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Type 1 Diabetes is NOT the same of Type 2!! It is a SERIOUS medical condition and is NOT caused by lifestyle!

487 replies

TIDMum · 05/10/2026 13:39

Just had the Sky guy here to upgrade internet speed and he asked about DS's glucose monitor alarm going off so I said he's a Type 1 diabetic. He was asking if it was a care alarm then said 'oh so not that serious, just for the blood sugar reading'.

He then said that his wife was Type 1 and we had a little discussion about her GM and what type of insulin pump she's on (which she doesn't actually have!) and he then said 'I blame diet and alcopops really'.

It then became clear his wife was Type 2.

I said 'oh right, I blame COVID actually because you know it's an autoimmune disorder?' He said 'oh right' then was quiet while he finished his work.

DS (age 16) heard this as he was walking past.

DS said he's an idiot but this really annoys me.

I can't count how many times over the last 4 years since his diagnosis, people have started talking to me about their sister, aunt or neighbour having 'Type 1' when it's actually Type 2 they're talking about. He had the teasing at school about too much sugar as well.

I really think if you don't know what Type 1 diabetes, shut up and don't talk about it tbh.

AIBU to get pissed off about this? I can't think of any other serious medical conditions that are mistaken like this.

OP posts:
hurtingallover · 07/10/2026 10:01

ThreadGuardDog · 05/10/2026 14:54

I was diagnosed with RA a few years ago. I also have OA and the referral for RA was delayed for quite some time because my GP didn’t know the difference !!

Edited

That is shocking. I too have both but developed the RA first. My journey to diagnosis started with a trip to Moorfields where I was diagnosed with acute uveitis. It was extremely frightening, then shortly afterwards my joints all flared up.I still spend more time going to the eye hospital than the rheumatologist. It was my optician who packed me off to hospital.

hurtingallover · 07/10/2026 10:11

OneDearPeach · 06/10/2026 18:27

OA is not caused by lifestyle, not is it the result of "normal wear and tear", a long held idea that has been recently debunked. It can be as debilitating and painful as RA. The main difference is that there are no effective treatments for OA, whereas there are for RA.

I am lucky enough to have both conditions. I am not minimising the pain of OA or suggesting it is self inflicted. I don't think I said that anywhere in my post. I was making the point that they are completely different conditions and the majority of people do not realise that. They hear "arthritis" and assume both conditions are the same. I have long thought that RA should be renamed Rheumatoid Disease because the arthritis bit is only one part of the condition.

Prangie · 07/10/2026 11:14

This contains some facts re T1 and hopefully explains a bit why those who are T1 get defensive. Again, no offence to T2 whatsoever, “diabetes” in general has become something many poke fun at, and a lot of it is confusing the two main types. You only have to look at the awful comments people wrote about the Diabetic Barbie to see why so many kids want to hide it.

Vanessa Haydock | The Diabetic Health Coach Ltd. on Instagram: "Preach 💯 Isn’t it sad how some of my earliest memories living with Type 1 Diabetes relates to stigma from others about the condition 😓 These comments included: ▶️ Jokes about Diabete...

1,186 likes, 3 comments - diabetic_health_coach_ on October 6, 2026: "Preach 💯 Isn’t it sad how some of my earliest memories living with Type 1 Diabetes relates to stigma from others about the condition 😓 These comments included: ▶️ Jokes about D...

https://www.instagram.com/p/DeKdyFtDnCA?stkn=ODY1czl2bnRjMm1n

VioletVesper · 07/10/2026 13:30

CWigtownshire · 06/10/2026 21:22

I'm heartbroken 💔, it's an awful disease. I still feel like I should have been able to protect my lovely son. and wish every day that it was me and not him. Thank you for your kind words.

