Question :
"Do you have you any advice for type 2 diabetics who are thin and underweight? Articles about reversing the problem all relate to people who are overweight. But what about those of us who can’t spare any loss of weight? I am a 74-year-old man, 6ft 2in and weigh just over 12st – and I am on the maximum dose of diabetes tablets."
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"The important thing is to address the problem. First of all, type 2 diabetes in people of a normal weight is hard to treat. These patients should be under a diabetic specialist, not your GP surgery, as their treatment can fall outside of the guidelines.
They may need special medication, and a dietician to advise on a specific diet.
The second big consideration doctors must also make in cases like this is whether type 2 diabetes is the correct diagnosis.
This is an issue of your body not responding properly to your own insulin. On the other hand, type 1 diabetes is a problem with your body’s production of insulin by the pancreas.
Type 2 diabetes can overlap with type 1. And sometimes, there is a misdiagnosis at the start. We are also now more aware of a condition called latent autoimmune diabetes in adults (LADA) – a cross between the two forms of the disease.
Of note for thin people newly diagnosed with type 2 diabetes in adulthood: a pancreas scan is essential as it can be a sign of pancreatic cancer."