for testing for markers of type 1 diabetes. You can also test for residual insulin or C-peptide secretion as a way of diagnosing type 1 diabetes. JTL DTQ-20010211224003 Original posting 27 Feb 2001 Posted to Diagnosis and Symptoms

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:17
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