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

[adz81]

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.

In the morning, after using the bathroom

 

[adz81]

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.

Yes, it seems that way. I just thought having 'low' C-Peptide and 'low' Fasting Insulin had to be caused by something. My results were highlighted as low and that's what triggered my concerns. I didn't just worry for 'no reason', the results let me to LADA or T1, but LADA is more my concern.

 

[Leadinglights]

The c-peptide result has to be taken in context to interpret, normal range is 0.5ng/ml -2ng/ml for fasting but that is in association with high blood glucose not normal or even low HbA1C as your is.
The C-peptide test is often done as 'stimulated' in that a high carb meal is eaten and then the insulin response is tested and if it is then low (the range of normal is different to fasting) that MAY indicated an issue.

 

[Leadinglights]

In the morning, after using the bathroom

There you go then, try testing before you even get out of bed. It is a well known phenomenon Foot on the Floor. For some people it can make a substantial difference.

 

[helli]

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.

If the OP does not have diabetes, DP will not show with raise BG because their insulin would quickly convert the glucose into energy.
DP is irrelevant for someone without diabetes.

 

[dannybgoode]

as doctors don't do everything.

Because there's nothing to do? You have no symptoms of diabetes other than the odd nighttime toilet break which could be down to many other things.

Your numbers are well outside even the prediabetic, pre even needing to worry about being prediabetic.

Save the money you're spending on blood tests and spend it on something fun.

 

[Bruce Stephens]

Yes, it seems that way. I just thought having 'low' C-Peptide and 'low' Fasting Insulin had to be caused by something. My results were highlighted as low and that's what triggered my concerns. I didn't just worry for 'no reason', the results let me to LADA or T1, but LADA is more my concern.

I don't know. I think I'd guess that someone non-diabetic might well be a little more insulin-sensitive than average and so naturally produce less insulin (and C-Peptide). It seems to be handling your blood glucose fine, anyway.

 

[Inka]

Yes, it seems that way. I just thought having 'low' C-Peptide and 'low' Fasting Insulin had to be caused by something. My results were highlighted as low and that's what triggered my concerns. I didn't just worry for 'no reason', the results let me to LADA or T1, but LADA is more my concern.

It can be a positive thing. Our bodies pump out glucose even when we don’t eat (like overnight). We then make insulin to control that. You clearly don’t need much insulin to balance your blood sugar because you’re not pumping out excess glucose and because you’re sensitive to the insulin you make (a very good thing).

You don’t have diabetes @adz81 and I think you’re putting two and two together and making five. This is similar to a friend of mine who phoned me one night in an absolute panic as she’d looked online for her blood test results and found one of them was low. But - it was supposed to be low. It would, in fact, have been bad if it was high!

Seriously, live your life and be glad you don’t have diabetes.

 

[CliffH]

Yes, it seems that way. I just thought having 'low' C-Peptide and 'low' Fasting Insulin had to be caused by something. My results were highlighted as low and that's what triggered my concerns. I didn't just worry for 'no reason', the results let me to LADA or T1, but LADA is more my concern.

I guess the trick is to get a balance that works for you between being vigilant about your health and accepting that sometimes our bodies will throw up anomalies that aren't clinically significant - even if they seem to be statistically significant.

 

[Inka]

I guess the trick is to get a balance that works for you between being vigilant about your health and accepting that sometimes our bodies will throw up anomalies that aren't clinically significant - even if they seem to be statistically significant.

And that some ‘anomalies’ aren’t bad things and can, in fact, be positive.

 

[dannybgoode]

I think as well it's with considering the normal order of testing.

From my understanding the c-peptide test is used to help diagnose Type or otherwise confirm diagnosis *after* there is reason to suspect someone is diabetic - often following an abnormal Hba1c test.

It is not used to diagnose diabetes in the first place. That is what the Hba1c test is for.

If your Hba1c tested by your GP and showed a result of 34 (well anything under 40-42) they would not send you for a c-peptide test as you're not diabetic.

So constantly having your c-peptide tested when you're not diabetic isn't really going to tell you much.

Cheeky edit - and if your c-peptide was a bit out of range they'd do your Hba1c to check whether you were diabetic or prediabetic. Which, at the moment, you most assuredly are not...

 

[Inka]

Not only that @dannybgoode and @adz81 , the insulin and C Peptide ‘match’, as they should do, so saying that they’re both ‘low’ and implying that’s doubly indicative of something is a complete misinterpretation.

There is one diagnostic test - the HbA1C - and if that’s normal, you don’t have diabetes by definition. You can’t have a normal HbA1C and have diabetes.

