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Question: From New York, USA: If C-Peptide can be normal or close to it during the honeymoon period and antibodies are positive in type 1 patients only 60 to 80% of the time (as per your other answers on similar questions), what is the gold standard to know what type a patient has? I've been insulin dependent since diagnosis at the age of 19 and my doctor seems to be taking a "wait and see" approach. I want to know if there is any reason I shouldn't be able to try oral medications. Also, are there any studies about the your chances of dying in your sleep from a low? Answer: Most patients can be classified as either type 1 or type 2 diabetes along clinical lines. The laboratory tests, including C-Peptide and the antibodies are helpful in cases where there is not a clear indication as to the type of diabetes present. At age 19, I would think you have type 1 diabetes, unless there are other factors not mentioned. In order to use oral medications in a patient with a history of type 1 diabetes, I would have to be very sure you did not have type 1 diabetes as the lack of insulin in patients with type 1 diabetes could lead to the development of diabetic ketoacidosis. As a physician, I would not want to commit a patient to a therapy that may put them at risk. JTL [Editor's comment: See our a web page on The Dead in Bed Syndrome. BH] DTQ-20070102102139 Original posting 4 Jan 2007 Posted to Diagnosis and Symptoms

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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 15:10:08
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