advertisement

		Ask the Diabetes Team	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

Question: From Scottsdale, Arizona, USA: Based on the following laboratory values received today, what type of diabetes might I have and how might it best be treated? My fasting blood sugar was 180 mg/dl [10.0 mmol/L], A1c 8.4, GAD <1, and C-Peptide 1.0. I am a 37-year-old Caucasian male, 5 feet, 10 inches tall and I weigh 149 pounds. My BMI is 21. My LDL was 79, triglycerides 59, HDL 40, and blood pressure 110/75. My blood sugar does not respond to metformin, no matter what dose is used. Answer: I would be concerned you may have a form of late-onset autoimmune diabetes of adulthood (LADA). In most cases of LADA, there is a positive anti-GAD antibody. However, your thin body habitus, lack of a dyslipidemia profile, and inability to respond to maximum dose metformin suggest insulinopenia, the need for insulin therapy. I take it the C-Peptide was drawn fasting. It is sometimes worthwhile to check the C-Peptide after a meal challenge. The other thought is that when there has been profound hyperglycemia for a long time, the insulin-producing cells don't make much insulin, even with type 2 diabetes. Using insulin up front and then checking for C-Peptide response to meal challenge may also be helpful. JTL DTQ-20081209122037 Original posting 19 Dec 2008 Posted to Diagnosis and Symptoms and LADA and MODY

advertisement

		Not Helpful  1 2 3 4 5  Very Helpful                  E-mail Page     Print Format
			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 15:10:16
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by Children With Diabetes, Inc, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, Privacy Policy, and Safe Harbor Policy.
© Children with Diabetes, Inc. 1995-2013. Comments and Feedback.