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<blockquote data-quote="HSSS" data-source="post: 2382734" data-attributes="member: 480869"><p>The c peptide is a blood test that measures a substance produced alongside insulin (which is why it can be done on those who inject insulin and still identify natural production levels as opposed to injected ones). You could measure insulin instead but the cpeptide seems more common. It’s worth asking for the full blood panel including iron and specifically ferritin (iron stores rather than the iron floating around) to eliminate the issues that mess up hb1ac such as anemia. The fructosamine test is an alternative to hb1ac that doesn’t rely on estimating red blood cell lifespan/quantity/quality so avoids inaccuracy if those issues are relevant. I think it’s a shorter average, a few weeks, and is used more often in pregnant women (I’m guessing because iron is a common issue in pregnancy). Re the lack of weight loss, a thyroid check if it’s not been done before or recently is something I’d ask for just in case.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2382734, member: 480869"] The c peptide is a blood test that measures a substance produced alongside insulin (which is why it can be done on those who inject insulin and still identify natural production levels as opposed to injected ones). You could measure insulin instead but the cpeptide seems more common. It’s worth asking for the full blood panel including iron and specifically ferritin (iron stores rather than the iron floating around) to eliminate the issues that mess up hb1ac such as anemia. The fructosamine test is an alternative to hb1ac that doesn’t rely on estimating red blood cell lifespan/quantity/quality so avoids inaccuracy if those issues are relevant. I think it’s a shorter average, a few weeks, and is used more often in pregnant women (I’m guessing because iron is a common issue in pregnancy). Re the lack of weight loss, a thyroid check if it’s not been done before or recently is something I’d ask for just in case. [/QUOTE]
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