Summary

Original source:
http://www.forbes.com/lifestyle/health/feeds/hscout/2005/11/21/hscout529183.html

Details

• It's a scene occurring with increasing frequency in doctors' offices across America: A patient, usually overweight, comes in with all the symptoms of obesity-linked type 2 diabetes.
• But blood tests reveal antibodies to the pancreatic beta cells that produce insulin -- a sign that the patient also has the rarer type 1 form of the disease.
• "We call it 'double diabetes,' or hybrid diabetes," said Dr. Francine Kaufman, past president of the American Diabetes Association and head of the Center for Diabetes and Endocrinology at Children's Hospital, Los Angeles.
• She and other experts warn that a growing number of patients are being spotted with both forms of the disease.
• In type 1 diabetes, which affects 5 percent of all diabetics, the body's immune system turns against beta cells in the pancreas that produce the insulin needed to regulate blood sugar.
• In the much more common, obesity-linked type 2 variety, increasing demand from the body fat's cells causes a gradual shortfall of, and resistance to, insulin.
• Medication and regular monitoring of blood sugar are essential to keep type 2 patients safe and healthy.
• On the flip side, other young patients may have had type 1 since childhood, become obese in adolescence "and begin to look like they have elements of type 2 diabetes," Kaufmann said.
• America's obesity epidemic is clearly driving the trend toward more and more diabetes, experts say.
• And while links between obesity and type 2 diabetes have long been clear, research is only just beginning to suggest it can also trigger late-onset type 1 disease.
• That would explain type 1 disease complicated by diet," said Dr. Stuart Weiss, an assistant clinical professor of medicine at the New York University School of Medicine in New York City.

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