Diabetes Query about Insulin

[utyagi]

Last year I was diagnosed with diabetes with fasting 330 and PP 569.

I consulted a doctor and he asked me to go for following tests and the readings were:




C-Peptide, Serum (CLIA)                            2.91 ng/mL

25 - Hydroxy Vitamin D3 (ECLIA)               28.75 nmol/L

HbA1c                                                         7.70



I was advised to take Cetapin XR 500 mg. It was helping and the levels came down. From last 3 - 4 months, the levels start increasing.

I consulted the doctor again and he advised me to take Glimy-M (2 mg) and for the tests again.

Now, I went for following tests and respective readings are:



C-Peptide, Serum                         1.09 ng/mL

Vitamin D, 25 Hydroxy (EIA)         43.72 nmol/L

HbA1c                                           11.00



Based on these reading the doctor has asked me to go for insulin and following medicines.



Insulin Insugen (30/70)               16 Before Breakfast              14 Before Dinner

Calcinol Sachet                           Once in a week with milk for next 3 months

Tablet Galvus (50)                      1 after breakfast                    1 after dinner



I am confused and consulted another doctor and he asvised me to go for GAD-65 test.



Need your help. Kindly let me know, what to do.

Should I start the insulin? Please help.

[Super_sally888]

To answer your question, yes, I beleive you should go on insulin as instructed by your doctor.

The answer above also very good.

Please work closely with your doctor.

[WaveRider]

First thing first, what are you doing to control and manage your diabetes?
* Are you following a diabetic diet?
* Is your body weight normal for your height?
* Is your BMI index in the normal range?
* Do you perform daily 30 minute physical exercise/s?
You must adhere to all the above or your glucose will get out of control. Your elevated A1c [HbA1c] indicates you are not practicing one or more of the above, the next step being put on insulin.

Tests briefly explained:
C-Peptide tests the amount of natural insulin you still make
GAD-65 is a type of antibodies our bodies produce when our immune system is attacking our Beta insulin producing cells.

If your GAD-65 results are positive read up on LADA [Latent Autoimmune Disease in Adults]. Usually C-Peptide and GAD-65 are ordered if LADA is suspected. Since every lab, and especially a lab in India, differ in their test result ranges we cannot comment further on your posted results. Hopefully your lab copy provides low - high ranges which you can discuss with your doctor/s. Good luck.