Download FREE Practo app
Get ₹200 HealthCash
CPeptide/FBS
My Daughter is DM Type1 Since 5 Years, Now Age is 21Years
From 5 Years Regularly On Wosulin 30/70
18units/6units
If food changes like eat Millets Blood Sugar levels decreases, takes full Carbohydrates like rice,wheat it will be increases Very Lower Doses,means 5 units morning 2units evening when it was decreased Some doses also maintaining
My Question is
CPeptide test was done,two days Without insulin fasting blood sample collected thyrocare, result was 1.67ng/ml.
Reference range1.10-4.40ng/ml .
At the Same day's FBS was 306
Is Her Pancreatin is Producing Insulin? Or Not?
If the Pancreatin is Producing Insulin Why the Fasting Blood Sugar much more (Without insulin)
Any more Investigations in this regard
Kindly take Deep Interest&Give the Valuable Advise
Is Food Changes are any effective?
Answers (3)
Like the answers? Consult privately with the doctor of your choice
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+200
Dr. Suhas Khaire
Endocrinologist
12 yrs exp
Pune
Hello.. U must understood few things here.. Type 1 diabetes is state of absolute insulin deficiency so giving mixtard doesn't make sense here, she should be given basal bolus regimen to exactly mimic physiology of body insulin levels..
Doing c peptide at this stage doesn't make sense.. Usually c peptide denotes body is able to produce insulin secretion.. Surprisingly here results are good..in initial stages of diabetes c peptide may come quite okay but later on it becomes negligible..
U also must get her GAD 65 antibody levels if not done previously.....
She also need to get eye examination, some blood test to look for complications also
Plz consult endocrinologist for same... U can do it online nowadays
Next Steps
Keep sugar monitoring.. SMBG
Health Tips
Diabetic diet and exercise 30 min a day
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Raghav Bhargava
Endocrinologist
7 yrs exp
Delhi
Dear Sir
Thank you for the question. I am not sure why you or someone else told you to get a c peptide test.
In your daughters case she was normal 5 years back after which her pancreas stopped producing enough insulin and hence she is a type 1 diabetic. The c peptide values you have done just done show that she has some insulin producing cells left but clearly not enough and hence she needs insulin.
She should get regular annual diabetes care with both examination, blood tests, foot and eye care
Next Steps
Online consult for what constitutes annual diabetes care
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.