In a case of a 30 year old female diabetic, how likely is it to be type 1 vs. type 2?

Answer 1

I think that someone can be type 1 and 2. The question is whether they are insulin deficient or insulin resistant. I hate thinking about things in black and white (He has purely type 1 and she has purely type 2) because in medicine things always occur on a spectrum. Lets say you have a low grade auto immune disorder and your insulin production is decreased because of slow gradual lost of Beta cell function over time. Wouldn't this be a type of type 1 dm. And lets also say that you get a bit overweight and become insulin resistant. So for the first 30 yrs of life, you had enough insulin production but because you put on the weight you also become insulin resistant. Then wouldn't you be type 1 and type 2 diabetic. Remember life is never always that clear and simply. The important thing is to diagnosis the diabetes early and control it so to prevent complications down the line.

Answer 2

1

Answer 3

2

Answer 4

It's is most likely (90%) that you have Type 2 diabetes. Type 1 diabetes is an auto-immune condition that shows up around the age of 10 or so. Although there are cases that can occur in adults in their 30s and 40s. The incidence of Type 2 diabetes far outnumbers type 1 diabetes.

Are you overweight? If so, this makes it even more likely that it is type 2.

Have you had any other auto-immune diseases like Graves disease, Hashimoto's thyroiditis, Systemic Lupus Erythrematosus, Addison's Disease, etc.? If so, it is possible that you've developed type 1 diabetes.

Are you an alcoholic? Have you ever had pancreatitis? If so, you could have problems with your pancreas that would decrease your insulin production.

Do you have cystic fibrosis? Patients with cystic fibrosis tend to have chronic pancreatitis.

Answer 5

Type 1 is called juvenile onset diabetes, hence the onset early in life. type 2 is also called adult onset diabetes. type 1 is generally genetically linked ( passed down from generations ) and is caused from the lack of working pancreatic cells- beta cells are not working.

type 2 is generally associated with "insulin resistance" in which your pancreatic cells do not produce enough insulin for the demand, but they are working. Often, type 2 people are overweight, poor diet and inactive. Some have other contributing factors such as high blood pressure. Type 2 can be reversed by losing wt, healthier diet and becoming active because you still have cells that are working. Type 1, there are no working cells.

Answer 6

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Answer 7

type 2 is more common overall so type 2 is the most likely overall. but for an individual, it doesn't really matter because the one you have is the one you have. mostly depends on your lifestyle, weight before symptoms developed (both cause weight loss if poorly controlled or prior to diagnosis. your doctor can run tests to determine which type. C-peptide is one test.

type 2 is also now widely considered to be genetic. it's unfortunate that people think it is only life-style induced. it is genetically predisposed. lifestyle can play a role in it's development, but there are thin active type 2 diabetics.
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Type 1 can develop in adulthood, it's not just for kids!

types 1 and 2 are the correct terminology.

Answer 8

Type 2 is much more common and is usually brought on by weight and poor diets and lack of exercise. Type 1 can affect anyone and while it usually develops before age 25, it is possible to develop at any age. At 30 I would say type 2 is more likely, especially in people who are overweight.

Answer 9

At age 30, I'd say the chance is 50/50. If it was 15, I'd say 99.9% type 1, age 40 99.9% type 2. 30 yrs is right at the end of typical age for type 1 and right at the beginning of typical age for type 2. So, without more information (body habitus, symptoms, family history, etc.) I'd say 50/50.

This all assumes new onset, of course.

Answer 10

If it is newly diagnosed, Type 2 is most likely. If morbidly obese, the person may reuire insulin altho this is not usually the case w/ Type 2 diabetics.

However, if the person is very thin, and has been having symptoms (excess thirst, hunger, urination) for awhile, it could very well be Type 1, requiring insulin.