hi i am a new member and this is my first post and i am pretty new to diabetes.i am 26 years old,i have been diagonsed with diabetes 3 months back.I am on Metmorphin XR 500 mg two times a day.when diagonsed i have fasting levels of 130 and post prandial of 280 and A1c of 8%.
Now my fasting levels always flucuate between 120-130 and my postprandial levels flucutuate between 160-200 sometime above 200.
i weight 193 pounds and of 5 10 height .i have to say i am on very good diet and exercise almost 5 days a week.i asked her why post prandial levels are high eventhough i maintain good diet
she ordered for C peptide and GAD antibodies
my results are C peptide 2.8 (1.1-4)
GAD antibodies < 1.0
what is my type of diabetes is it MODY,Type2 or LADA
i dont understand i didnt see ENDO upto now i am planning to see ENDO as i am not satisfied with explanation from my physian.
depending up on the levels Can anyone xplain whats going on
Welcome. I was diagnosed with a HbA1c of 8% and initially put on Metformin, that was more than 5 years ago. I like your spelling. I sometimes call it “metfartin.” I was taught the ADA high carb diet as the proper diet for managing diabetes, but found it did not work. I started a low carb diet and had much better results.
You are fortunate that your doctor ordered a c-peptide and GAD. You should ask the doctor to interpret the results, but basically the GAD was negative, meaning you are unlikely to have type 1 diabetes, and the c-peptide was high, further confirming that you probably have type 2 diabetes.
So, welcome to the club. Diabetes scks, but with proper diet, exercise and medications, you should be able to lead a long healthy and happy life. So it doesn’t sck that bad.
Though it sounds like you are type II and I am type I I have to say one thing to those newly diagnosed: every doctor is different. It can take time to find someone you are comfortable with and in this day and age being able to have the Internet for research is amazing.
It has taken me 30+ years as a type I to know as much as I do about this disease and I am still learning. But I know my body. Don’t let your doctor tell you a textbook is what you should look like.
Best of luck!
You said that you have a “good diet”. I would be very interested in what that entails.
Your numbers suggest that you’re a pretty classic Type 2 so diet is a big key to how well you do.
Just to clarify the comment “Type 1s do not produce insulin” a bit, almost all new-onset Type 1s still have some insulin production, and most adult-onset Type 1s will have some low-level of insulin production for a very long time (100% of the adult-onset Type 1s in the DCCT (Type 1 Diabetes Control and Complications Trial) still had some remnant insulin production).
It is complicated, and simple is often better!
Really 100%? That surprises me, as I was adult onset but was tested and was told I produce no insulin. This was many years after dx though, maybe that is the difference.
Yes, Bernie Zinman MD (DCCT researcher) was the one who told me that 100% of the adult-onset Type 1s in the DCCT had some remnant insulin production. In Dr. Richard Bernstein’s books, I believe he says that he has only seen two Type 1 diabetics (he being one of them) that had zero insulin production.
Jags,
I will only add that you should be keeping good records of each of those post prandial test results so the doctor/CDE sees you need more drug. Keep in close touch with them & if a month goes by and your dose is not raised, ask about it. If you lower the carb grams you’re eating, be sure you keep track of how much and your test results. A fluctuation in carb grams while your doctor is trying to adjust dosage and/or know that you’re responding to a certain level of treatment may confuse the issue.
In other words, if you decide to lower carbs slightly, keep to that level, don’t go back and forth.