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.
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Answered byDr. Thiyagarajan. T
Medically reviewed byDr. Sushrutha M.
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