I have no doubt you would have swapped your working pancreas for his if you could 😔I think that all the time. It’s a constant cycle of stress, worrying you aren’t doing enough then worrying you are being too hard on them when they just want to be ‘normal’ like their friends. I am sure you did the best you could. My heart really breaks for you and I hope you have plenty of support ❤️

dazzlingdeborahrose · 07/10/2026 13:43

I don't think you're being unreasonable about people knowing the difference between type 1 and type 2. Type 1 is an autoimmune disease that is currently incurable and used to be fatal. Thank God for the discovery of insulin. T1's have my utmost sympathy. It's a horrid disease.
You are being unreasonable to say that Type 2 diabetes is always a result of poor lifestyle and ignoring medical advice. I was diagnosed with Type2 after 2 years of horrific symptoms and illness. My GP called me a medical mystery. It was only after took bloods and ordered every test under the sun that I was diagnosed. Everyone I told said "You! You have diabetes?" Yup, healthy eater, no junk food, didn't drink fizzy sugary drinks, fairly active. Could I have stood to lose a couple of kilos - probably. Turns out my aunts on my maternal side also have T2, all a healthy weight; all healthy eaters. So there's genetics at play. Bugger! I do wish that the NHS would focus more on attempting to reverse T2 with diet rather than just pushing the drugs though. I refused drugs and have more or less just been left to get on with it.
People need to know the difference but there's no diabetes hierarchy.

beyondyuck · 07/10/2026 15:38

65% of type 2 diabetes in men is linked to obesity and 77% of type 2 diabetes in women.

So yes there are some people who have type 2 due to toher causes and us Type 1 s feel the same pain at being assumed to be the cause of our illness.

However, the majority of type 2 cases re caused by lifestyle and that is statistically proven. If I had a form of diabetes that I could get rid of by changing my lifestyle I would not be whinging about how hard it is, I would be doing something about it.

Some of us do not get a choice and get labelled as something we are not. OP and those of use with Type 1 get that and so do the type 2s who are not lifestyle related.

OP reporting the man - compeltely excessive imho but to tell someone who has been a diabetic since a very young child that this is the same as someone who got it due to their own issues, like smoking and lung cancer is deeply offensive.

Gutachenow · 07/10/2026 16:44

beyondyuck · 07/10/2026 15:38

65% of type 2 diabetes in men is linked to obesity and 77% of type 2 diabetes in women.

So yes there are some people who have type 2 due to toher causes and us Type 1 s feel the same pain at being assumed to be the cause of our illness.

However, the majority of type 2 cases re caused by lifestyle and that is statistically proven. If I had a form of diabetes that I could get rid of by changing my lifestyle I would not be whinging about how hard it is, I would be doing something about it.

Some of us do not get a choice and get labelled as something we are not. OP and those of use with Type 1 get that and so do the type 2s who are not lifestyle related.

OP reporting the man - compeltely excessive imho but to tell someone who has been a diabetic since a very young child that this is the same as someone who got it due to their own issues, like smoking and lung cancer is deeply offensive.

You are showing your lack of understanding about obesity here so you are no different to those who don’t understand diabetes.

Major medical organizations and scientific literature recognize obesity as a complex chronic disease driven by biological, genetic, and environmental factors largely outside an individual's conscious control, rather than a simple failure of willpower

A quick google brings up lots of papers on this so maybe educate yourself?

PuzzledObserver · 07/10/2026 17:26

Several people on this thread have stated that type 2 is not always caused by lifestyle, because they or someone they know has it despite being a healthy weight, active, and eating a healthy diet. As well as the ones with drug or surgically induced T2.

Those posters are also implicitly saying that, when someone who is overweight/obese develops T2D, then it is their own fault. That’s what it boils down to, doesn’t it? And, by further implication, that people with T1, or T2 at a healthy weight, are more deserving of sympathy than obese people with T2D.

There is, as @Gutachenow points out, abundant research showing that obesity is complex, multi factoríal, and not under a person’s conscious control, to anything like the degree which most people assume. This video contains some fascinating information on this topic.

