Newly Diagnosed I Think

[justaround2]

Hello, Community Iam very confused on whats going on with my diagnoses right now even my doctors were confuse. Let me explain , for years my doctor has been checking my A1C its always been in the 4.0 range the highest it might of reached is 4.4 but it has stayed constant.

This year it was 4.3 but this month it has made a drastic change I was basically feeling horrible this month I have to admit I was consuming sodas and eating pretty excessively due to stress. I check my blood sugar in the past so I had a meter laying around I was urinating extremely back to back and my stomach was hurting I googled online that this might be a symptom of Diabetes so I checked my Glucose, the meter was reading H1 I wasn't sure what that meant so I checked it again it read 596 so I initially rushed to the Emergency room because when I checked online the information said that is a dangerous level. When I got their the doctors ran a Comprehensive Metabolic test on me and my Glucose 944 mg/dL very dangerous level I read that it coma level.

The doctors ran multiple test on me and found I was extremely dehydrated and told me it was because of the excessive urination because of my body trying to get rid of all of the sugar. They pumped me with fluids and insulin to bring down my Glucose it brought it down to 454 and then 208 they discharged me and place me on insulin they wasn't sure if I was Type 1 or Type 2 as of yet they said they were still running test the test they ran was C-Peptide I read this test is to determine if my pancreas producing insulin.

Well my question is I recently got my C-Peptide test today and the number is normal 3.6 if my pancreas producing insulin normally then what is going on? I know only my doctor can tell me but would this mean I'm insulin resistance and a Type 2 diabetic or just insulin resistance?

I have to admit I'm overweight and stop exercising over a couple of months. I'm home now and I have changed my diet and now eating 3 meals a day so far my reading are between 150 mg and sometimes 208 mg still not normal but its only been 2 days. Does my body need time to adjust to all of this or do I need to do more?

Iam just very confused right now and this has hit my drastically

 

[Antje77]

Hi @justaround2 , and welcome to the forum!

Sounds like a shocking journey so far. Seeing as it's only been 2 days, I'd be happy with levels between 150 and 208 for now, it takes time to find the treatment which works best, it's a marathon, not a sprint.

What insulin(s) are you on at the moment?

 

[justaround2]

Hi @justaround2 , and welcome to the forum!

Sounds like a shocking journey so far. Seeing as it's only been 2 days, I'd be happy with levels between 150 and 208 for now, it takes time to find the treatment which works best, it's a marathon, not a sprint.

What insulin(s) are you on at the moment?

Thank you for you reply Its currently Levemir Flex Touch Pen Inj 3ml I take it at night before bed so once a day

 

[Antje77]

Thank you for you reply Its currently Levemir Flex Touch Pen Inj 3ml I take it at night before bed so once a day

For now, I would try to keep notes on what you eat and at what time, and what your blood glucose is whenever you test.
How often do you test?

 

[justaround2]

For now, I would try to keep notes on what you eat and at what time, and what your blood glucose is whenever you test.
How often do you test?

about 5-6 times a day I just checked it and it was 194 actually

 

[Daibell]

Hi. Can tell us something about your diet? Have you reduced the carbs to a low level?

 

[justaround2]

Hi. Can tell us something about your diet? Have you reduced the carbs to a low level?

I think so ill give an example of what I ate these two days. Yesterday I ate for breakfast 2 scrambled eggs 1 small turkey sausage, Lunch one Turkey sandwich with onions and tomatoes on it, For dinner I ate one piece of Lemon Pepper White Grilled Fish with a side of green beans

 

[EllieM]

Well my question is I recently got my C-Peptide test today and the number is normal 3.9 if my pancreas producing insulin normally then what is going on? I know only my doctor can tell me but would this mean I'm insulin resistance and a Type 2 diabetic or just insulin resistance?

That's tricky. A low cpeptide would suggest T1 and a high reading would suggest T2, but in between leaves you in a ccertain amount of limbo. I suspect if they do another one in a few months time then they will get a better idea as to your diabetes type.

Factors that suggest T1 : sudden onset and hospitalisation, relatively young age (though you can get T1 at any age it is slightly more common in younger people)
Factors that suggest T2 : overweight, any family history

They may also have done GAD tests: a positive one of these would definitely indicate T1.

I don't suppose you've had coronavirus? (There is some speculation that this is triggering some T1s, though I should stress that this is fairly speculative).

There are also other rare forms of diabetes which your specialist will know about. I think you may have to play a waiting game though, as that cpeptide test isn't desperately conclusive. (Though it would be helpful to know the units that it is measured in, as there are a number of different ones used for c-peptide, and obviously the measurememts will be completely different depending on the measurement system used).

 

[justaround2]

That's tricky. A low cpeptide would suggest T1 and a high reading would suggest T2, but in between leaves you in a ccertain amount of limbo. I suspect if they do another one in a few months time then they will get a better idea as to your diabetes type.

Factors that suggest T1 : sudden onset and hospitalisation, relatively young age (though you can get T1 at any age it is slightly more common in younger people)
Factors that suggest T2 : overweight, any family history

They may also have done GAD tests: a positive one of these would definitely indicate T1.

I don't suppose you've had coronavirus? (There is some speculation that this is triggering some T1s, though I should stress that this is fairly speculative).

There are also other rare forms of diabetes which your specialist will know about. I think you may have to play a waiting game though, as that cpeptide test isn't desperately conclusive. (Though it would be helpful to know the units that it is measured in, as there are a number of different ones used for c-peptide, and obviously the measurememts will be completely different depending on the measurement system used).

No COVID-19 they test you before they admit you to the hospital now, they say they are also doing an antibody testing test im not sure what that is, the unit I think is

C-Peptide 3.6 ng/mL Standard Range 1.1 - 4.4 ng/mL

 

[EllieM]

No COVID-19 they test you before they admit you to the hospital now, they say they are also doing an antibody testing test im not sure what that is, the unit I think is

C-Peptide 3.6 ng/mL Standard Range 1.1 - 4.4 ng/mL

The antibody test is the GAD test : it tests to see whether you have antibodies showing that your body is destroying your insulin producing cells. If that comes up positive then you are definitely T1.

 

[TashT1]

I’m in a similar limbo.

Narrowly avoided being hospitalised, treated with insulin from day 1 but no antibodies & a middling c-peptide. Dr’s now considering T2 but didn’t rule out MODY.

What’s confusing me is if I am T2 would a basal bolus routine be getting such good results? I’m in range 80% of the time & my last hba1c was 46 (down from 97).

Justaround2 I hope your antibody test clears things up for you. A T1 diagnosis isn’t great but at least you will be certain what path is ahead.

 

[Daibell]

I think so ill give an example of what I ate these two days. Yesterday I ate for breakfast 2 scrambled eggs 1 small turkey sausage, Lunch one Turkey sandwich with onions and tomatoes on it, For dinner I ate one piece of Lemon Pepper White Grilled Fish with a side of green beans

Sounds pretty good to me.