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Gary Scheiner says

It is possible to have both type-1 and type-2 diabetes.  Type-1 is the classic "autoimmune" form of diabetes, whereby the body's immune system destroys the insulin-producing cells of the pancreas.  Those with type-1 are susceptible to ketoacidosis and generally produce little-to-no insulin on their own.  There are antibody tests that can verify a diagnosis of type-1.
 
 Type-2 really means that the body's cells are very resistant to insulin.  This often occurs when multiple family members have type-2 (heredity) as well as when a person accumulates excess body fat as the result of unhealthy lifestyle habits.  Most ethnic minorities are also at high risk for type-2 / insulin resistance.
 
When a person with type-1 diabetes is also highly insulin resistant, treatment involves relatively large doses of insulin as well as special efforts to improve insulin sensitivity:  reduced caloric intake, regular physical activity, stress management, and potentially oral medications to help overcome the insulin resistance.

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