C-Peptide Test: A Diabetic Test You Should Know!
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- Опубликовано: 13 мар 2021
- C peptide test is a substance made in the pancreas, along with insulin. How to interpret c-peptide results as a diabetes test is more important than having a c peptide level. What is a good c peptide level? Can you increase the c peptide level? Is there a normal c peptide level? Dr. Ergin (SugarMD) covers everything about c peptide in this video.
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Who is Dr. Ergin? Dr. Ahmet Ergin is an endocrinologist with a particular interest and passion for diabetes care. Dr. Ergin earned his medical degree with honors at Marmara University School of Medicine in Istanbul, Turkey. Then, he completed his internal medicine residency and endocrinology fellowship at Cleveland Clinic in Cleveland, Ohio. He is a board-certified physician in Internal Medicine and Endocrinology, diabetes, and metabolism. He is also a certified diabetes education specialist.
Disclaimer: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for the advice provided by your doctor or other qualified healthcare professionals. Always seek the advice of your physician or other qualified healthcare professionals with questions you may have regarding your medical condition.
#diabeticmellitus #diabetes #diabetic
#type2diabetes #type1diabetes #diabeticmealplan
𝐕𝐢𝐬𝐢𝐭 𝐒𝐮𝐠𝐚𝐫𝐦𝐝𝐬.𝐜𝐨𝐦 𝐨𝐫 𝐄𝐭𝐬𝐲.𝐜𝐨𝐦/𝐬𝐡𝐨𝐩/𝐬𝐮𝐠𝐚𝐫𝐦𝐝𝐬 (𝐟𝐨𝐫 𝐧𝐨𝐧-𝐔𝐒𝐀 𝐜𝐮𝐬𝐭𝐨𝐦𝐞𝐫𝐬) 𝐟𝐨𝐫 𝐚𝐮𝐭𝐡𝐞𝐧𝐭𝐢𝐜 𝐒𝐮𝐠𝐚𝐫𝐌𝐃 𝐝𝐢𝐚𝐛𝐞𝐭𝐢𝐜 𝐬𝐮𝐩𝐩𝐥𝐞𝐦𝐞𝐧𝐭𝐬 𝐢𝐧𝐜𝐥𝐮𝐝𝐢𝐧𝐠 𝐚𝐝𝐯𝐚𝐧𝐜𝐞𝐝 𝐠𝐥𝐮𝐜𝐨𝐬𝐞 𝐬𝐮𝐩𝐩𝐨𝐫𝐭, 𝐧𝐞𝐮𝐫𝐨𝐩𝐚𝐭𝐡𝐲 𝐬𝐮𝐩𝐩𝐨𝐫𝐭, 𝐬𝐮𝐩𝐞𝐫 𝐛𝐞𝐫𝐛𝐞𝐫𝐢𝐧𝐞 𝐚𝐧𝐝 𝐦𝐨𝐫𝐞.
How to reach out to you Doc❤❤... I want your appointment
Thank you so much! I have been looking for such good information on this subject! I am buying your book today!
Glad it was helpful! It was for you! Thank you! I hope you enjoy the book, please leave a review on amazon for us.
Thank you very much for that useful video which I have been looking for to clarify my mind questions regardingly
Very informative! Doc for a confirmed type 2 who is not on insulin wont a fasting insulin/HOMA IR test be more meaningful?
DR. I can´t wait to consulting you. I made an appointment for March 26. You are the only doctor that explain the mysteries of Diabetes. Thank you so much!!
I am so glad. Thank you very much. See you soon! Remember to share our videos with people who may need on social media.
You're welcome. Please share on social media. Help is appreciated to spread the word to more patients struggling with diabetes
very interesting as always Dr. Ergin.
Glad you enjoyed it Darlene.
Glad you enjoyed it
Great bro. So how do we decide if the patient with 150 glucose and 0.8 c peptide is type 1 or type 2? And more broadly what're the criteria of differentiation between type 1 and type 2 diabetes? Because as you said high bg suppress beta cell function and they fail to produce insulin temporarily showing low c peptide despite high bg. Is there any formula, like we've to calculate IR, to calculate beta cell sensitivity using bg and c peptide levels? Thank you.
The best c-peptide explanation
Very informative indeed. Thank you kind doctor.
My pleasure, thank you, remember to spread the word.
My pleasure as always.
Hi Dr , can you talk about insulin resistance and insulin deficiency.Many Thanks. Mourad.
