Dr. Thiyagarajan. T
Diabetology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am 23 years old. Recently I have been diagnosed with diabetes. I had no idea that I was diabetic until the day of diagnosis. My urine blood glucose was 310 mg/dL. My physician gave me medicine (Glyciphage 500 mg) and asked me to visit again in five days. Upon visiting him again, he said I need to start insulin right away. I am on insulin for three months now. One of my uncles said it is not good to be on insulin at a very young age. What should I do? Is insulin safe to inject at this age? I am also concerned about my pregnancy in the future (I am unmarried). I also take Zincovit daily after breakfast. Kindly give your opinion.
Hi,
Welcome to icliniq.com.
Are you taking both Insulin and Glyciphage (Metformin Hydrochloride)? Did your doctor say you have type 1 diabetes or type 2? If he suspects type 1 diabetes, then yes, you have to take Insulin. Insulin is safe if taken in the right doses and at the right times. Even babies need Insulin if they have type 1 diabetes. So no worries about marriage or fertility. But if you have type 2 diabetes, then you can be switched to oral medicines, maybe Glyciphage will not be enough, but other medicines can be used. So that is the key whether you have type 1 or type 2 diabetes? Check GAD (glutamic acid decarboxylase autoantibodies) antibody, fasting C-peptide, and schedule a consult. I hope this was helpful.
Patient's Query
Hi doctor,
Thank you. Yes, I am taking both Insulin (20 units) and also Glyciphage. As you suggested, I managed to get a test done on immediate notice, but the GAD antibody test needs to be done yet. I am attaching the report of the C-peptide test. Please review the same and tell me if mine is type 1 or type 2 and I still need to get the GAD test done or not. Kindly help me.
Hi,
Welcome back to icliniq.com.
The fasting C-peptide is low. You may have type 1 diabetes. Which Insulin do you take, how often, and at what dose? I would still recommend doing GAD antibody. Do you have a glucometer at home? What are the readings? I recommend you continue Insulin. For now, do not stop. I hope this was helpful.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Diabetology
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
