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My dad had a strange case of Type-1 diabetes that manifested later in life, at the same time he also got hit with rheumatoid arthritis.

> injecting insulin ~15min before you start eating would do wonders for neutralizing the BG spike, the issue is, nobody does it,

My dad did. Yeah, it did cause a couple scares. He had very well-controlled numbers but it was all-consuming and I can’t imagine the average person being as thoughtful or on top of it. I’d probably become quite depressed.



The two T1D people I know both started as fairly small children, so perhaps having parents managing them made it easier for them to always do the injection 15 minutes ahead.

I wonder if the author has looked at an insulin port: makes the injection aspect much simpler. https://www.diabetes.shop/i-port-advance/iport_6mm/i-port-ad...


I haven't, but I am now! Thank you for the suggestion


Not that strange. Adult-onset T1D is just as common as Juvenile-onset; it just happens to often get misdiagnosed as T2D.

Both T1D and RA are autoimmune, so it's not surprising they showed up around the same time. He was probably infected with a virus a few years earlier which caused the production of auto-antibodies; Epstein-Barr and CMV are famous for this, and it takes a few years for enough damage to take place that symptoms show up. (Symptomatic T1D starts at around 90% beta cell loss.)


I was aware of the autoimmune nexus but not that adult-onset type 1 is common or the likely mechanism that’d trigger them. Thanks


Adult-onset being common is actually why they stopped calling it “juvenile diabetes” and now call it “Type 1 diabetes”.


Apparently the flu can trigger it too.




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