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IceSkater40's avatar

These things happen with type 1 diabetics as well. Type 1 is more commonly diagnosed in childhood or young adulthood, but it can occur later in life as well. It is autoimmune so if your body decides to attack the islet cells in the pancreas, then it's game over for insulin production regardless of age. Type 1 diabetics typically have these complications at a younger age than type 2 diabetics if they haven't been careful with managing their blood sugars, but basically, the longer someone is diabetic, the higher the chance of developing these complications.

Many type 2 diabetics don't test their blood sugar regularly - or certainly not with the same frequency as type 1 diabetics. Type 1 diabetics need to test 4+ times per day (assuming a day with no highs or lows needing to be treated.)

But yes - you are right that people should be checking with their doctor & not taking advice from a substack about diabetes. I think pretty much anyone with type 1 diabetes sees an endocrinologist. Family docs will often try to manage type 2, but not type 1.

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