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.





