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Type 1 or type 2 Diabities reports are normal
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Endocrine & Hormonal Imbalances
Question #11456
45 days ago
106

Type 1 or type 2 Diabities reports are normal - #11456

Raj

Baby 13 years old boy diagnosed diabetes but after doing blood test like GAD-65 , C-PEPTIDE , and TTG reports are normal what should I do and HbA1C is 12. Is this Type 1 or Type 2 diabetes pls suggest me.

Age: 13
Chronic illnesses: No chronic but diabities diagnosed
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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
45 days ago
5

1. An HbA1c of 12% is extremely high this means sugar levels have been uncontrolled for months.

2. Even if antibody tests are negative, diabetes at this age needs urgent attention.

3. Delay in proper treatment can cause serious complications in eyes, kidneys, and nerves.

4. Only a detailed clinical exam can confirm whether it is Type 1, Type 2, or mixed type.

5. Please book a consultation immediately so I can guide you on insulin , medications and safe management without delay.

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It’s interesting that your son’s GAD-65 and C-peptide tests came back normal, yet his HbA1c is significantly elevated at 12%. This HbA1c level indeed confirms the presence of diabetes, indicating that his average blood glucose levels are high. Typically, Type 1 diabetes is characterized by low C-peptide (indicating little or no insulin production) and positive GAD-65 (indicating autoimmunity attacking the insulin-producing beta cells). However, not all cases fit the textbook scenario perfectly. Type 2 diabetes is less common in young children but is not impossible, especially if a family history or lifestyle factors are present. A normal C-peptide might suggest that his pancreas is still producing some insulin, which can occur in the early stages of Type 1 or in Type 2 diabetes. Given the complexity, there’s an option to consider another condition called MODY (maturity-onset diabetes of the young), which has a different genetic cause and presentation. It’s essential to consult with an endocrinologist to dive deeper into these ambiguities and perhaps look for additional tests or an extended genetic panel. Immediate steps should focus on managing his high blood glucose levels to minimize the risk of complications. Work closely with a healthcare professional or diabetes educator to start an appropriate treatment plan, which might include lifestyle modifications like diet and physical activity, and potentially medication. Watch for symptoms of high blood sugar, like excessive thirst, frequent urination, and unexplained weight loss. If these symptoms appear, they require urgent attention. Regular follow-ups are essential to monitor his condition and adjust treatment as needed.

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