 Hi guys, this is dr. Ahmet Ergen. I'm an endocrinologist and a diabetes education specialist now today We are talking about a common question asked by Many viewers and that is the C pep tide level alright guys So you may have type 1 diabetes type 2 diabetes or type of 1 and a half diabetes So whatever the case it may be stay tuned. Let's get started All right guys, so see peptide test is you guys are reading on the internet and you kind of try to find out You know, what is the test that tells you if you're still making insulin, right? So see peptide test is used for that and a lot of my primary care doctors or nurse practitioners also ask me Hey doc, do you see peptide test? Well, I do but it is very tricky to interpret and today I'm going to give you the secret about how I interpret see peptide test That's most doctors and even nurse practitioners do not know and here is how now see peptide is a peptide That's basically a protein that is produced by Your pancreas in the process of making insulin Okay, so what it means is that basically if you have see peptide in your blood That is coming from the insulin that you have made not given from outside The insulin given from outside will not show see peptide in your blood now The problem with see peptide is it is going to change pretty much every minute every hour So you can check a see peptide right now on an empty stomach fasting and then you check it after a meal Okay, it's gonna be totally different. What's gonna happen your see peptide will go up Why does your see peptide go up because your blood sugar goes up? So it is directly related to your blood sugar Okay, so how do I interpret see peptide test then because if if you check a see peptide for the same person One time it comes back 1.2 the next time it comes back 2.2 the next time it comes back to 0.6 Hmm now the reference ranges are typically, you know starts from 0.8 and then goes up So the lowest is 0.8 or below is typically we call it low But here's the trick if you are having a low blood sugar, let's say your blood sugar is down to 65 Your see peptide will be low, right? So a duh, you know, it should be low That's a lot. That's this physiology your body wouldn't make insulin for a low blood sugar Otherwise, you will kill yourself So the problem is people only test see peptide without checking the glucose with it Now you have to check the glucose with it because it's directly related to your glucose now for example If your blood sugar is 200 and your see peptide is 0.8 That's a problem because that means that your body doesn't care How how your blood sugar is you're not making insulin period period you're not making insulin at that point You are looking for medications that can really replace your insulin So that's that would be insulin itself or there are some other insulins that will reduce your insulin need But most of the time, you know, let's say if you're tight one diabetic Your see peptide will be stuck at 0.2 0.3 no matter what your blood sugar is But for a lot of people like my audience, they're typically 35 and above Unfortunately young people don't watch me for some reason. Maybe they're too busy or actually just because they're not diabetic yet You know, they're tight one diabetic, but they don't really care, you know, when they're young. They don't they're like whatever But basically guys, you know, when you are diabetic, you wonder what type of diabetes you have A lot of people come to me and they say, oh, well, they call me tight one They call me type two. I'm like based on what you know based on your looks or what? So sometimes you can tell, you know, based on the looks, you know Let's say somebody comes and they are gaining weight. So they're telling me do I make insulin? I'm like, oh, yeah, you have you make plenty of insulin, you know That's called insulin resistance most top two diabetics may way more insulin they need, right? And but they're still not enough because, you know, they're either overweight or their insulin resistant as a result The insulin is not really helping them. So sometimes they say, hey, would you like to check my CPAP diet? I'll be like, no, I'm not gonna check your CPAP diet I know you have a lot of insulin because you cannot gain weight without insulin And if you come to me for example, and you say, hey doc, I've been losing like weight like crazy I am going to bathroom like crazy, you know, I'm urinating every every hour every two hours and I'm losing weight Do I need to check your CPAP diet? Not really You don't make any insulin. Now doesn't mean that you will not make any insulin. That's another trick, you know Sometimes you are your blood sugars are so high your pancreas basically fails Temporarily and when somebody's blood sugar is 500. I don't check their CPAP diet Why because pancreas is like what is going on five? I'm out of commission. I'm done I'm out those people with a 500 blood sugar. I don't check their CPAP diet I know that they're in trouble. I know that they need something right now to bring the blood sugars down Once the blood sugar is down like more like a reasonable level like, you know 150 to 250 range Then I can check to see if their pancreas is kind of starting to contribute But in a situation like super crisis like a super high blood sugar or super low blood sugar We do not check their CPAP diet But if you come to me and you're like A1c is like eight and a half nine percent You're like a 45 year old and you try to feel oral medications and your blood sugar is so high You're trying to diet, but you cannot control your blood sugar Then I'm like hmm Let me find out if this guy is making insulin or not because they're not gaining weight They're not losing weight. They're kind of you know all holding but their blood sugars are high Then checking the CPAP that gives me an idea of how much insulin they're making and of course always with the glucose I check the glucose. Let's say their blood sugar is 150 and their CPAP diet is 0.8 Yeah, I would expect the CPAP diet to be higher because your body is supposed to make insulin when your blood sugar is 150 Right if your CPAP diet is not even budging Then you have a problem if I check your blood sugar and your blood sugar in the morning is 150 and your CPAP diet is 3 You're making plenty of insulin, right? So that means that you're making way too much insulin actually, but it's not enough So then we have to work on your insulin resistance guys. I hope that helps again Insulin resistance is a problem and we have a supplement. It's called a Dr. Ergen's sugar MD advanced glucose support It is available on our website at sugarMDS.com and we are working with Amazon Amazon is not too easy. I thought they were easy, but they're not that easy to deal with It takes some time to get to Amazon, but we are getting there You can check the Amazon if you cannot find there Just go to my website and sugarMDS.com and try it out again You know that's much of Indian and Chinese herbs that has worked for me for my patients And we made a supplement and it's out there for you. Please share this video Please give it a like, comment, ask questions, and we'll see in the next video guys