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Diabetes Discussion
Type 3c (Pancreatic) Diabetes
Can people with 3c control their levels ok
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<blockquote data-quote="SimonCrox" data-source="post: 1968038" data-attributes="member: 388174"><p>Unfortunately most diabetes is type 2 so lots of folk assume that all DM folk have T2DM.</p><p>In type 3c pancreatic diabetes, the pancreas is so damaged that there are not enough beta cells left to make enough insulin, so the person looks a lot like a Type 1 diabetic person. I was always taught that T3c needed insulin, but in practice I have found a few patients who did OK on tablets. I guess that if the pancreas is only partly damaged and the person has insulin resistance, then they might behave like a T2DM person</p><p>So, it hinges on whether the person is making insulin, so a C-peptide test to check this would be handy.</p><p>Also, if you have had significant pancreatitis, you might not be absoprbing food very well; classically, this shows as diarrhoea which is pale, difficult to flush, greasy and smelly; one can check by a faecal elastase test and treat with creon capsules if needed.</p><p>I cannot explain why the pain makes the glucose levels go up, but glucose elvels going up can make pain worse</p><p>So, as above, seeing a specialist might be really helpful</p><p>Best wishes</p></blockquote><p></p>
[QUOTE="SimonCrox, post: 1968038, member: 388174"] Unfortunately most diabetes is type 2 so lots of folk assume that all DM folk have T2DM. In type 3c pancreatic diabetes, the pancreas is so damaged that there are not enough beta cells left to make enough insulin, so the person looks a lot like a Type 1 diabetic person. I was always taught that T3c needed insulin, but in practice I have found a few patients who did OK on tablets. I guess that if the pancreas is only partly damaged and the person has insulin resistance, then they might behave like a T2DM person So, it hinges on whether the person is making insulin, so a C-peptide test to check this would be handy. Also, if you have had significant pancreatitis, you might not be absoprbing food very well; classically, this shows as diarrhoea which is pale, difficult to flush, greasy and smelly; one can check by a faecal elastase test and treat with creon capsules if needed. I cannot explain why the pain makes the glucose levels go up, but glucose elvels going up can make pain worse So, as above, seeing a specialist might be really helpful Best wishes [/QUOTE]
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Type 3c (Pancreatic) Diabetes
Can people with 3c control their levels ok
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