Many of you only know about diabetes, but you don’t know that diabetes is also divided into type 1 and type 2. Today, Youdao Jun will explain the difference between type 1 diabetes and type 2 diabetes.
Type 1 diabetes
Type 1 diabetes is also called young-onset diabetes, because it often develops before the age of 35, accounting for less than 10% of people with diabetes.
Type 1 diabetes requires lifelong insulin therapy, which means that patients need to use insulin from the onset of the disease and use it for life. The reason for this is that the insulin-producing cells of the pancreas are completely damaged in type 1 diabetes, and thus the insulin-producing function is completely lost.
Type 2 diabetes
Type 2 diabetes is also called adult-onset diabetes, insulin-dependent diabetes and non-insulin-dependent diabetes. type 2 diabetes mostly develops after the age of 35 to 40 and accounts for more than 90% of people with diabetes.
Some patients even produce too much insulin in their bodies, but the effect of insulin is greatly reduced, which is often referred to as “insulin resistance”. Therefore, the insulin in the patient’s body is only a relative deficiency.
Differentiation between type 1 diabetes and type 2 diabetes
1. The difference between age
Most type 1 diabetes develops under the age of 40, and the majority of adolescents and children under the age of 20 have type 1 diabetes, with very few exceptions; most type 2 diabetes is in middle-aged and older people over the age of 40, and very few people over the age of 50 have type 1 diabetes. In short, the younger the age, the more likely it is to be type 1 diabetes; the older the age, the more likely it is to be type 2 diabetes.
2. The difference in weight at the onset of the disease
Most of the people who are obviously overweight or obese when diabetes occurs are type 2 diabetics, and the more obvious obesity is, the more likely to suffer from type 2 diabetes; type 1 diabetics are mostly normal or low weight before the onset of the disease. Whether type 1 or type 2 diabetes, after the onset of weight can be reduced to varying degrees, while type 1 diabetes often have significant wasting.
3, the difference between clinical symptoms
Type 1 diabetes have obvious clinical symptoms such as drinking, urinating, eating, etc., that is, “three more”, while type 2 diabetes is often no typical “three more” symptoms. type 2 diabetic patients due to clinical symptoms are not obvious, often difficult to determine when the disease, some only in Type 1 diabetic patients because of the clinical symptoms are more prominent, so they can often point out exactly when they start.
4, the difference between acute and chronic complications
In terms of chronic complications, type 1 diabetes is easy to complicate the fundus retinopathy, nephropathy and neuropathy, the occurrence of heart, brain, kidney or limb vascular atherosclerotic lesions are rare, while type 2 diabetes can occur in addition to the same as type 1 diabetes fundus retinopathy is often combined with hypertension. Therefore, type 2 diabetic patients with coronary heart disease and cerebrovascular accident opportunities far more than type 1 diabetic patients, which is a very obvious difference.
5, the difference between clinical treatment
Type 1 diabetes can only inject insulin to control high blood sugar, stable disease, oral hypoglycemic drugs are generally ineffective. type 2 diabetes is traditionally treated by a reasonable diet control and appropriate oral hypoglycemic drugs. In the Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes (2017 Edition), diabetes surgery has been validated and recognized by numerous clinical cases, and the complete remission rate of type 2 diabetes after surgery has reached 83%, and most patients can put down the glucose-lowering drugs and insulin that once needed to be “accompanied” for life.
Currently, conventional diabetes surgery is mainly based on gastric bypass surgery and sleeve gastrectomy, which is a minimally invasive laparoscopic surgery without opening the abdomen.
Altering endocrine secretion and improving restoration of one to cellular function.
Decreased absorption of dietary intake and reduced glycemic load.
Weight loss and increased insulin sensitivity.
alteration of intestinal flora to lower blood glucose.
Although type 1 diabetes and type 2 diabetes are both diabetes, the difference in etiology and the difference in treatment, we have to learn to differentiate between the two and treat them by type.
Of course, there may be a difference between the two through performance, and it is important for patients to go to the hospital to receive some detailed data testing to determine which one they really belong to.