You might get a C-peptide if your GAD results come back positive - but
almost certainly not if you're a plain old T2. C-peptide is produced
as a byproduct of insulin production, on a 1-1 basis; it's much more
stable than insulin, so easier to test, and dead useful to find out
how much insulin you're actually kicking out. It's also a feed into
the HOMA calculator to measure insulin resistance. However, my doc
CAN'T order one for a T2 - I haven't bottomed out whether that's a
NICE or PCT restriction. Damned irritating, either way. I once asked
at a BUPA screening (paid for by work) if I could add either the
C-peptide or a fasting insulin in as an extra; they wanted to charge
me £200. I left it...

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25

bozo is putting it kindly from what I've seen she's said. :) well, guess
we
can only wait and see how long it actually takes. sadly, IF she was
concerned
you had any GAD antibodies, the test imho, should have been done
immedately.
It's not a test that needs to be fasted for.

specific, so I can word it right to him!!!

here is a wonderful page that explains much. it's from a brilliant author
who's written "Using Insulin" &
"Pumping Insulin" I find his methods and information far more
understanding and more important truthful!
then Bernsquack. Which makes much difference when you're starting out
trying to find what works for
you and trying to understand a method that no human who wants a life can
follow.. anyhow, the page is
here http://www.diabetesnet.com/diabetes_types/whatype.php (read the
entire site, it's owned by the
author John Walsh who's diabetic himself as well as a CDE)

But the tests you might want to request are ICA, IA2, IAA, C-Peptide along
with the GAD. I'll break
them down a bit more for you. The ICA is autoantibodies to islet
cellsautoantibodies to antibodies to the Islet Cells, the IAA are
antibodies to Insulin. Here's an excerpt from a page I've had saved, don't
recall where I
saw it just kept it for my reference when I was dx'd to give to my doctor
who was an utter moron at that time.

"Type 1 diabetes, commonly referred to as insulin-dependent diabetes
(IDDM), is caused by pancreatic beta-cell destruction that leads to an
absolute insulin deficiency.1 The clinical onset of diabetes does not
occur until 80% to 90% of these cells have been destroyed. Prior to
clinical onset, type 1 diabetes is often characterized by circulating
autoantibodies against a variety of islet cell antigens, including
glutamic acid decarboxylase (GAD), tyrosine phosphatase (IA2), and
insulin.2,3,4,5,6,7 The autoimmune destruction of the insulin-producing
pancreatic beta cells is thought to be the primary cause of type 1
diabetes. The presence of these autoantibodies provides early evidence of
autoimmune disease activity, and their measurement can be useful in
assisting the physician with the prediction, diagnosis, and management of
patients with diabetes. Autoantibodies to IA2, a tyrosine phosphatase-like
protein, are found in 50% to 75% of type 1 diabetics at and prior to
disease onset. These autoantibodies are generally more prevalent in
younger onset patients. Because the risk of diabetes is increased with the
presence of each additional autoantibody, the positive predictive value of
the IA2 antibody test is enhanced when measured in conjunction with
antibodies to GAD and insulin."

Another page to read is this:  http://www.medscape.com/viewarticle/503725

I know it's ALL very hard to understand, worse yet to try to explain it.
But bottom line, most times, someone
with LADA has more symptoms of being a T1 then they do being a T2.  That
is thinking in the respect of
"hindsight is 20/20" mode.

There are home tests you could do (which I figured out myself), to
determine which way you're leaning and
what I used them for was to take into my doctor to prove to him I needed
this additional testing done. Well
that bozo refused and therefore I fired his a.s and found one to listen to
me. Once he read my ER report, I
didn't really need to say much more to him. He's the one that confirmed to
me that I entered the ER in DKA
and I should have been forced to stay instead of them allowing me to
leave.  Sadly, because I was a 33yr
old woman, they considered me a "typical" type 2 based upon my age...
which often that is more the mode
of the medical profession then not.  Now I actually have medical persons
ask me if I'm a T1 or T2.

competent.  I mean, if my own GP doesnt |  want to know (fobbed me
straight off to a diabetic nurse), the nurse is incompetent and the new
doc I am seeing | 3 weeks into October only has an interest and not
specialised in diabetes -what the hell am I supposed to do?

You keep on fighting until you find a doctor to listen to you. Honestly,
even though you all have socialized
medicine there in the UK, from what everyones said about how their doctor
behaves towards them, I personally
will keep what we have here.  I've never seen a bunch of more ignorant
fools in all my life and I used the think
US doctors were idiots. lol... sorry, nothing personal but check the
archives, it's pretty scary at times what
some Brits have said their doctors and nurses have told them.

What you need to do is get a copy of ALL your labs, demand copies. From
what I know, even in the UK
you are entitled to a copy of your labs. Then learn what each one means,
learn what is the right area for you
with that lab test. Then spend the funds if you have too and test like a
mad fool in the beginning to learn all
you can about YOU.  Never mind this test at 1hr crap.  If that were
important, then Insulin makers would
be having those on Insulin testing at 1hr to see if the insulin is working
correctly, but they don't they tell us
that immedate release insulin starts working within 10-15mins from
injection and peak of that insulin is around
90mins to 2hrs, which is when they've made it to work on the human peaking
times. (sorry, but much
research went into making insulin and one person came in here and spouted
to test at 1hr now many
think it's mandatory) Do yourself a favor and learn when YOU peak.. What I
did was start testing every
15mins for the first week to see what graphs I got, then learned when I
peaked which happened to be
within the time the insulin was peaking to cover my natural peak.  Some
claim it's different for T2's, I don't
think so.. otherwise, they have insulin for T1's and T2's.. but they
dont'.. Just some claim they know more
then the researchers do... perhaps they do.. more so, I think not.  I know
what I know, but I don't know
more then the researchers do.

Anyhow, it all boils down to you learning what your body needs and how it
works and then find a doctor
who's willing to listen to you and you both work together as a team.  Such
as if he tells you to eat 200gm
a day in carbs and you tell him thats too much, then try 200gm and slowly
lower it to what works for you
then go back and say, "hey, check it out.. I tried the 200, I got this, I
slowly lowered it and did this and
this is now what I got, that I'm more happy with" Words go a long way with
trying to manipulate (lol like
that word) your medical team.  And if you can only eat 50gm a day, the so
be it.. but just remember,
having to add or take medication isn't a bad thing for diabetics.  There
are many medications out there
that actually have good things about them like Metformin.  I personally
take more "prevention" medications
then I do actual meds for things that are wrong with me.

You're welcomed, just hope I didn't scare you or write your ear off. Just
remember, asking questions
is what's going to help you to learn what you need to live a long healthy
life being a diabetic.

rk, t1
happy pumper

I didn't say anything about low-carbing. I simply stated once she
gets her glucose under control by whatever means her lipid profile
will improve. I certainly don't low carb (150-200gm) and my lipid
profile is fantastic other then my HDL because I simply cannot do
much exercise and my doctor knows that.