Patient: Description (onset time, main symptoms, hospital visited, etc.): 4 years type 1 diabetes high postprandial glucose local hospital fasting C-peptide 0.858 fasting insulin 1.78 with metformin and donbeck I heard that 30 percent of type 1 diabetes can be cured is that true? Zhou Ligang, Department of Endocrinology, Shanghai Shuguang Hospital East Hospital: It is not entirely true that 30% of type 1 diabetes can be cured. We can say that 99% of type 1 diabetes can be well controlled. 1. Have you done C-peptide release test? Fasting C-peptide 0.3-1.3nmol/L C-peptide release test: peak value appears 30min-1h after oral glucose, peak value is 5-6 times of fasting C-peptide. 2. Has insulin release test been done? Reference value Fasting insulin 35-145pmol/L, (chemiluminescence method), 5-25uU/ml (RIA method) Insulin peak at 30min-60min, peak up to 5-10 times the basal value, drop to fasting level at 180min Patient: no just did fasting C peptide We have bad medical treatment here Patient: what if it’s caused by virus then can it be cured Shanghai Shuguang Hospital East Hospital Endocrinology Zhou Ligang: 1. Your fasting C-peptide 0.858 Fasting C-peptide 0.3-1.3nmol/L Fasting insulin 1.78 Reference value Fasting insulin 5-25uU/ml (RIA method) is not good anymore. Insulin should be used. 2. Some doctors in the United States and Europe are now making some progress in the treatment of type 1 diabetes. Maybe in a short time, there is hope that type 1 diabetes will be cured. But this requires a certain amount of pancreatic islet cells. 3, to maintain a certain function of the islet cells, you need to use insulin. The Donbeck you are using is a second generation sulfonylurea. It will accelerate the failure of islet cells with long-term use. 4, the virus caused by the can be cured? It is possible that part of type 1 diabetes is caused by a virus. But the international community is not sure yet. 5, I hope you maintain a certain amount of islet cell function until a better method is introduced.