Just one example occurs at about 10 minutes in. GLP-1 medications are big news at the moment. The video talks about the difference in how much natural GLP-1 the body produces in response to a meal in lean versus obese women. When the meal is high fat and low carb, there is no difference between the two groups. But when the meal is high carb, and particularly high in high glycemic carbs, then the obese women produce markedly less GLP-1 than the lean ones. GLP-1 produces satiety, stops you eating, and stops you wanting to eat. And depending on the choice of food, SOME people are simply not satisfied by a meal which leaves OTHER people satisfied for many hours - even though both groups ate the same and should have enough calories on board to carry them through. So when the first group get hungry and eat again, they are not being greedy or indisciplined, they are responding to biological hunger, albeit inappropriate. And once you are in a pattern of eating high glycemic carbs, you are in a self-reinforcing routine of overconsumption.

Now, if you are one of these people (I am), then once you know that about yourself, you can make the decision not to consume high glycemic carbs. Even having decided that, you have to fight against their highly palatable and addictive nature, and the fact they are ubiquitous and cheap and it seems everyone else is eating them. And you have to do things which some consider socially unacceptable, e.g. I just visited a 96-year-old friend on her birthday, and declined the sweet treats she offered. At one time I would have had one, because it would be rude not to. But then gone away with overwhelming urges to eat more of all the wrong stuff. And I’ve no doubt some people will think I’ve been self-obsessed or antisocial to do what I did. But then no-one with any sense would judge an alcoholic for declining a drink, would they.

And that is only one factor at play, there are many others.

None of this detracts from the fact that T1D is a different disease, with a different aetiology. Or of the trauma of living on a knife-edge trying to manage it, with no respite.

It IS possible to undo the worst excesses of obesity. It is. It is extraordinarily demanding, and most people need support to do it. They also need accurate information about HOW to do it. And “be more self-disciplined” is pretty useless.

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Findingithardnow · 07/10/2026 18:07

If you've had a geart attack, you're 4 tikes more liable to develop type 2 diabetes. (Also 4 times more likely to have a heart attack if have type 2).
Knew someone, fit and healthy, had a heart attack middle aged, became pre-diabetic, 2nd heart attack pushed them in to the diabetic range.
Also, its the liver I believe that kick starts the pancreas each day, so imagine people with liver issues Also are at greater risk, even if fit snd healthy

Q2C4 · 07/10/2026 18:32

Greenshed · 06/10/2026 21:41

Type 2 is not less serious though. Look up information on both types on the NHS website. Both are life threatening if not controlled.
Both types are serious conditions.

Type 1 is usually considered the more demanding condition because management decisions must be made continuously and insulin dosing must be matched to food intake, exercise, illness and other factors. Each decision is a manual intervention which can go wrong. On average, people with type 1 diabetes experienced DKA-related hospitalisations at roughly 14 times the rate seen in people with type 2 diabetes.

Sadly I have yet to meet anyone with type 1 who can manage their condition with lifestyle changes or tablets alone. All are insulin dependent, with the constant stresses which are associated with that.

Type 1 generally carries a higher risk of premature death than type 2.

LeopardStar1 · 07/10/2026 18:54

sunnymummy238 · 06/10/2026 18:54

People are so lacking in empathy. The stress of looking after a child with Type 1 is immense. It’s very different to an adult acquiring type 2later in life. I feel for you.

Exactly this.

LeopardStar1 · 07/10/2026 18:56

Q2C4 · 07/10/2026 18:32

Type 1 is usually considered the more demanding condition because management decisions must be made continuously and insulin dosing must be matched to food intake, exercise, illness and other factors. Each decision is a manual intervention which can go wrong. On average, people with type 1 diabetes experienced DKA-related hospitalisations at roughly 14 times the rate seen in people with type 2 diabetes.

Sadly I have yet to meet anyone with type 1 who can manage their condition with lifestyle changes or tablets alone. All are insulin dependent, with the constant stresses which are associated with that.

Type 1 generally carries a higher risk of premature death than type 2.

