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P> Seven weeks ago, I was diagnosed with type 1 diabetes after serious DKA and coma. Prior to the onset, I had lost 50 pounds over a four month period. The only dieting I had done was to cut out excess sugars (sodas and desserts) and to increase my daily water consumption. My friends and family in medicine were curious about the type 1 diagnosis since I’m 22 years old and had been overweight. In addition, the weekend prior to being in the ER, I had developed serious throat and gastrointestinal infections. My C-peptide result was a 2.6, which did not come in until after I was discharged.

I was taking premixed insulin twice daily, and two weeks ago, I began using NPH alone (80% of the previous dose). Despite that, my pre-lunch levels were still getting low (and I was feeling pretty lousy) so the next morning, I resolved not to take a shot because of a large amount a physical activity in store at work. Since then, I have still tested four times per day, and fasting/pre-meal levels have not been higher than 110 mg/dl [6.1mmol/L] and two-hour post-meal readings have not been higher than 160 mg/dl [8.9 mmol/L].

Is it possible that I have type 2 diabetes? Is there a remote chance, that this episode was virus-induced but didn’t cause enough damage to put my pancreas out for good?