According to recent evidence there is no role for routine assay of C peptide
in these circumstances.
Suggest see: http://www.clinchem.org/cgi/content/full/48/3/436
"Guidelines and recommendations for laboratory analysis in the diganosis
and management of DM".
Clin Chem 2002, 46:436-472.
Ian Barlow
Scunthorpe
UK
> -----Original Message-----
> From: TICKNER TREVOR (RM1) Norfolk and Norwich NHS Trust
> [SMTP:[log in to unmask]]
> Sent: Tuesday, July 02, 2002 9:51 AM
> To: [log in to unmask]
> Subject: Insulin and C peptide usage
>
> We have a paediatrician who has produced a protocol for monitoring
> adolescent diabetics annually with C peptide.
>
> He has also asked for insulin measurements as an aid to diagnosing type 2
> diabetes in an 11 year old, BMI>99th centile with a great grandmother who
> has 'borderline diabetes' but has reached her 99th year!
>
> Does anyone know of any evidence that might support these requests?
> Alternatively your collective views would help us formulate local
> protocols
> and would be gratefully received.
>
> Trevor Tickner,
>
> Norwich
>
>
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