Sharon Schwarz discusses the symptoms of Type 2 diabetes as well as the differences between Type 1 and Type 2.
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Symptoms of Type 2 Diabetes Sharon Schwarz: A Type 2 Diabetes in general they call it the silent disease because you can go for a years with having Type 2 Diabetes. And you may not have the symptoms as abruptly as was Type 1 Diabetes. Typically there are kids though— kids with Type 2 Diabetes typically we still see that they may have more symptoms than an adult with Type 2 Diabetes. They maybe thirsty going to the bathroom a lot, they may or may not have weight loss. And a lot of times it is call on sport physical, our kids are playing in high school football, cheer leaders, I mean I go for there sports physical and then they find out they get a year an specimen and they found out there is sugar in the neuron so we do certainly have our kids that had not recognizes symptoms and they just go for a physical and find out. Are children with Type 2 Diabetes usually overweight? Sharon Schwarz: The problem is more often now making sure that they really have Type 2 or do you have an overweight child that now has Type 1 Diabetes. Because you can have Autoimmune Type 1 Diabetes with beta-cell destruction but there are so many overweight children that even though they’ve loss weight they we’re so overweight to start with it there are still overweight, is that make sense? Okay. So, it’s more often that we are trying to make sure that they really have Type 1 Diabetes and we draw some blood work when they first diagnosed to see if they have antibodies against the insulin. If they have islet cell antibodies, if they have some other markers of Type 1 Diabetes versus they have Type 2 Diabetes. Why is it important to distinguish between Type 1 and Type 2 Diabetes? Sharon Schwarz: We certainly would never want to take a child that has Type 1 Diabetes off of insulin so we need to be sure of what type of diabetes they have. Because again you might have an obese child that really has Type 1 Diabetes and has those antibodies to there pancreas you don’t want to take them off insulin that would be very dangerous and you can end up putting them in Diabetic Ketoacidosis so it’s important to know who has Type 1, who has Type 2 for the management of the diabetes in general.