Hi Doc, what to do if the glucose level is drop while the C pepride level is up. As I researched it is a non cancerous growth tumor in the pancreas. So what are the remedies? It can be treated orally?
Dear Dr. Your clips are very informative.
Kindly note my HBA1c is 6.6, Fbs 98, c-peptude is 2,amylase is 195, at the moment I am on metformin 500 one in night and morning. Do I need any other medicine specify to protect kidney. At times I feel not fit. Thks.
Good day Dr. Ergin thanks for this wonderful information. I was really looking for information on how to approach my diabetes. My Dr. is very basic and always in hurry when I have some question. This really help me a lot. God Bless
Always happy to help! Please remember to share these videos on social media to spread the word. Want to see what normal blood sugar is? Check this out: ruclips.net/video/BDjw1MFzeJA/видео.html
VERY GOOD VIDEO
Glad it helped.
Which is better as an insulin resistance test, C-peptide or HOMA-IR test?
Thanks for the info guess it confirms I am a type 1 besides my family history of it my c peptide was 0.7 and glucose was 256. I was really hoping to come off insulin one day.🙁
Fasting glucose level 256??
so , is there some kind of equation of C peptide and blood sugar to cut the difference ?
Thank you for the explanation of the c-peptide test. Even my family doctor admits that he has never prescribe this test because he does not understand what it is for. The subject came up because I was attending a metabolic clinic and the staff there asked my family doctor for a requisition for a number of tests every 3 months. He complied while my sessions at the clinic continued but when they stopped he did not want to keep prescribing the c-peptide and fasting insulin tests. He was worried that the insurance people would flag him for prescribing too many unnecessary tests. Now I am in another metabolic program but this one includes medical doctors who can prescribe lab tests. My present metabolic doctor is suggesting that I am headed towards lada, not type 2. At this point my numbers are still at the pre-diabetic stage. Even she did not explain the relationship between c-peptide and blood sugar as well as you did. Thanks again.
If you're still insulin resistant, you need to eat whole foods only (wide variety of veggies, meats, greens, nuts, SOME fruits)... And STRENGTH TRAIN 3-5 days a week, gradually increasing diet & exercise but not way too much all at once. Get good sleep 7-9 hours a night, low stress, enjoy the sun safely 😊
The pancreatic beta cells secret C-peptide and insulin in equal amounts after splitting proinsulin to form these 2 components. They enter the blood and head to the liver. The half life of insulin is about 3 minutes and that of C-peptide about 5. When blood glucose stays high as in T2D with bad insulin resistance the beta cells will be overwhelmed and proinsulin will be secreted along with much reduced amounts of insulin and C-peptide. The endocrinologist will conclude that your pancreas is dead and order insulin for injection!!! They are not research scientists and they follow the book/protocol to prescribe insulin. They have too many things to be updated but have no time. You can say an old doctor is very experienced but MAY be outdated.
hello all fasting, blood sugar 110, c peptide 1,54 insulin 7,5, is it good? thank you for your answer
Great information Dr Ergin. I went through this, I lost weight like crazy ended up in the hospital twice. Iam a lot better now. Still need to work on my diet though. Thank you so much as always 🤗💜💜💜
You're welcome. Stay safe
This sounds like me !! I was diagnosed t2 8 years ago . I lost so much weight yet my hb1ac is going up .
I’m 43 years old , eat low carb , I had c peptide test in 2018 I was producing enough insulin then .
I also think I could be t1.5
If you like this video, you may find this playlist helpful too:
ruclips.net/video/ckCwf_32YC4/видео.html
thank you Doc
Most welcome!
What about checking the c peptide and the insulin?
Thank you doctor for your health info i lern more for you god bless
Thank you very much. We appreciate you. Please share these videos with people you may know and who may need them.
You're welcome. Please share on social media. Help is appreciated to spread the word to more patients struggling with diabetes
@@SugarMDs i do share
Doc my cpep is 343 pmol and glucose fasting is 4.1mmol. insulin 15.8pmol. Please advice if insulin if overloaded
Doctor thank you so much for all the valuable information. I have learned so much from you.
I am a Type 2 diabetic since 2010. My A1C is 8.2, but I am also 4-year post liver and kidney transplant patient.
So,my question is, is it okay for me to take your supplements?
Again, thank you so much for all the valuable information that you share with us.
