90 day diabetic

90 day update

Here is a look at the last 90 days of my glucose readings. You can see the big bounces at the start of the graph while my levels came under control. The one super low reading was an error on my machine but can't be deleted so you'll just have to take my word for it.

Results definitively proven vague

I went back to the endocrinologist at the start of the week and got my latest HbA1C result (the one that is a rough 3mnth average of BGL control). I was able to get mine down to 6.3% (6-7% is considered good diabetic control) considering my initial reading was 12.7% only three months ago, this is a massive difference. 
What was the vague result? Well, I had a c-peptide level taken as well and that came back at a "normal" level. Hmm? What does that mean? I'm glad you asked.

C-Peptide

When the pancreas (my least favourite organ right now) makes insulin, it does some fancy chemistry to fold the preinsulin molecule rapidly and efficiently using the c-peptide molecule. When finished, the preproinsulin molecule splits and the insulin part goes off and does its thing and the c-peptide is left behind to float around in the blood stream for a little while and then gets scavenged by the liver. Sooo... if you have a working pancreas, you will have detectable levels of c-peptide. It's not particularly useful to measure insulin levels as there is no difference between my own insulin and injected insulin.
What does a normal c-peptide level mean for me? Nothing really, it just makes things confusing. I already know I show no signs of type 1 specific autoimmune antibodies (again doesn't always mean much), but type 1 diabetes is typically a disease of beta cell destruction and insulin production cessation. Great news, I'm producing my own insulin, I'm cured... or just type 2... or what? Well, I'm not cured (a bag of Skittles proved that), I may be type 2 or I may be in the type 1 honeymoon (I think I talked about honeymooning in an earlier post... get educated somewhere else). Either way I now have more questions than answers, and an expensive specialist that isn't too interested in finding out. 

Where to now?

Not sure. It's time for self experimenting I guess. I can try oral medication for type 2 and see if that works, I can try stopping insulin and see if that works, I can insist on getting genetic screening to see if I have an in between form of inherited diabetes (MODY),or I can do nothing and see if I wake up and tell you about the weirdest 3 month dream I've just had. 

If you have any better ideas, comment below!