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Question: From Denmark: I was diagnosed with type 1 diabetes because I had DKA [diabetic ketoacidosis] at the time, but recently I had a C-peptide level of 1520 (Normal: 200-700) so they rediagnosed me with type 2. I have been on insulin and am having a hard time losing weight. What should I be asking my doctor? Should I try the move to pills? I'm just lost now, because all this time I've read up on type 1 diabetes, and now it's overwhelming all over again. Answer: I would slow down and consider what this really means. With type 2 diabetes, and the prospect of residual insulin production, you have the prospect of having better blood sugar control than if you did not have residual function. It is not a quick fix to switch to a pill. Remember that glucose targets are similar, whether you have type 1 or type 2 diabetes. The usual process I go through with patients is trying to decrease the insulin as much as possible. You can be started on a drug, such as Glucophage [metformin], and decrease the insulin as tolerated. The insulin is not immediately stopped. However, decreasing your insulin dose may allow you to lose weight more efficiently. I would say this is not bad at all. Those who have residual insulin secretion have a better chance at good glucose control. I recommend you speak with your physician more about this. JTL DTQ-20020407103606 Original posting 29 Apr 2002 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 15:09:32
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