P.S @dannybgoode Edits aren’t cheeky I quite often read my post back and think it’s not as clear as it could be or realise I’ve omitted something.

 

[adz81]

I think as well it's with considering the normal order of testing.

From my understanding the c-peptide test is used to help diagnose Type or otherwise confirm diagnosis *after* there is reason to suspect someone is diabetic - often following an abnormal Hba1c test.

It is not used to diagnose diabetes in the first place. That is what the Hba1c test is for.

If your Hba1c tested by your GP and showed a result of 34 (well anything under 40-42) they would not send you for a c-peptide test as you're not diabetic.

So constantly having your c-peptide tested when you're not diabetic isn't really going to tell you much.

Cheeky edit - and if your c-peptide was a bit out of range they'd do your Hba1c to check whether you were diabetic or prediabetic. Which, at the moment, you most assuredly are not...

I know C-Peptide isn't used to diagnose T1 or LADA. I had it only because my Fasting Insulin was lower than the norm. Now I've found both tests showed low. That made me re-visit this concern.

 

[Inka]

I know C-Peptide isn't used to diagnose T1 or LADA. I had it only because my Fasting Insulin was lower than the norm. Now I've found both tests showed low. That made me re-visit this concern.

Read my post above. They’re supposed to ‘match’. You’re misinterpreting your results and causing yourself unnecessary stress.

You imply it was the nighttime urination that initiated this concern. Peeing an extra once or twice in the night is nothing like the mad and excessive urination of Type 1/LADA! That’s an insane amount - both volume and frequency.

 

[dannybgoode]

I know C-Peptide isn't used to diagnose T1 or LADA. I had it only because my Fasting Insulin was lower than the norm. Now I've found both tests showed low. That made me re-visit this concern.

It's the wrong test to have though. Hba1c is the primary indicator of diabetes so that's the one to pay attention to. Yours is fine.

Note even with an 'abnormal' c-peptide test you're not necessarily diabetic and normal, even if you were, an absolute indicator of Type.

Also, some of the figures your private clinic are giving you as 'normal' ranges look to be somewhat ambitious.

Don't forget it's potentially in their interests to keep you coming back for more tests. Tests you don't really need.

As @Inka says, and trust me from someone who is recently diagnosed and coming to terms with it. Be happy that you're not and won't have to spend a lifetime fiddling about with diet and/or insulin.

 

[Inka]

You were concerned you might have diabetes, you got an HbA1C done, which was sensible - but this test showed you did not have diabetes. It’s at that point things went a bit off track. A number of people I know have had HbA1Cs, sometimes at my suggestion. Once they got the ‘all clear’, they breathed a sigh of relief and moved on.

You need to move on too. You don’t have diabetes - full stop. If it makes you happier, you can have another HbA1C done in 3/5/whatever years, but there’s nothing to worry about. Health anxiety is related to OCD. I think we all have, or potentially have, elements of that, and sometimes something just sets us off on the wrong path. As @CliffH says, you need to find the balance again.

 

[adz81]

Read my post above. They’re supposed to ‘match’. You’re misinterpreting your results and causing yourself unnecessary stress.

Yes, I see that, it makes sense. I had the C-Peptide to 'just to see' as my Fasting Insulin could have been an anomaly. I obviously researched both and low, from what i found, meant something, which then concerned me. With that, my Fasting Insulin being above 5.4 mmol (Pre-diabetes level). That added to my concerns.

I understand it may seem, to me, 2 + 2 = 5, but low, low and slightly higher than norm, caused me to think. Why are they low etc...Which led me here

 

[adz81]

Read my post above. They’re supposed to ‘match’. You’re misinterpreting your results and causing yourself unnecessary stress.

You imply it was the nighttime urination that initiated this concern. Peeing an extra once or twice in the night is nothing like the mad and excessive urination of Type 1/LADA! That’s an insane amount - both volume and frequency.

Yes, the urination made me have the Fasting Inulin and Fasting BS done. The results concerned me more.

 

[Inka]

Don’t take my explanation as a criticism of @adz81 It’s easy to go down the wrong path or overthink or make mistakes. I’ve done all of those many times.

Forget all the rest of the stuff. Only your HbA1C matters. If other things were wrong, that would show in your HbA1C. They don’t - because they aren’t 🙂

 

[Inka]

Yes, the urination made me have the Fasting Inulin and Fasting BS done. The results concerned me more.

Again, there’s nothing wrong with your fasting blood glucose and your fasting insulin doesn’t suggest a problem. You’re looking at a sunny day and seeing a rain cloud that isn’t there.