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Even more confused...LADA? T1? None?

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adz81

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Hi

I posted on here a few months ago, as due to my low Fasting Insulin Levels and slightly high Fasting Blood Sugar, I was worried I could have or could soon develop LADA / T1. I was told by nearly all of you who responded, that it's very unlikely I have T1 particularly.

Well, now I am worried again. I have now received my C-Peptide (done privately) results. Their range was 0.73 - 4.37 ng/mL and my result was shown as LOW, as I have a level of 0.57 ng/mL

So, I have:
1. Low Fasting Insulin - less than 2
2. Slightly high fasting BS - 5.68 mmol + higher than normal when I use my own Glucometer. 2 hrs after a meal is in the range, although has gone up.
3. Low C-Peptide - 0.57 ng/mL (0.73-4.37)
4. Normal HbA1C - 34 mmol

I had a Random BS test on Friday, so I await that result

I am thinking of having a GAD test too.

Anybody know anything about my results?

Thanks
AJ
 
This is your previous thread https://forum.diabetes.org.uk/board...ds-or-already-type-1-diabetic-or-lada.113713/

Reading through it, today, I don't think anything has changed.
As @Lucyr commented then, if your body does not need any more insulin to reduce your BG ,(which is very much within the required range), your fasting insulin level is fine.
If you had diabetes, I would expect your BG and hba1c to be much higher.

In your previous thread, you were concerned by your over night bathroom visits. Have these been investigated?
 
helli said:
This is your previous thread https://forum.diabetes.org.uk/board...ds-or-already-type-1-diabetic-or-lada.113713/

Reading through it, today, I don't think anything has changed.
As @Lucyr commented then, if your body does not need any more insulin to reduce your BG ,(which is very much within the required range), your fasting insulin level is fine.
If you had diabetes, I would expect your BG and hba1c to be much higher.

In your previous thread, you were concerned by your over night bathroom visits. Have these been investigated?
Click to expand...
 
Hi.

To be honest, it seems I was needing to pee more, as i wake up more. I'm sure it's a sleep issue more than wee issue. I wake up 4 times every night and usually pee once, sometimes twice, but I think that's because I'm waking up regularly.

The GP's say if it's not OA Bladder, which they don't THINK it is, then they don't think it's a pee issue.

Thanks
 
You have a normal HbA1C @adz81 I don’t think the morning insulin is that relevant. You seem to have convinced yourself you have or are about to get Type 1 and I really can’t understand why. Nothing in your results suggests that.
 
Your fasting BG isn't slightly high - its bang in range for normal healthy fasting BG. Note anything up to 8 is still within range for a fasting BG so I'm not sure where you are getting the information that 5.something is borderline - it's not. Bear in mind if you're diabetic and on medication that can impact your BG then the DVLA require you to be above 5 if anything this is on the lower side of normal.

Your Hba1c is also pretty much plumb in the healthy range also. Anything 42-48 is pre-diabetic, 48+ diabetic so you're well outside anything that could be considered the danger zone.

Of course I'm not a medic but nothing in your numbers suggest diabetes.
 
Inka said:
You have a normal HbA1C @adz81 I don’t think the morning insulin is that relevant. You seem to have convinced yourself you have or are about to get Type 1 and I really can’t understand why. Nothing in your results suggests that.
Click to expand...
I don't want to just worry, but because I have Low C-Petide too and my fasting BS has increased (via Glucometer) and is always higher than it should be now. Surely there's a reason for this and the low Fasting Insulin and Low C-Peptide, either my Pancreas or T1 / LADA, maybe not yet, LADA is more my concern
 
dannybgoode said:
Your fasting BG isn't slightly high - its bang in range for normal healthy fasting BG. Note anything up to 8 is still within range for a fasting BG so I'm not sure where you are getting the information that 5.something is borderline - it's not. Bear in mind if you're diabetic and on medication that can impact your BG then the DVLA require you to be above 5 if anything this is on the lower side of normal.

Your Hba1c is also pretty much plumb in the healthy range also. Anything 42-48 is pre-diabetic, 48+ diabetic so you're well outside anything that could be considered the danger zone.

Of course I'm not a medic but nothing in your numbers suggest diabetes.
Click to expand...
Hi

Because I've read normal is between 4.0 - 5.4 mmol, mine is 5,68, so pre-diabetes range? That, with a low fasting Insulin and Low C-Peptide, which were highlighted as 'low' what concerns me.
 
Your C Peptide result is normal on many sites. Morning C Peptide isn’t necessarily the best measure anyway. There’s nothing wrong with your fasting glucose, and your HbA1C is very normal. It wouldn’t be if you were LADA.
 
adz81 said:
Hi

Because I've read normal is between 4.0 - 5.4 mmol, mine is 5,68, so pre-diabetes range? That, with a low fasting Insulin and Low C-Peptide, which were highlighted as 'low' what concerns me.
Click to expand...