Since you are probably on Sensitive transplant medications I would ask your transplant doctors first.
Would you consider 1.88mg/ml C-peptide level (non-fasting) with 104 blood sugar a good ratio? (The last meal finished 3 hours prior to test). (5.5 A1c)
Hi I am type 2 got my blood results today is 3.14 what does it mean
Why would my Doctor refuse my request for an insulin and C-peptide test??
Considering I've only ever had them done once in 20 yrs of being T2 Diabetic.
I listened to this very informative video again. There is so much misinformation about the C-peptide test-Most put out by people trying to forward their own agenda. Do you have any good websites that I can go to further research accurate information On C-peptide? Specifically I would like to correlate C-peptide and blood sugar for a normal range.
try looking for Pubmed
Interesting .thank you
You're welcome
You're welcome Please share on social media. Help is appreciated to spread the word to more patients struggling with diabetes
@@SugarMDs I will inshallah
@@SugarMDs I have question about the bread I’m making bread from lentils is it safe?
Thank you for that very informative video. I am not a diabetic, but I watch your videos because my wife is a diabetic and I am trying to prevent diabetes. What works for me is the healthy Ketogenic diet and one meal a day intermittent fasting. Thank you again. 😊
My A1C is 4.8, fasting glucose is 72, but my endocrinologist won't check my fasting insulin levels. Because one can have normal fasting glucose levels and a normal A1C levels, but a real elevated fasting insulin levels...which means insulin resistance and a predictor of diabetes
👋 Dr. Ahmet, I have a question,
I have Hepitites B positive and I have
Type 2 . Diabetic. And I am on Insulin.
Do I have to worry about it.
As long as you are under right treatment You should be okay
Doc while giving sample for c peptide we have to check glucose with glucometer ?
My c-peptide is 145 pmol/L.
Do I have type 1 diabetes?
Please reply Sir
Can u talk about how mediterrean thalassemia minor can affect A1C results. What test is rec instead of A1C?
I just got diagnosed with diabetes suspected type 1 they are doing a c peptide test to check. If I'm on insulin already will that effect the results?
Hi,what if I do have C-peptide 1,33 [1,1-4,4] and insulin 3,3 [2,6-24,9] but good sugar levels, sometimes it dropped to 67, or was 204, have symptoms that some days are so intense but another day Im just tired and have brain fog in the evening?
Is it OK to take that supplement along with Metformin?
Definitely!
My fasting c peptide 369. Kindly explain
What should I do?
My glucose was always fine (did do regular tests) It was still fine in may and in august it was first elevated, in september I was diagnosed with diabetes. Because of my wheelchairlife and a few pounds overweight I was diagnosed with diabetes type 2. Metformin doesn't seem to do much unfortunately. They did test for 2 antibodies, my local hospital doesn't do any other antibody tests and advice me to take the c-peptide test. I do have an underlying condition that goes hand in hand with auto-immune disorders. Also I have another condition that causes unbalanced cortisol levels. I would like to know if the high glucose (but I also have low levels) is caused by diabetes type 1 or 2, or by my dysautonomic dysfunction or cortisol levels. I would like to have the other antibodies tested, but I don't have a referral for this. Would c-peptide at this early stage, and with cortisol problems, also be accurate?
I just did my lab work. My A1c was 5.3. My fasting glucose was 70. And my c-peptide was .61......and flagged on the report as 'low'. However I've seen several websites that describe normal range as .5 to 2.0.
Very helpful information, how I can book an appointment with you?
All patients from Florida and New York can be seen virtually/telemedicine. Other states can see our diabetes coach only. For more info www.sugarmd.com. Phone number for office is 561-462-5053 It is virtual.
@@SugarMDs thank you so much
@sugarmd my A1C was 5.4 glucose at 108, but I’ve lost a lot of weight and urinating a lot. Would I need a c-peptide test?
you should always get an insulin or C-peptide test to make sure you are not producing a bunch of insulin to keep your A1C and glucose levels low. optimally a 3 hour glucose & insulin test to see just where your numbers go after drinking sugar.
Thank you
You're welcome
You're welcome. Please share on social media. Help is appreciated to spread the word to more patients struggling with diabetes
I've been a diabetic for a long time....type 2......I wanted z fasting insulin test done but she said no but she did the cpeptide...and said I was 2.8.....is that high???
