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Question: From Norman, Oklahoma, USA: I'm a 37 year old male and was diagnosed with diabetes 6 weeks ago. This occurred when I was hospitalized because of dehydration. Now, I am taking insulin and my blood glucose is generally under control. My recent c-peptide was 2.7 when the blood glucose was about 200. Should I be classified as Type 1 or Type 2? Should I not be oral medication instead of the insulin? My c-peptide in hospital was 1.9 when the blood glucose was over 400. I have tested negative for ketones (i.e. no ketones). Answer: If you require insulin you probably have Type 1 Diabetes although you might have one of the much more rare types of Maturity Onset Diabetes in the Young. The oldest cases of Type 1 Diabetes seem to be in their middle 40's and there has been one unsubstantiated new onset case in his early 60's. C peptide levels may persist for a number of months after the onset of Type 1; but your hospital level was certainly low for the blood sugar. Nowadays it may be of some importance to distinguish between Type 1 and Type 2 because new drugs like Troglitazone may offer a small (15%) chance to come off insulin, albeit rather expensively. The quickest way to decide is to ask your doctor to arrange an antibody test and if you call 1-800-425-8361 they can tell you how to arrange this. This is a more certain approach than a trial of oral hypoglycemics. If you are antibody positive you are committed to insulin permanently; but if you turn out to be negative and your insulin requirements are minimal it would certainly be appropriate to try oral medication with a program of diet and exercise as well. DO'B Original posting 29 May 97

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:08:53
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