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My Numbers Have Been Good Fasting At Night Does Not Show Much Improvement. Any Suggestions?

A DiabetesTeam Member asked a question 💭
Oxford, PA
November 9, 2020
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A DiabetesTeam Member

Type 2 doesn't "progress" to Type 1. They are two way different diseases.

Type 1 is an auto-immune disease where your own body attacks your pancreas and destroys it's ability to produce insulin. It usually occurs prior to age 20 although there is a "late onset" (as late as early 30 years of age) that initially presents as Type 2 but is actually just a slow auto-immune (sometimes called type 1.5 or LADA - Latent Auto-immune Diabetes in Adults.

Type 2 is a metabolic disorder. It occurs when you develop insulin resistance, lowered insulin production or a combination of the two - there is Five different Sub-Types of Type 2 depending on (your) specific deficiencies but NONE are auto-immune.

In late stages (in some people) you may stop producing insulin all together "like a Type 1" but since it is metabolic and NOT Auto-Immune then it is still Type 2 "technically".

While both conditions require Insulin injections to survive I realize that the terminology is just splitting hairs, but Type 2 does not progress to Type 1 - two very different diseases with potentially the same results.

Then there is a Type 3 diabetes. One of the complications of diabetes, type 1, 2 and LADA, is if it's uncontrolled it destroys small blood vessels (consistent blood sugars over 8.7 or 157 depending on the system you measure with). If that vessel damage occurs in the brain it causes "Diabetes Dementia". If that exists with any type of sub-type of Diabetes it is categorized as Type 3.

So if a Doc ever tells you that your Type 2 has turned into Type 1 and you are over age 30, they are technically "incorrect" unless they figure you won't be able to understand what actually happened and that's the easiest way to explain "why you need insulin all the time".

January 1, 2021
A DiabetesTeam Member

I have progressed! My Endo say's I'm type 1 now, and looking into insurance for a pump! Hooray Progress!

November 18, 2020
A DiabetesTeam Member

If nothing else has changed then your Diabetes has progressed "a little".

Being a progressive disease that "tends" to get worse over time sometimes you can do everything the same and it's just no longer enough to keep you at the same (levels).

While your fasting numbers are slightly elevated compared to what they were, that may or may not indicate you need some intervention (medications/medication adjustments) to bring them back to where they were.

Depending on your age and other conditions it may not be worth trying to do anything about the slightly elevated numbers at this time (which are still in what anyone would regard as a decent range).

Did your doctor give you a "fasting range"? Are you still within it? If so, then do keep an eye on things. If you are now going out of range then certainly discuss it with your Doc to determine if you need to do something about it.

November 11, 2020
A DiabetesTeam Member

Here is the story, for months my first reading in the morning was between 106 and 128. Have not changed anything. Now morning readings are120 to 140
Pre dinner numbers 98 119.
My daily average is 119 for the last 30 days

November 11, 2020
A DiabetesTeam Member

Does not show much improvement with "what"? Your fasting numbers (FBS), A1C, post meal numbers (PPG), how you feel, energy levels etc ???

I will take a stab at giving you an answer or a bit of advice but don't really understand your question.

November 9, 2020

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