Dr. GD
AFTERNOON . THIS IS PHIL. HEAVY FEET BEFORE BUT NOW OK MY BLOOD.SUGAR IS HIGH. IWWNT TO THE DR. BEFORE. AND MEDICUS EXAMINE MY BLOOD SUGAR.
Thank you so much for great information. i have a question. Im on carnivore (zero carb) after 14hrs fasting , fasting glucose was 4.3 and C peptides was 0.13nmol. I understood c peptides changes everytime but Iam worried if its too low as its a way below normal range.
Thank you for sharing, My pleasure to help
Do you think I have T1D besed on c peptides level above?
@@moon-tn1vu Dear Moon! Have your problems solved? I on carnivore too (fat rich) and my c-peptid 0,48ng/ml. My antibodies are negative but i feeling bad and loosing weight on carb meals.
Which is most preferable time for C - Peptide test?
My Fasting Glucose is 67 in lap , but 97 at home on personal glucose meter.
And my Hba1 c shows GF 77.all in same day.
My C- Peptide Fasting is 1.92 is it okay
And Homa IR is 1.47
Fasting blood sugar 200,C peptide 1.34ng/ml, anti-gad65 2070 IU/ml. What type of diabetes is this?
How about blood sugar levels are ok and around 5.8 but my insulin is 441 abd C peptide is 6.8 very high what to do?
WoW!
Hi Doc Eric!
I am at panic mode right now. I got my C-Peptide test. I am not diabetic. Sometimes I'm experiencing low blood sugar that's why my Endocrinologist have this OGTT FBS and OGTT 2Hrs qnd C-Peptide.
C-Peptide Reference Interval is at 1.10 - 4.40 ng/ml and my result was 4.51 ng/ml.
OGTT Non-Pregnant 75gms FBS 70.10 - 98.93 mg/dl and my result was 89.20 mg/dl
OGTT 2hrs < 140.56 mg/dl and my result was 195.16 mg/dl
HbA1C < 5.70 % and my result was 5.60%
My question is will I patter the C-Peptide result to the OGTT 2hrs after loading glucose 75gms or the OGTT FBS? because the C-Peptide Reference Interval is from 1.10 - 4.40 ng/ml. I am very oqnic at this moment because before rhebtest, Doctor told me if my C-Peptide is high, there's a problem with my pancreas. I am afraid. Some here in google and RUclips, I saw that the normal values should be 0.5 - 2.0 ng/ml and it's too way far from the reference interval here. Please help me doctor.
you are insulin resistance with those numbers. You are barely able to keep down your glucose levels. Your fasting C-peptide is also very high. Your 2 hour OGTT test of 195 is super high, mine was 101 at 2 hours. My C-peptide is 1.03, your value of 4.51 means you are producing way too much insulin. You need to cut back on carbs/sugars.
Can the advanced glucose supplement be shipped to mauritius island?
You may check on amazon if it is available on your location.
@@SugarMDs unfortunately not :( but i bought the book on kindle
Such a beautiful place you live in. Wish you were able to get the supplements
Thank you 😢
Thank you so much for informative video. When I was diagnosed with diabetes I lost the weight with HbA1c 12 and fasting sugar 225. Based on doctors advice started on low carb diet.
Three months later test reading were - HbA1c-5.8, c-peptide-0.75, fasting insulin-2.3, fasting sugar-118
In subsequent test c-peptide kept going up from 0.75 to 2.0 with fasting insulin 4 and fasting sugar 100, HbA1c 5.4
My fasting sugar rarely come below 100
can this diabetes be reversed. Is my beta cell intact. Am I still insulin resistant
Thanks from India
I have same condition like yours, can i talk with you regarding this
dr plz help me👏. my hba1c 9.9, insulin fasting serum 3.60, fasting suger 288, pp 292, fasting c peptide 0.68, BETA CELL FUNCTION 6.90, HOMA ir 0.88, suger from 10 years, 10 years use medicine glimepiride pioglitazone & metformin 500 mg twice a day, suddenly tablet not work and new tablet sitagliptin 50mg metformin 500mg start but no work.kindly help ,what i do next step
I was so afraid before
You are an excellant guide for me, i learn very much with all your videos, and i have confidence in you. Thank you very much.
Welcome. Please spread the message. I appreciate you!
Should the test be given when fasting or after having some food a couple hours before?
Great question @ukiahsguitarsolos3436! The C-Peptide test is typically taken as a fasting blood test. If you're unsure, it's best to consult with your healthcare provider.