Glucose meters aren’t used for diagnostic purposes because they’re not that accurate. The diagnostic test is the HbA1C. Your HbA1C is normal - very normal.
 
adz81 said:
I don't want to just worry, but because I have Low C-Petide too and my fasting BS has increased (via Glucometer) and is always higher than it should be now. Surely there's a reason for this and the low Fasting Insulin and Low C-Peptide, either my Pancreas or T1 / LADA, maybe not yet, LADA is more my concern
Click to expand...
You're fasting BS is absolutely fine. It does vary a little and the glucometers also do not give precise readings - they can vary by 10-15% even with readings minutes apart.

Anything under 8 is nothing to worry about (fasting of course). If it were consistently above 8 then you'd have reason to be concerned here.

To put your Hba1c into context. I have chugged along undiagnosed until just after a week ago. Mine was 121. That's an issue. 34 is right smack bang normal.

I've no idea why the clinic is telling you 5.68 is slightly above normal. It isn't.
 
Inka said:
Glucose meters aren’t used for diagnostic purposes because they’re not that accurate. The diagnostic test is the HbA1C. Your HbA1C is normal - very normal.
Click to expand...
Yes, fair enough, but it's more to do with the Fasting BS I had done privately, which triggered my worries. Then, my low insulin and now low c-peptide. I thought, surely, there's a reason for these. And LADA was the thing i found for the latter two
 
The reason that HbA1C is now the diagnostic test is because fasting glucose was found not to be that accurate in diagnosing diabetes. Your HbA1C is normal and your C Peptide and insulin are too by many measures.

You’re worrying yourself for no reason.
 
A normal fasting c-peptide result of anything 0.5 or above is considered 'normal'. You're above that and your Hba1c is spot on.

I'd be wary of a private clinic suggesting your borderline anything...
 
dannybgoode said:
A normal fasting c-peptide result of anything 0.5 or above is considered 'normal'. You're above that and your Hba1c is spot on.

I'd be wary of a private clinic suggesting your borderline anything...
Click to expand...
I've seen a few sites, stating a C-Peptide of lower than 0.8 is low and then I get my results of 0.57, where the lab's range is 0.73+ (close to 0.8), it seemed I was lower than the normal.

Thanks
 
adz81 said:
I've seen a few sites, stating a C-Peptide of lower than 0.8 is low and then I get my results of 0.57, where the lab's range is 0.73+ (close to 0.8), it seemed I was lower than the normal.

Thanks
Click to expand...

Use your common sense: if your insulin production was too low, you wouldn’t be able to control your blood sugar and so your HbA1C would be high. It’s not. It’s very, very normal!

Be glad that you don’t have diabetes, stop hyper-focussing on the possibility you might get it one day in the future, and enjoy your life.
 
adz81 said:
Hi

I posted on here a few months ago, as due to my low Fasting Insulin Levels and slightly high Fasting Blood Sugar, I was worried I could have or could soon develop LADA / T1. I was told by nearly all of you who responded, that it's very unlikely I have T1 particularly.

Well, now I am worried again. I have now received my C-Peptide (done privately) results. Their range was 0.73 - 4.37 ng/mL and my result was shown as LOW, as I have a level of 0.57 ng/mL

So, I have:
1. Low Fasting Insulin - less than 2
2. Slightly high fasting BS - 5.68 mmol + higher than normal when I use my own Glucometer. 2 hrs after a meal is in the range, although has gone up.
3. Low C-Peptide - 0.57 ng/mL (0.73-4.37)
4. Normal HbA1C - 34 mmol

I had a Random BS test on Friday, so I await that result

I am thinking of having a GAD test too.

Anybody know anything about my results?

Thanks
AJ
Click to expand...
I don't think I read your previous post. However, I'm interested in what's led you to having private tests done, when you don't seem to have any clinical indicators of diabetes? What does your GP (or other NHS clinician) say? Bear in mind that private clinicians can have different motivations to NHS clinicians.
 
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CliffH said:
I don't think I read your previous post. However, I'm interested in what's led you to having private tests done, when you don't seem to have any clinical indicators of diabetes? What does your GP (or other NHS clinician) say? Bear in mind that private clinicians can have different motivations to NHS clinicians.
Click to expand...
I have ALL my bloods done privately, as doctors don't do everything. Plus, I like to see a second opinion, if you like. A lot of my private results have been very similar to my GP ones, apart from 1 or 2 and although I need to pay, I can have them more often, without bothering the GPs.

I wanted a full picture of what's happening with my Blood Sugar, and GPs only do a Random Glucose Test and HbA1c.
 
When have you been taking your fasting reading, if it is after you have got up and moved about a bit then your liver will release some glucose to give you energy for your organs to function and give you energy so by taking the reading in bed you may find in even a bit lower, but in any case it is well within normal range.
 
adz81 said:
I have ALL my bloods done privately, as doctors don't do everything. Plus, I like to see a second opinion, if you like. A lot of my private results have been very similar to my GP ones, apart from 1 or 2 and although I need to pay, I can have them more often, without bothering the GPs.

I wanted a full picture of what's happening with my Blood Sugar, and GPs only do a Random Glucose Test and HbA1c.
Click to expand...
It's sounds as if you have some reason to be concerned about your blood sugar, although it seems as if the other people who've replied to you on here (many of whom know much more about diabetes than I do) don't share your concern.
 
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