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Question: From Mumbai, India: I'm 18 years old and recently diagnosed with diabetes after ketoacidosis. According to laboratory reports, my GAD, ANA, and microsomal antibodies test were negative initially. After taking insulin and oral medication for about a month, I was told to stop taking insulin, to take the medication only. My C-Peptide is improving (current level-1.95; earlier-0.28 normal being 1.0-4.0). Do I have type 2 or type 1 or 1.5, considering that I have a family history of type 2? Answer: The diagnosis of type 1 versus type 2 diabetes is largely a clinical diagnosis. You can rely somewhat on generalizations about your presentation. For instance, type 1 diabetes is favored by an onset with diabetic ketoacidosis, a low C-peptide, a positive anti-GAD antibody, lack of obesity, and a lack of family history in each generation of your family. However, a positive anti-GAD titer or low C-peptide is not absolutely required for type 1 diabetes. Some patients still have residual insulin secretion after blood sugars improve with insulin. A positive anti-GAD helps, but a negative result does not rule out type 1 diabetes. I am not sure what type of diabetes you have. Your doctor may not be able to tell clearly. At 18, if you are not obese, I would still be concerned you may have type 1 diabetes. Time will tell. If you have type 1 diabetes, you should not continue to respond favorably to the oral medications. The important thing is to keep close follow-up with your doctor. JTL DTQ-20070622041231 Original posting 30 Jun 2007 Posted to Diagnosis and Symptoms

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ 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 Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sat Jun 30 18:56:15 2007
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