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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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!
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!!