I am just so confused!! I think it’s clear I don’t produce much insulin (from my c peptide test) previously when I had t done, I fasted and my blood glucose was 13.5 and my c peptide was low.In your shoes I'd be asking for a second opinion as he seems a tad confused.
Do you know what the actual C-Pep result was?I am just so confused!! I think it’s clear I don’t produce much insulin (from my c peptide test) previously when I had t done, I fasted and my blood glucose was 13.5 and my c peptide was low.
He did say I am a very unusual case - if I am T2 then I want to reverse it. If I am T1 then I know I just need to manage the condition.
Well it seems I don’t have the T1 anti bodies, but it also seems that any insulin I do make is very little. And therefore, I don’t think I’m insulin resistant as he also said something about my insulin sensitivity is as expected.....So you’re not [autoimmune] insulin deficient and you’re not insulin resistant??
I understand all labs use different measures for he c peptide test, but mine was LOW (in big capital letters) I think it was 0.4 but I cannot remember the specifics and I don’t have printout to hand. When I had that test done there were some suspicions that I may be T1 in the honeymoon (which my usual doctor thought).Do you know what the actual C-Pep result was?
If you are producing little endogenous insulin then I'm guessing that you're gonna have to stay on it.
Whilst it must be extraordinarily annoying not to have a diagnosis you might end up getting a second opinion anyway with the second test which could maybe shine some light on the situation. Always a silver lining maybe? Good luck!I understand all labs use different measures for he c peptide test, but mine was LOW (in big capital letters) I think it was 0.4 but I cannot remember the specifics and I don’t have printout to hand. When I had that test done there were some suspicions that I may be T1 in the honeymoon (which my usual doctor thought).
I’m just feel very confused by it all.
I guess I will just have to go for another c peptide test (as the consultant requested) and see whether my results are different now.
My best guess is that you are insulin resistant and simultaneously insulin deficient (through fatty pancreas). In theory both of these could be reversed, but that process does not involve continued long term injection of exogenous insulin. That said, of course I am very much not qualified to make a diagnosis.
I agree with @bulkbiker in that, as you are describing events, it seems like your doctor is confused or misinformed, neither of which would be much of a surprise when it comes to the business of diabetes. Second opinion recommended.
My question is though, if I am insulin deficient how is it possible to make more?
If you learn to adjust dose to food, you can simply choose how many carbs you eat and adjust the dose.He then also told me that I need to go on the DAFNE course which is for T1’s to help with my basal bolus regime
Many people on abasaglar/Lantus split their doses for this reason. You could also ask about Tresiba, which works longer so once a day is enough.He also mentioned that my current long acting insulin (abasaglar) potentially needs to be changed to a different long acting. He said the reason is that for T1’s it doesn’t last the full 24 hours (which seems to be happening for me) and so I may need to change to another long acting which I take 2 times a day.
Yes I appreciate that you cannot diagnose, and I really do thank you for taking the time to give some explanationThe pancreas can recover functionality as part of a dietary strategy that slowly burns away intra-organic fat. The same strategy is also effective at reducing hepatic (liver) and systemic (whole body) insulin resistance. Please note though that I’m am only explaining the theory based on best guesses. I am not making any suggestions or a diagnosis.
Thanks for the time taken to post.Young, healthy weight, active, low C-pept + high bg all sounds like T1, although not proof. The only thing suggesting it might be something else is that they haven't found antibodies. Which isn't proof at all, as the right antibodies aren't always found.
I fully agree with @bulkbiker , ask for a second opinion.
And as you make very little insulin, as proven by your low C-pept with high bg, I'd expect your diabetes to behave like T1, whatever the cause.
I'm a bit of the same, although older, overweight and lazy but my HCP is happy to fully treat me as a T1, even if we're not completely sure what type I have. Suits me fine too.
I hope you'll get your answers, but I think the most important part is managing your bg, whatever is needed for that. As far as I understand, those T2's having 'reversed' their diabetes have done so through eating low carb. There's no reason to eat a lot of carbs as a T1 either (unless when having a hypo), as long as you're confident to adjust your insulin doses.
If you learn to adjust dose to food, you can simply choose how many carbs you eat and adjust the dose.
Many people on abasaglar/Lantus split their doses for this reason. You could also ask about Tresiba, which works longer so once a day is enough.
Good luck and a big hug!
Thanks for the response. Does weight training have the same effect in those that are T2?Hi @SB.25 Weight training in type 1 can cause BG levels to soar from the liver producing glucose.
I have to admit reading through your posts it looks like type 1 to me but of course i'm not a doctor and would also urge you to seek a second opinion as your consultant sounds very confused, the important point to all of this is the control of your BG levels so if by taking insulin if you can maintain a healthy range then so be it.
Does weight training have the same effect in those that are T2?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?