This xxx

LeopardStar1 · 07/10/2026 18:59

VioletVesper · 07/10/2026 13:30

I have no doubt you would have swapped your working pancreas for his if you could 😔I think that all the time. It’s a constant cycle of stress, worrying you aren’t doing enough then worrying you are being too hard on them when they just want to be ‘normal’ like their friends. I am sure you did the best you could. My heart really breaks for you and I hope you have plenty of support ❤️

You are not alone. I completely understand xxxxxx

Kayleighfish · 07/10/2026 19:13

Diabetes pro here.

There's various types of diabetes, one and two being the 'main types'. Type 2 can vary in severity and although lifestyle is factor for a lot of people with type 2, it's not always the driving force. Type 2 can sometimes resort in needing insulin management too, or can even be reversed by diet. All types of diabetes have their complexities.

Patient A with T1 diabetes and an amazing support network might manage their diabetes better than patient B with T2 with no support or disease management education, leading to the possibility of worsening complications.

Similarly, someone can do everything right and things still go 'wrong'.

All types of illnesses and all individuals have their own complexities. Everyone's circumstances are different.

dazzlingdeborahrose · 08/10/2026 15:37

@PuzzledObserver Apologies if my post regarding my T2 came across as me blaming other people with T2. That was not my intention at all. I was trying to use my own experience to explain that it can be a complex condition that can be the result of a variety of factors Obviously not very well.

beyondyuck · 09/10/2026 18:25

The absolute refusal of some people to refuse to recognise that type 2 is a very different disease with less options than type 2 is astounding.

The mental toll of living with type 1 is immense and I know after 50+ yrs - that Kaylighfish who claims to be a diabetic pro can make such asinine comparisions between the two shows like i encountered the ignorance of so called professionals.

Type1s with no support die v quickly, Type 2s with no support can live a lot longer as in months and years.

Puzzledobserver gets it - if you develop type 2 related to obesity and lifestyle and yes I am well aware of the multifactorial causes of obesity - then you a have a choice, it may eb difficult but you get to choose. As a 4yr old with type 1 i get no choice as a 54 yr old with type 1 I still get no choice - the choice for me is the smae as it was 50 yrs ago - there ahs been zero progress in curing this condition. So please do not tell a type 1 that their DM is the smae as a type 2 who if they exercised or, ate better would go away - GLPs have proven that.
I put on 2 stone following a 6 month course of steroids - the ravenous hunger they gave me was with type 1 diabetic control but was needed due to what was wrong with me. I have lost 1.5 stone over 2 years through blood sweat and a few hypos - nos hort cuts with another quick injection, no stopping eating because I would go hype and when I finally maange to lsoe that last half a stone - no bloody reward of not being a diabetic - I will still be a diabetic!!!

If I had a choice and it would cure me, then I would take it - that is what type1s do not have and types 2 s do - so you will have to forgive us for having zero sympathy with people who have an active choice and refuse and fail to make that choice.

NimbleTaupeTiger · 09/10/2026 19:51

This thread has turned into a game of one-upmanship as to which illness is the most serious/dangerous/life threatening etc.

The most serious illness is always the one you or your loved one has. Doesn't matter what anyone else has, that's not your business. We cannot all be experts on every illness, every antibody, every drug, every symptom otherwise we'd all be doctors wouldn't we?

I think we'd all agree cancer is a bad one but what about Huntingdon's, Parkinson's, MND? They're all degenerative so are they worse than cancer or not so bad?

It's a ridiculous thread. If your loved one has type 1 or type 2 then that version is the most serious to you and that is all that matters.

PuzzledObserver · 09/10/2026 20:32

NimbleTaupeTiger · 09/10/2026 19:51

This thread has turned into a game of one-upmanship as to which illness is the most serious/dangerous/life threatening etc.

The most serious illness is always the one you or your loved one has. Doesn't matter what anyone else has, that's not your business. We cannot all be experts on every illness, every antibody, every drug, every symptom otherwise we'd all be doctors wouldn't we?

