What are the stages of Diabetes, if any?

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What are the stages of Diabetes, if any?


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Old 03-14-2013, 09:34   #1
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Default What are the stages of Diabetes, if any?

Hi All,

I have often wondered if diabetes can be classified into broad stages. I tried looking it up online, but I couldn't find conclusive results.
For example, If I were newly diagnosed, would I be in stage 1? and so on..



Please leave your comments for discussion!
Much appreciated!


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Old 03-14-2013, 15:27   #2
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Diabetes is a complex set of conditions sharing a common primary symptom - that of elevated blood glucose.


The two main causes of this are
  • An inability on the part of the body to produce sufficient insulin for the needs of the body. Generally this is an auto-immune condition and requires insulin to be administered. It is usually something that develops at a fairly young age. It is variously described, depending on the current fashion, as Type 1 or Insulin dependent diabetes.
  • An inability on the part of the body to use the insulin it produces. This is a condition usually known as insulin resistance. This condition tends to develop later in life. It is usually described as Type 2 or Non Insulin Dependent Diabetes. This latter name is unfortunate since over time, insulin production can fall to a level where it is required and the patient should then be described as "insulin dependent Type 2" - As there are no antibodies present to destroy the insulin producing cells, the patient isn't type 1.
That's the two main categories but there are many subtle - and some not so subtle - combinations of the two issues making the management of the condition quite difficult at times.

You will find this site quite helpful in gaining an insight into the condition Blood Sugar 101.

Please note that this forum is intended to provide a support mechanism for diabetics. We do not allow the use of our membership as a research resource for academic or sales purposes.

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Old 03-14-2013, 15:37   #3
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I tried to break this down in stages once before just out of curiosity to try and figure where I fit in as a Type 2

1, Insulin resistance, increase insulin supply, no change in BG level
2, weight gain, impaired digestion
3, Insulin resistance increasing, cells demand more food, so hunger increases
4, Beta mass (insulin) can no longer keep up with demand, BG starts to rise
5, Glucotoxicitiy destroys Beta mass due to high glucose levels
6, Most are diagnosed at the above stage (5).

This was just my own theory on things.

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Old 03-14-2013, 15:41   #4
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MCS has just outlined Type 2 stages pretty well!

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Old 03-14-2013, 21:09   #5
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My stages were:
- diagnosed prediabetic with A1C of 6
- changed to low carb, high fat diet
- don't have to worry about the rest of the stages because they aren't gonna happen!

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Old 03-16-2013, 20:54   #6
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I'm with Silvertiger as to my particular "stage". As soon as I was dx pre-D, I began researching, and lowered my carb intake drastically. I'm still pre-D, after 3 years.

But if you look at MCS's stages, I was definitely 1-3, and probably caught as pre-D in the beginning of 4. I've been insulin resistant since high school, and been slowly but steadily gaining weight since then. I had IR and PCOS for YEARS before I was dx with pre-D. My pre-D dx did not surprise me; it did give me a needed wake-up call that I would continue to ignore the IR at my own peril.

I thank God that my primary Kaiser Permanente physician included FBG and A1C in a regular blood-work lineup for my physical (and that I get a physical every five years or so!). I could easily have not been diagnosed for years... as I continued to overeat carbs and my metabolism continued degenerating until there was enough damage to show symptoms of T2 Diabetes.

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Old 03-16-2013, 20:57   #7
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Another thought:

Even within these "stages" you can be at the lower or the higher end of the stage. Sometimes there are things you can do at the lower end, changes of medicine and lifestyle, that can help you avoid degenerating to the next stage. Other times, there's already so much damage that there isn't as much you can do.

That being said, it is YOUR disease, and while each person is different in exactly how D affects them and how "bad" (or uncontrolled or brittle) their D is, there are some basic things that seem to work very well for almost every Diabetic, in whatever stage they're in.

Those lifestyle choices, for lower carb and more exercise, work pretty much across the board hand-in-glove with any other medicines and things that you and your care team work out.

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Old 03-16-2013, 21:04   #8
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Quote:
Originally Posted by justcurious View Post
I have often wondered if diabetes can be classified into broad stages. I tried looking it up online, but I couldn't find conclusive results.
For example, If I were newly diagnosed, would I be in stage 1? and so on..
Please leave your comments for discussion!
Much appreciated!
Now then, justcurious; how about you answering some questions for us? Since you said 'if you were newly diagnosed' I have to assume you are not diabetic. If you are not diabetic, what are you, besides 'just curious'? What brings you here? There are scads of discussions here that would be beneficial to anyone wishing to bone up on managing diabetes. This forum is a life-saving venue for many of us, but it isn't a research library for others who have nothing at stake. Please lay your cards on the table and tell us why you expect us to take the time to respond here.

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Old 03-17-2013, 22:15   #9
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My states were:
Pronounced diabetic
Diabetes controlled with Glucovance
Diabetes (me)in denial
Diabetes out of control
Diabetes controlled with Lantus
Diabetes controlled with Lantus and Humalog(advanced diabetes)
Diabetes on LCHF diet, controlled with half as much Lantus and 1/4 as much Humalog.

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Old 03-18-2013, 01:19   #10
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Originally Posted by MCS View Post
I tried to break this down in stages once before just out of curiosity to try and figure where I fit in as a Type 2

1, Insulin resistance, increase insulin supply, no change in BG level
2, weight gain, impaired digestion
3, Insulin resistance increasing, cells demand more food, so hunger increases
4, Beta mass (insulin) can no longer keep up with demand, BG starts to rise
5, Glucotoxicitiy destroys Beta mass due to high glucose levels
6, Most are diagnosed at the above stage (5).

This was just my own theory on things.
This is so weird! I must of been at level 3 for about 2 years because I could never feel full for more then 2 hours at a time. I gained over 30 pounds, had tons of anxiety, adrenaline rushes, couldn't sleep, light sensitive, and things I can't even remember! My thyroid went out of whack too...and all the time I thought it was this beta blocker I was on called metoprolol. Now I'm not so sure. I guess it don't matter now but that endless hunger is horrible because it caused so much false hypo that I had to eat to rid myself of the anxiety. I've since moved to stage 4 and I don't have that intense hunger but still get some false hypos I prefer this with the higher numbers then that awful hunger non-stop.

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