Type 1 or type 2 Diabities reports are normal - #11456
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.
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Doctors’ responses
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.
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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