Diabetes Type 2 Cause and Development. Post 5. Frbruary 20, 2019

Classification of diabetes.
In 1979 national diabetes data group (NDDG) in 1979 suggested a new classification to diagnose diabetes:
type 1 insulin dependent diabetes;
type 2 insilin independent diabetes;
diabetes in pregnancy.
 It was stated in that time that once type of diabetes was diagnosed it stay for the life with patient, even patient does not have those marks as it was in time of diagnose. So, regardless how advanced diabetes type 2 become, it still insulin independent type of diabetes and so treated with oral agents rather then with insulin. The absurd of this classification was clear even at the time this system had  been introduced. But soon a new classification become most popular and medical providers welcomed it gladly. Why not? At first MD decide what is best for MD to Rx to patient, and then diagnose made. Usually there are no endorsement for insulin therapy. At contrary all oral agents manufactures fight for doctor's Rx. Also with insulin there is danger that patient will get low sugar. No any problems with oral agents.
   Treatment Before Diagnose was widely acceptable. In present time 95% of all diabetic population are not insulin dependent diabetics type 2, even we take insulin in high dose, or admitted to hospital with ketons in urine. Diagnose stay effective regardless what the condition of patient.

While proposing the intern classification based on clinical and laboratory characteristics they should be usable even when the information is incomplete. It was further emphasized that "cases in clinical or epidemiological reports be described by certain ready available indices that are, in a scene, classifying terms. they include age, sex, proneness to ketosis, types of treatment (insulin or non insulin) , age group at onset, fatness as appropriately defined, and familial tendency." ( page 25)

World Book of Diabetes in Practice.
volume 3.
edited by L.F. Krall
Published November 1988
Elsevier
         As it is seen from this classification standards there is diagnose according to treatment, insulin or non insulin. So, if diagnose was wrong then there is noway to change it. Diagnosed type of diabetes stay for the rest of diabetic's life, and so the treatment, insulin or no insulin.
      Right after classification of diabetes was developed it became clear that significant port of diabetics do not fit into these two types. One type of diabetics are those living in tropical developing countries. They were grouped into Tropical Type of diabetes. Later this type of diabetes was re-named as Malnutrition - related type of diabetes classified in two major groups:
pancreatic fibrosis calcification syndrome;
ketosis resistant type of malnutrition - related type of diabetes.
     In present time only two types of diabetes remained in active diagnostic for all diabetics. 95% are diabetics type 2, and 5% left to all type 1 diabetics and pregnant woman with diabetes. Today it does not matter if diabetic fit into classification or not. The stamp is clear, type 2. Children as young as 6 years old, or even 2 years old diagnosed with type 2 diabetes and treated without insulin, with life style modification. Classification of types of diabetes fit perfectly into MD pocket. Mortality of diabetics type 2 is higher then it was in time before insulin discovery.

via Ravenvoron