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C-Peptide Error?

3 replies

ICanEatWhat · 03/08/2021 17:00

Afternoon,

I’m hoping someone with a little more knowledge may be able to assist.

A bit of background - Gestational diabetes with 3 pregnancies between ages 17-21. Diagnosed type 2 at 28, 8 years ago. Managed diet alone for a few years then Metformin for a few more until a very sudden large decline last year (HBa1c from 40-110). Placed on Novorapid and Semglee 6 weeks ago. My Mum was type 2 but re-diagnosed as 1.5 LADA.

I had a C-Peptide test 8 weeks ago when initially referred to diabetic clinic from GP. They felt I could also be a type 1.5 due to symptoms. I’ve just got the results back today which has firmly put me in the Type 2 category - 2,200pmol (2.2nmol) Whoever administrated the test has marked it as a fasting test so as far as the clinic are concerned I’m a type 2 and that’s that. However I was never asked to fast for the test as I didn’t know I was having it before arriving for my appointment. The test was done after a particularly unusual carby breakfast, I usually eat very low carb. This is backed up by the blood sugar test drawn at the same time that came back at 25.8 (astronomical, even for me!). A quick google suggests that post meal C-Peptide normal ranges are significantly higher and actually my result could be on the low side. Can anyone confirm?

Would you request a repeat test in my situation? I’m due a second appointment at the clinic shortly, although no letter as yet. I’m worried that they will refuse and can’t afford a private test currently. I’m just a bit disappointed after asking for one for so long for it to not actually be informative.

Thanks!

OP posts:
Mumma02 · 10/08/2021 19:24

It's worth looking in to MODY, especially if your mum has it too. Genetic and presents first during pregnancies in young women especially. A blood test can confirm this.

HmmmmmmInteresting · 10/08/2021 19:29

Yes it should be a fasting test. Unfortunately you will need to redo it

bakebeans · 20/08/2021 19:26

C-peptide measures pancreatic reserve and the suggestion is that it’s checked along side a glucose sample which they need to be above 8mmols
If your c-peptide is above 2000 it’s definitely type 2.
Type 1 normally has very very low levels or none at all

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