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C-peptide, fasting insulin and type of diabetes
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<blockquote data-quote="urbanracer" data-source="post: 2481714" data-attributes="member: 140811"><p>Hi [USER=536821]@finsit[/USER] </p><p></p><p>So I'm not understanding part of your question and I seek clarification.</p><p></p><p>Your friend was diagnosed as T1 with an A1c >13% and I would assume given insulin to inject at least twice a day - maybe more if on a basal/bolus regime???</p><p></p><p>Then a second A1c test recently has come back at 6.6% which being above 6.5% which (here in the UK) is still technically cause to diagnose diabetes . Is this not evidence that the injected insulin is doing its job?</p><p></p><p>For T1's there is something called the Honeymoon Period where a person's pancreas can start producing a little insulin again once injected insulin takes the pressure off. This period may last weeks or months and possibly even a year or more depending on the individual. Usually, the pancreas will stop producing insulin altogether and your friend would then have to rely on injected insulin to control glucose levels.</p><p></p><p>Has your friend also had a GAD antibody test? What was the result?</p><p></p><p>It is often very difficult to distinguish between T1 and T2 and can come down to arbitary observations about body mass and lifestyle. Adult T1's usually present with sudden uncontrollable weight loss, frequent urination (Polyuria) but not much coming out and blurred vision. Did your friend experience any of these symtoms?</p><p></p><p>Regards</p><p>Urb'</p></blockquote><p></p>
[QUOTE="urbanracer, post: 2481714, member: 140811"] Hi [USER=536821]@finsit[/USER] So I'm not understanding part of your question and I seek clarification. Your friend was diagnosed as T1 with an A1c >13% and I would assume given insulin to inject at least twice a day - maybe more if on a basal/bolus regime??? Then a second A1c test recently has come back at 6.6% which being above 6.5% which (here in the UK) is still technically cause to diagnose diabetes . Is this not evidence that the injected insulin is doing its job? For T1's there is something called the Honeymoon Period where a person's pancreas can start producing a little insulin again once injected insulin takes the pressure off. This period may last weeks or months and possibly even a year or more depending on the individual. Usually, the pancreas will stop producing insulin altogether and your friend would then have to rely on injected insulin to control glucose levels. Has your friend also had a GAD antibody test? What was the result? It is often very difficult to distinguish between T1 and T2 and can come down to arbitary observations about body mass and lifestyle. Adult T1's usually present with sudden uncontrollable weight loss, frequent urination (Polyuria) but not much coming out and blurred vision. Did your friend experience any of these symtoms? Regards Urb' [/QUOTE]
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