confused about diagnosis

[usedtobhappy]

Dear Member I was always told I was type 2 diabetic but during that time I never had a C peptide test. This year I pleaded with my diabetic nurse to give me a blood test to test if I am type one diabetic as I couldn't put my glucose levels down even though I had been a meat only diet for year. my results are

Order Name DIABETES AB SCREEN (GAD, IA2, ZNT8)
Date Resulted 22/06/2022 15:23:00 GMT
Order Comments
Ordering Clinician
Source Barts Health

Results Value Reference Range Order Comments Comments
Islet Cell
Antibody

>2000
unit/mL [H] 0 - 8

(Diabetes antibodies, triple ELISA
screen includes
GAD65, IA-2 and ZNT8)
Glutamic Acid
Decarboxylase
Antibody

>2000
kunits/L [H] 0 - 5

May be seen in Type 1
Diabetes including Latent
Autoimmune Diabetes of
Adulthood (LADA) and the
neurologic syndrome stiff
person syndrome.
Antibody titres do not
correlate with disease
severity in endocrine or
neurologic disease and
repeat testing is not
usually indicated.

I then was transferred to St thomas hospital and got these results and the consultant wants to say that I am now type 2 diabetic then retracted that. here are the results
AKI Alert N/A
Creatinine Level 50
Cholesterol (total) Level 5.6
Glucose Level 11.1
HbA1c Level 9.3
Thyroid Stimulating Hormone Level 3.13
Insulin Level 165
C-Peptide Level 1000
Albumin Level Urine 118.2
Albumin Creatinine Ratio Level Urine 7.6
HbA1c New Units 78
Estimated GFR 113
Creatinine Level Urine 15.6
Zinc Transporter 8 antibody 8.4
GlutcAcidDecarbse(GAD)Ab >2000.0
Tissue Transglutaminase Abs 0.7
IA2 Antibodies <0.8
can somebody explain these results to me and why has my c peptide gone from >2000 back in june of this year to 1000 last week. and what does it mean? I would be so grateful for your help
kind regards
mo

 

[Daibell]

My reaction is that you are T1 as your GAD is positive. C-Peptide goes down as your beta cells decline so the reduction from 2000 to 1000 would indicate that decline. It looks like you are in the honeymoon phase?

 

[usedtobhappy]

My reaction is that you are T1 as your GAD is positive. C-Peptide goes down as your beta cells decline so the reduction from 2000 to 1000 would indicate that decline. It looks like you are in the honeymoon phase?

thank you so much , just dont understand why the consultant would say I'm type 1then retract it. the only change I have notice is that since being on insulin my kidney pain has stopped and no more keytones in my urine. I always had high keytones no matter what I did.