I'm a momma, too, not a doc, so let the docs call it-- you definitely need to see a good endocrinologist. That said, I have a type-1 daughter and a type-2 husband, and type-2 is rampant in his family, so I'm pretty familiar with both.
You're right that it makes no sense for him to have Type 2. I have heard of a couple of non-overweight people getting type 2 when there's a strong genetic history, but they don't usually get it until well into middle age. In general, you don't see it in skinny people like your son.
It does sound like type 1 that was caught very early, and he could have gained weight because he could be in the middle of a big growth spurt-- maybe he would have gained 15 pounds if it weren't for the blood-sugar issues. If it is type 1, he's headed for insulin.
If it is type-1, it's good news if it was caught very early. My daughter was caught fairly early, though her BG was 450 on diagnosis. She has been excellent about controlling it, and the result was that her honeymoon period went on for what seemed to be a record time. Catching it earlier means a better chance to keep the pancreas producing at least some insulin for a long time, which helps them feel good and stay in control without too much effort. It makes the transition to living with this disease much less stressful.
Good luck, and let us know what happens.
Thank you for your reply. My family does have a very big history of Type II and I was probably only about 15lbs overweight when they diagnosed mine (5'3" and 145lbs then - down to 130 now). I had my daughter call someone on their father's side and there is Type I there too (not as strong though).
How does a doctor determine whether it's Type I or not? Is there a pancreas function test or enzyme levels to be watched? Do we just try different meds until we hit the correct one??
My son is like me, he wants to be very informed before going to a doctor so he can ask meaningful questions.
I was diagnosed with Type 1 when I was on the corner of my 23rd birthday. Unfortunately it was very late and I was posing all the symptoms so that may be why they didn't do any tests that they told me about, just put me on the insulin and sent me on my way after I recovered in the hospital.
Ask your son's doctor to do a blood test to check for antibodies that show whether his immune system is attacking his pancreas or not. This is the real test to determine whether he is developing type 1 -- the antibodies WILL be there if his immune system is currently attacking his pancreas. There are different antibodies that can be tested for to see if the thyroid or adrenal glands are under attack by the immune system. When diabetes is caught this early, those antibodies would be the sure-fire test. If caught after the immune system has already done its destruction, later on in the development of type 1 diabetes, the antibodies may not be present, for the immune system may have settled back to normal.
Thank you, thank you, thank you!!! I have an appointment with a pediatric endocronologist in two weeks and will make sure that he runs the antibody tests. My family also has a HUGE history of thyroid problems (mostly cancer) and a ton of autoimmune problems, I want to get on top of this situation with him ASAP. You've been a lifesaver!!
TYPE 1 will land your behind in a hospital bed for a week with acute diabetic ketoacidosis. You must have insulin to survive.
Everything else (diet, exercise, etc, etc, etc) can help, but without insulin you will not get any nourishment and you will die. this renders diet useless. and have you ever tried to exercise with no energy?
i have no idea about type 2 except that it is the more forgiving form of diabetes (i didn't say easy, just not as scary).