I think we'd all agree cancer is a bad one but what about Huntingdon's, Parkinson's, MND? They're all degenerative so are they worse than cancer or not so bad?

It's a ridiculous thread. If your loved one has type 1 or type 2 then that version is the most serious to you and that is all that matters.

Nailed it.

TheOwlShootAtNight · 09/10/2026 20:35

People are terribly ignorant about t1dm. They would change their tune if their child was diagnosed with it. And yes type 1 is way worse of a disease than type 2 both in regards of the effect it has on the persons life and the risk to life.

TheOwlShootAtNight · 09/10/2026 20:36

NimbleTaupeTiger · 09/10/2026 19:51

This thread has turned into a game of one-upmanship as to which illness is the most serious/dangerous/life threatening etc.

The most serious illness is always the one you or your loved one has. Doesn't matter what anyone else has, that's not your business. We cannot all be experts on every illness, every antibody, every drug, every symptom otherwise we'd all be doctors wouldn't we?

I think we'd all agree cancer is a bad one but what about Huntingdon's, Parkinson's, MND? They're all degenerative so are they worse than cancer or not so bad?

It's a ridiculous thread. If your loved one has type 1 or type 2 then that version is the most serious to you and that is all that matters.

Nonsense. Type 1 is more serious and more dangerous than type 2 regardless of who has it. It’s a fact. Medical fact.

NancyThompson · 09/10/2026 20:55

NimbleTaupeTiger · 09/10/2026 19:51

This thread has turned into a game of one-upmanship as to which illness is the most serious/dangerous/life threatening etc.

The most serious illness is always the one you or your loved one has. Doesn't matter what anyone else has, that's not your business. We cannot all be experts on every illness, every antibody, every drug, every symptom otherwise we'd all be doctors wouldn't we?

I think we'd all agree cancer is a bad one but what about Huntingdon's, Parkinson's, MND? They're all degenerative so are they worse than cancer or not so bad?

It's a ridiculous thread. If your loved one has type 1 or type 2 then that version is the most serious to you and that is all that matters.

Not so, Type 1 is objectively the more serious disease.

NimbleTaupeTiger · 09/10/2026 21:08

NancyThompson · 09/10/2026 20:55

Not so, Type 1 is objectively the more serious disease.

I think you're totally missing the point.

The point is that T1 is not serious for me because I don't know anyone with it, but T2 is very serious for me because I do know several people with it.

Therefore, in my world T2 is more serious because it impacts people I care about.

x2boys · 09/10/2026 21:17

NancyThompson · 09/10/2026 20:55

Not so, Type 1 is objectively the more serious disease.

Well in my sons case type 3c is more serious than both type 1 and 2 his pancreas was destroyed due to having acute necrotising pancreititus so with no pancreas hes treated as type 1 he also has the added complication of not being able to digest his food properly so has to take Creon.

ThreadGuardDog · 09/10/2026 21:19

TheOwlShootAtNight · 09/10/2026 20:35

People are terribly ignorant about t1dm. They would change their tune if their child was diagnosed with it. And yes type 1 is way worse of a disease than type 2 both in regards of the effect it has on the persons life and the risk to life.

I must remember to tell my DH who lost a leg to the effects of T2 and now has serious cardio vascular disease attributable to it, that he’s lucky it wasn’t T1 or the effects would have been much worse. The effects of T1and T2 are very different and the timescale of the onset of T2 matters because it can cause serious damage for years without you even knowing you have it. I’ve only ever seen disability top trumps on MN and it’s disgusting.

NancyThompson · 09/10/2026 21:28

x2boys · 09/10/2026 21:17

Well in my sons case type 3c is more serious than both type 1 and 2 his pancreas was destroyed due to having acute necrotising pancreititus so with no pancreas hes treated as type 1 he also has the added complication of not being able to digest his food properly so has to take Creon.

That sounds very hard. Friends had a baby born with congenital hyperinsulinism, which eventually lead to the pancreas being fully removed - just such a difficult health challenge for a child to go through, and it had a very sad outcome.

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