Can we perform GTT of Type 1 Diabetes patients, if their insulin units are fairly tapered and the blood sugar levels are absolutely within range along with the A1c.
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Can we perform GTT of Type 1 Diabetes patients, if their insulin units are fairly tapered and the blood sugar levels are absolutely within range along with the A1c.
If you have been capable of maintaining healthy HbA1C levels along with reducing down the Insulin doses of a Diabetic patient and tapered his medicine doses also and still the patient maintains a fasting Blood sugar level below 110, he is eligible for GTT.
Go ahead. All the best!
Sir
I get confused if we are performing this test for Disease free pt and analysis. How can this be performed on Type 1 DM who never been disease free
A very logical question Doc. Now one needs to understand that there is no definitive test to differentiate Type 2 DM from Type 1. It majorly depends on clinical experience.
Few years back Type 2 was also considered as irreversible disease, but you people made it possible and reversed the disease. As of now, Type 1 DM is a irreversible disease, may be in the future you people might be able to reverse type 1 DM also. Who knows?
As a clinician, we have to keep our mind on and keep on assessing for possibilities. If GTT of this so called Type 1 DM patient comes negative, two possibilities arise
1. He was not a type 1 DM, may be he was Type 2 DM and misdiagnosed as Type 1.
2. Type 1 DM can be reversed if he was actually in type 1 DM
whatever it is, we have to keep on exploring new opportunities. May be this exercise can give us a new way ahead to reverse Type 1 DM also.
At the end, if the GTT comes to be normal, the patient will be very happy. So lets do it. Hope for the best!!