In a case of a 30 year old female diabetic, how likely is it to be type 1 vs. type 2?
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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.
Other Answers:
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.
If she just acquired it, likely Type II. Type 1 Diabetes is a genetic disease. Type 2 Diabetes is a lifestyle induced disease.
I'm not a doctor, nor do I play one on TV. However, most adults develop type 2 diabetes. The only way to know for sure, though, is to see a doctor.
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.
Type 1 usually shows up in childhood while type 2 is usually adult onset. Although, type 2 is now showing up in children. type 1 is diagnosed in children and young teen so you are more likely to get type 2 then type 1 its abnormal to get diagnosed at 18 years with type 1
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.
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.
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