Community Answer

Answered by Dr. Emily Carter, Endocrinologist

Diagnosing Type 1 and Type 2 diabetes involves several tests and evaluations. Here’s how they differ:

Type 1 Diabetes Diagnosis

  • Autoantibody Tests: These tests check for the presence of autoantibodies that attack insulin-producing cells, which are common in Type 1 diabetes.
  • C-Peptide Test: Measures the level of C-peptide, a byproduct of insulin production. Low levels indicate Type 1 diabetes.
  • Onset: Typically diagnosed in children and young adults, often with sudden symptoms like extreme thirst, frequent urination, and weight loss.

Type 2 Diabetes Diagnosis

  • A1C Test: Measures average blood sugar levels over the past 2-3 months. An A1C of 6.5% or higher indicates diabetes.
  • Fasting Plasma Glucose (FPG) Test: Measures blood sugar after an overnight fast. A level of 126 mg/dL or higher suggests diabetes.
  • Oral Glucose Tolerance Test (OGTT): Measures blood sugar before and after drinking a glucose-rich drink. A 2-hour level of 200 mg/dL or higher indicates diabetes.
  • Onset: Usually diagnosed in adults, often with gradual symptoms like fatigue, blurred vision, and slow-healing sores.

Key Differences

  • Cause: Type 1 is an autoimmune condition, while Type 2 is often linked to lifestyle factors and insulin resistance.
  • Treatment: Type 1 requires insulin therapy, while Type 2 may be managed with lifestyle changes, oral medications, or insulin.

Always consult a healthcare provider for accurate diagnosis and personalized treatment plans.

Last updated: 1/12/2025

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