Do we need to advise C-Peptide Test to all DM Patients who give Recent Weight Loss History inspite of taking OHAs & being diagnosed as a case of DM Type2? Pls guide.
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Do we need to advise C-Peptide Test to all DM Patients who give Recent Weight Loss History inspite of taking OHAs & being diagnosed as a case of DM Type2? Pls guide.
C peptide report is very useful in predicting the prognostic journey of any DM patient irrespective of the patient’s BMI, weight loss history, and medication history. It is also useful in deciding certain intricacies of treatment including diet and drug tapering too. Hence it can surely be advised in most of our DM cases.
But it is very important to check in following circumstances
1. History of weight loss (irrespective of medicine history)
2. History of DM more than 15 years
3. History of Insulin dependency more than 2 years ( irrespective of BMI/wt loss history)
4. Diabetes is diagnosed before 30 years of age, especially in low to average BMI patients.
but all said C peptide is not a benchmark of Sadhya-Asadhyatva in DM patients and should not be constructed as much. It is always important to give equal importance to clinical history.