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Proinsulin, Insulin, and C-Peptide Patterns

Proinsulin

Insulin

C-Peptide

Interpretation

High

High

Normal

Beta-cell stress with insulin resistance; poor processing efficiency

High

Normal

Low

Early beta-cell dysfunction with declining insulin production

High

Low

Low

Advanced beta-cell failure (possible LADA or late-stage T2DM)

Low

Low

Low

Low reserve, likely late-stage autoimmune diabetes

Normal

High

Normal

Typical insulin resistance with normal processing

Low

High

High

High insulin production; efficient processing, early insulin resistance