In part 1 of this Exclusive Interview, Kathleen Wyne talks with Diabetes in Control Medical Editor Joy Pape during the AACE 2018 convention in Boston, MA about adult onset type 1 diabetes and the importance of understanding diabetes diagnosis — and misdiagnosis — in adults.
Kathleen Wyne MD, PhD, FACE, MACP, FNLA is an endocrinologist and Director of the OSU Adult Type 1 Diabetes Program at The Ohio State University.
Transcript of this video segment:
Pape: Hi, this is Joy Pape with Diabetes In Control. We’re at AACE 2018 in Boston and I have the pleasure today to speak with Dr. Kathleen Wyne, just like the wine some of us drink, but most people know her as Kittie. So, Kittie, we’ll just call you that. Now you did Chair at another talk – Reproductive and Endocrinology and Daily Endocrine Practice – and you’ll be moderating today, Horse or Zebra: Unusual Lipid Disorders. But we’re not going to be talking about those today; what we’re going to be talking about is what is near and dear to your heart and what you like to talk about. So, here it goes: Why do you think adult-onset type 1 diabetes is an important topic?
Wyne: So, I think it is really, really important because people don’t realize it exists. Everybody thinks type 1 diabetes is only diagnosed in children. At least 50 percent of type 1 diabetes is diagnosed in adults, and, that diagnosis is usually missed. I cannot tell you how many times I’ve gone into a hospital room, I’ve reviewed the chart, I’ve looked at the pattern of their sugars and I see just this weird variability that I know is type 1. I say to the patient, “How long have you had type 1?” And they say, “Oh no, I don’t have type 1, I have type 2.” And I say, “Why do you say that?” They say, “Well my doctor says I am too old, so it has to be type 2.” And I tell them, “You have type 1 and I will prove it.” But that happens so often and also sometimes patients are proactive, and they come to my clinic, having requested a referral because they say, “I’m 40-years-old, I’ve never been fat, why would I have type 2 diabetes?” Now they might still have type 2 diabetes, maybe they have Asian ancestry where our standards for overweight and obese are lower. But it’s a fair question. The same thing with an obese person who has type 2 who needs very low insulin doses, maybe actually has type 1. So, it does change the way we manage them.