Has Science Discovered New Types of Diabetes Beyond 1 and 2?

By /

Adult-onset diabetes is a huge societal problem. In fact, problems with sugar metabolism are likely at the core of why most Americans develop heart disease and cancer. In addition, out-of-control sugar intake and insulin response can also seriously screw up your stem cells and shorten your life-span. Hence, when scientists discover a new type of diabetes, it’s a big deal.

The Traditional Definition of Type-1 and Type-2 Diabetes

Our pancreas houses beta cells that produce a glucose-regulating hormone called insulin. You’re probably most familiar with insulin as its relation to diabetes and the control of blood sugar. When we digest food, this increases our blood sugar. In response, healthy beta cells release the necessary amount of insulin to regulate our blood sugar. Basically, the insulin takes the sugar out of the bloodstream and forces it into the cells so that they can function. But what happens when our beta cells aren’t functioning properly and too much or not enough insulin is produced? The body can’t properly regulate the blood sugar and the cells eventually starve. In addition, all of this excess sugar in the blood wreaks havoc with the brain, heart, blood vessels, and other organ systems. Traditionally, once it gets to the point of not enough insulin, we know this as either type-1 or type-2 diabetes. Before we consider new types of diabetes, let me define these disease states.

Type-1 Diabetes

Type-1 diabetes is an autoimmune disease in which the immune cells see the insulin-producing beta cells as foreign to the body and attack and destroy them. This usually happens in younger people, often in childhood or adolescence. No beta cells mean no insulin, which means the body is unable to control its own blood sugar. This is why type-1 diabetics must take insulin, and will always take insulin, to prompt the body to do what it can’t do for itself.

Type-2 Diabetes

Type-2 diabetes is, by far, the most common. It is diagnosed when the cells can’t produce enough insulin to properly regulate the blood-sugar levels. In addition, insulin resistance can occur in type-2 diabetes when the previously normal levels of insulin are no longer able to effectively lower the blood sugar. So the beta cells are still doing the same job they’ve always done; it just isn’t enough. This most commonly happens in adults, so this is also known as adult-onset diabetes.

While type-1 diabetes is known to be a genetic and unpreventable disease, type-2 is associated with a variety of preventable environmental choices, such as poor diet, lack of exercise, metabolic syndrome (obesity, high blood pressure, etc.), and so on. In other words, while you can be genetically predisposed to obesity, if you have a healthy diet and exercise regularly, you will likely have a lower risk of metabolic syndrome and type-2 diabetes.

Join us for a free Regenexx webinar.

New Types of Diabetes: Five Distinct Forms of Diabetes Found

The new study was a cohort, meaning a combination two or more studies, that involved nearly 9,000 patients who’d been newly diagnosed with diabetes. Researchers considered variables such as age, BMI, and HbA1c levels (a long-term indicator of blood-sugar control) as well as complications, medications, genetic factors, and so on for each patient. Patients were placed into categories (termed clusters) based on the findings. The results? Interestingly, five distinct clusters, each with different diabetic characteristics and complications were determined.

Why is this significant? Diabetic patients in cluster 3, for example, carried increased risks for kidney disease. For those in cluster 2, retinopathy (eye disease) was more likely. Researchers hope with these findings, this is a first step toward diabetic treatments that can be more precisely focused on patients’ individual diabetic risks rather than the standard treatment approach to one of two types of diabetes. All of this means that there are likely subtypes of diabetics who have different risk factors for different serious disease.

Type-2 Diabetes Control

In the meantime, as medical science strives to catch up to its newest diabetes findings, if you have type-2 diabetes or are borderline diabetic, there are some things you can do to work toward either controlling your diabetes or preventing it before it occurs:

The upshot? It always amazes me when we find out new things about the body and diseases that we thought we had dialed in. Expect many more of these discoveries in the age of big data analytics and artificial intelligence. As a result, I suspect that 50 years from now, physicians will look back at the quaint medicine that doctors embraced at the turn of 21st century, which to them will look as crazy as the medicine of our forebears in 1900 looks to us!

Join us for a free Regenexx webinar.
Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications. View Profile

If you have questions or comments about this blog post, please email us at [email protected]

NOTE: This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. All content provided in this blog, website, or any linked materials, including text, graphics, images, patient profiles, outcomes, and information, are not intended and should not be considered or used as a substitute for medical advice, diagnosis, or treatment. Please always consult with a professional and certified healthcare provider to discuss if a treatment is right for you.

Get Blog Updates by Email

We do not sell, or share your information to third party vendors.

By submitting the form you agree that you’ve read and consent to our Privacy Policy. We may use email, phone, or other electronic means to communicate information about Regenexx.

We will provide information to help you decide whether you want to schedule an evaluation with a Regenexx Physician.

Insurance typically covers evaluations and diagnostic testing (if recommended). Most insurance plans currently do not cover Regenexx Procedures.

Category: Latest News
Copyright © Regenexx 2021. All rights reserved.

CONTACT INFORMATION

Address

9035 Wadsworth Pkwy #1000
Westminster, CO 80021

Phone

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.

LinkedIn
Email
TO TOP