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July 5th, 2008
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When I opened my e-mail at work this morning, the blood test results that I was planning to e-mail my endo about first thing were already there. This was a series of blood tests my insurance company required before I can go on the pump. The first thing I saw was "A1C - 6.8".

"Kick Ass!" I thought, and saying something more work appropriate outloud. I was down from 7.9 in October, which was down from 9 three months before that. I was definitely doing good, definitely on the right track.

The actual test my insurance required was a C peptide. This measures the amount of insulin my pancreas makes. The less insulin you make, the lower your C peptide level.

For the last three years, I've been living life as a person with type 2 diabetes. My c peptide result of <0.1 shows otherwise. Essentially, I make little--very little--insulin.

I was so psyched about my A1C that the C peptide test results took a few hours to set in. I got curious and consulted Dr. Google, but could not really find what I was looking for. There was plenty of information telling me what the test measures, but not how to interpret the results. I e-mailed Dr. C and simply asked him to explain what the result means. Monday must be a busy day because he didn't reply as quickly as he usually does.

I got impatient (go figure!) and consulted my sisters at Diabetic Mommy. They all concurred: I'm either type 1 or type 1.5, also known as latent autoimmune diabetes in adults (LADA). I needed true confirmation, though. I called my very first diabetes educator to consult.

"What does this mean?" I asked.

"It means you need to be on an insulin pump," she said very matter of factly and with a little chuckle.

Although Dr. C responded to my plea to explain what the C peptide test result means, I feel like he still skirted the issue a bit. I want to know specifically: Am I type 1 or type 1.5 or type 2 who has lost the ability in three years to produce insulin?

This "new diagnosis" has hit me a little hard. I've been sort of bummed all afternoon. While absolutely nothing has changed in terms of my diabetes management, I sort of feel like I've been diagnosed all over again.



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All type 2s eventually get to a point where they don't make any insulin, so type 2 is still a possibility, but 3 years was AWFULLY fast for that. Have you been tested for antibodies?

Type 1.5 sounds like a very good possibility, or some form of double diabetes.


Considering a wrong diagnosis of diabetes type is a mind-blowing thought indeed! Congrats on the improved A1c, that's always a grand feeling when that number drops. I'm really curious to hear what you and your doctor make of this new information. Keep us posted.


That would be very scary and freak me out too. It will take some time to digest that one.


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Michelle Kowalski
Michelle Kowalski, a writer, editor and photography hobbiest in Missouri, has had type 2 diabetes since February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes.(Read More)

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Nicole Purcell
Nicole has lived successfully with type 1 diabetes for 25 years. She hopes that by writing about her experiences, she can help others to face diabetes - and its challenges - head on.(Read More)

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