@@SugarMDs I got my results today. Fasting insulin was 3.8 and fasting glucose was 70. A1C was 5.3. Still waiting on the C Peptide.
Is it available in Dubai
I'm not sure
Can I increase my C peptide level? And how?
You cannot' get weight without insulin... Is it true??
hocam merhaba. Türk müsünüz eğer öyleyse çok sevindim. Doktorum tip 1 miyim 2 mi karar veremiyor. C peptit 0.7. Depresyondayım yaşama isteğim kalmadı. Ölmek istemiyorum lütfen bana yardım edin.
blood sugar:88
c peptide: 1.2
what does that tell u?
Hello. I just reveived the following results from a test to understand if I have any Diabetes predisposition or risk:
- Fasting Glucose: 90 mg/dL
- A1c 5,44%
- Insuline 3,07 uUI/ml
- C Telopeptide 0,829 ng/ml
- Glucose Pre/Post Pandrial Pre:89 Post 72
What does C Telopeptide result means? Do you think I have any risk of LADA? I am doing all these tests because in January I got a 105mg/dL fasting glucose result.
Thanks for the question. You may find the answer here, please check this out ruclips.net/video/mQHSYK0smkw/видео.html
My blood sugar was fasting but I'm pretty sure it was around 190 ......at the time of the cpeptide test...I want to get away from the long acting insulin Lantus my alc is 9.4 when it was last year a 8.3...I have an amputation so I am in a wheel chair then a power chair too I go outside my glucose is better when I'm physical like raking leaves pine straw ....hoeing things....getting sunshine try cause my vitamin d is a 15!!! I have no gallbladder for last 30 years so I'm thinking about some bile salts or tudca
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W Gods Grace i recovered.
Great news.
Dang, what about a fasting glucose of 104 and a c-peptide of 1. What does this mean
It was weird because I got a Fructosamine test and it was 254 which is a A1c around 5.9
But my A1c is usually around 5.4 -5.5
Fasting glucose of 104 & c-peptide of 1 could mean different things. Best way would be to get in touch with your health provider. They would be able to provide best advice based on your medical history.
@@SugarMDs well what are the thing it can mean, could you explain a little. I don’t have no heath care provider
@@SugarMDs I just subbed to your channel
When I went to the Diabetic Specalist my sugar was 77 & sensor showed 77 C-Peptide showed 1.1 she said your Thyroid is ok. My Kidney is ok & my liver is ok but my insulin production from the pancreas is Measurable but low. My TSH is 2.790 My T4-FREE is 2.17 What got me she talking about insulin pump therapy? I am like are you serious? She just started me on a Ozempic. I am about 30lb overweight I figure lose the 30lb and keep it off I am sure my Pancrease will make more insulin & keep a my diet under control since I am I have a sensor now showing my numbers 24/7. I was shocked when she said Pump Insulin Threapy?
Im diabetic as well. Truth is we don’t really need doctors if we have classic T2 diabetes. You mentioned you have 30lb to lose… which means you are still in the process of reversing diabetes (still a way to go). I do agree with you that you lose the weight first… then see how things improve. Maybe you can share your age and how long you have been actively reversing this?
@@kostar500 I am 49ers old. I been a T2 since 2008. I have just started the Freestyle Libre 3 Sensor about a month ago. I am able to see my numbers to see what I can eat & not eat and adjust my eatting habits. I just started Ozempic about a week ago. Do I have any side effects? No. None. Now is it working for me? If talking about controlling hunger? Thats a yes for sure. My Avg Glucose now is 112.
🙏👍
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ruclips.net/video/ckCwf_32YC4/видео.html
𝐁𝐮𝐲 𝐒𝐮𝐠𝐚𝐫𝐌𝐃 𝐍𝐞𝐮𝐫𝐨𝐩𝐚𝐭𝐡𝐲 𝐒𝐮𝐩𝐩𝐨𝐫𝐭, 𝐃𝐈𝐀𝐕𝐈𝐓𝐀𝐌𝐈𝐍, 𝐖𝐄𝐈𝐆𝐇𝐓 𝐋𝐎𝐒𝐒 𝐅𝐎𝐑𝐌𝐔𝐋𝐀-𝐅𝐀𝐓 𝐁𝐔𝐑𝐍𝐄𝐑
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Hi, Where can I go to buy Sugar MD Neuropathy support? I would like to buy one.