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Old 01-11-2006, 06:54 AM   #1 (permalink)
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Can someone else explain to me why they call it Insulin Resistance if it is actually Type 2 diabetes?

My doctor told me back in June that I had pcos w/ Insulin resistance but when I asked her a question about the difference she said that IR is Type 2.

Thanks Jennifer
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Old 01-11-2006, 07:07 AM   #2 (permalink)
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It's weird how it depends on who you talk to. One of my DR's says Insulin Resistance IS the same as Type II Diabetes. But my other DR's say IR is the fine line between having Diabetes and not having it. I am confussed. lol
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Old 01-18-2006, 11:36 AM   #3 (permalink)
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IR (Insulin Resistance) is when your body becomes resistant to it's own insulin (creative name...isn't it?!). It is the key factor in type II diabetes. According to my gyn, IR is the 'pre-cursor' to type II or 'pre-diabetic' state. Even though I'll be on met for life (to sensitize my body to it's own insulin), he feels I am not a full-blown diabetic patient.

I think it's all in the eye of the beholder. It also depends on how you go about treating the IR- I think if you are on meds (such as met) to help your body react to it's own insulin, it will hold off full-blown type II diabetes, for quite some time (and your lifestyle also comes into play here). But, if it's that bad and meds can't help, then you require insulin.

I'm just a nursing student, but to me, when you require insulin injections, that equals diabetes. Until then, I'm not diabetic...I'm simply IR!!!

(hope i was able to help a lil bit!!!)
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Old 01-18-2006, 12:02 PM   #4 (permalink)
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You can have IR without having diabetes, and you can have diabetes AND IR. When you have IR without diabetes, your pancreatic beta cells are still producing enough insulin to keep your blood sugars in normal range (although the cells in your body are resistant to it, so the beta cells have to work overtime producing in order to keep the blood sugars normal). Over time (it can take years), the beta cells begin to die; less insulin is produced, and the insulin that is produced isn't being utilized properly so the blood sugar goes up to diabetic range. Type II diabetes is most often caused by insulin resistance.

So you can have very high insulin levels (IR) and still have normal blood sugars (and be non-diabetic). If there is no lifestyle or medication intervention, a person with IR will often progress to being a type II diabetic.

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Old 01-26-2006, 05:24 AM   #5 (permalink)
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According to the maternal fetal medicine doctor I saw today, he says that the line between IR and Type 2 is extremely gray. He said saying IR is probably politically correct but he wants me to know that I have Type 2 and he said he isn't playing around with words the way my endocrinologist does.

So I think it totally depends on which doctor you are talking to.
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