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[IP] Re: Type 1, Type 1.5, Type 2 diabetes

The World Health Organization does not recognize the term "Type 1.5" diabetes,
it's either Type 1 or Type 2.  It is an unfortunate term, often used on adults
with Type 1 autoimmune diabetes, but if you are antibody positive at whatever
age you have Type 1 autoimmune diabetes.  A new book, "Type 1 Diabetes in
Adults: Principles and Practice" (Informa Healthcare, 2008) says that
adult-onset autoimmune diabetes is two to three times more common than classic
childhood onset autoimmune diabetes (p. 27).  The U.S. medical community has
been slow to recognize this, and Type 1 diabetics diagnosed as adults are
often misdiagnosed as having Type 2 diabetes (a different disease clinically
and genetically).  This often leads to undertreatment, which hastens the onset
of complications and causes needless suffering.  Long and short, if you are
diagnosed as having Type 2 diabetes but don't fit the typical profile, get
antibody testing and a c-peptide test.  It is important to get appropriate
treatment for the disease you have.  [The Expert Committee on the Diagnosis
and Classification of Diabetes Mellitus states, "Although the specific
etiologies of Type 2 diabetes are not known, autoimmune destruction of
beta-cells does not occur."]  Then as Insulin Pumpers will tell you, see if an
insulin pump is the right thing for you.
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