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Discussion in 'Type 3c (Pancreatic) Diabetes' started by Mary_Briggs, May 4, 2016.

  1. Mary_Briggs

    Mary_Briggs Type 2 · Member

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    I have diabetes because I had pancreatitis ,does that mean I have pancreatic diabetes,I didn't know about this.
  2. Arab Horse

    Arab Horse Type 2 · Well-Known Member

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  3. Shar67

    Shar67 · Guest

    Hi @Mary_Briggs
    Welcome to the site, type 3c is diagnosed when both alpha and beta cells are destroyed. You would be on insulin as generally you are treated like type 1
    Doctors usually do a blood test and scans to diagnose
    following a low carb high fat diet isn't recommended if you have chronic pancreatitis but certainly worth trying to find middle ground

    Info for new members

    Hello and welcome to the forum Here is the information we give to new members, regardless if you are diagnosed as diabetic, pre-diabetic or not. I hope this will be useful. Ask as many questions as you want and someone will be able to help.


    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
    There are two approaches to controlling your carbs:

    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates

    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes

    http://www.diabetes.co.uk/low carb program

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic

    Low Carb Program - http://www.diabetes.co.uk/lowcarb/
    #3 Shar67, May 5, 2016 at 5:05 PM
    Last edited: May 5, 2016
  4. khasru_miah_

    khasru_miah_ Type 2 · Member

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    I have been diagnosed now 3 years by beta cells are damaged I woke up to 11.2 this am

    I have just been given
    Sr metformin , my pancreas does not produce enough insulin am I type 3 as well ? Do I need injections ?? Please help
  5. Shar67

    Shar67 · Guest

    @khasru_miah_ type 3c has both non functioning of alpha and beta cells.
    Some type 2 diabetics may need to use insulin, you doctor or diabetes nurse should be checking metformin is enough for you, I suggest you speak to them regarding further medication. Lots of people on this site have found following a low carb high fat diet helps lower blood sugars, have a good look into sub categories for recipes etc.
  6. tia1949

    tia1949 Type 2 · Member

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    I have just noticed this "Pancreatitic Diabetes" on Diabetes UK - I am diabetic because I had tests done which damaged my pancreas - I didn't realise that you can have Type 3 diabetes due to having pancreatitis. I didn't know about this either but I am going to check with my GP. So much I don't know about this and I have been diabetic for a few years now.
  7. catapillar

    catapillar Type 1 · Well-Known Member

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    Type 3 diabetes really means Alzheimer's. I think you mean to be talking about type 3c diabetes?

    Type 3c diabetes means diabetes caused by pancreatitis/ pancreectomy and non functioning of both alpha and beta cells (as @Shar67 haas set out above). If you don't have functioning beta cells, you aren't producing insulin and so you need to inject insulin and you are probably also monitored/treated for hormone insufficies caused by the loss of alpha cell function.
  8. M3gca

    M3gca Type 2 · Newbie

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    Hi I had most of my pancreas removed in 2002 since then I have been diabetic but I have never heard about type 3 I almost died 3. times spent 5 months in hospital
    • Useful Useful x 1
    • Hug Hug x 1
  9. JRW

    JRW Type 1 · Well-Known Member

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    I had acute severe pancreatitis late 2008, I nearly died. When you're sat on the bed and your pulse is 145, and your blood pressure is 230/190 you know you're pretty screwed, luckily I survived. I took so much morphine I tripped out, ripped a catheter out of my nob, and ran out of the hospital at about 1am with the ground covered in snow and me with no top on. Loads of s**t happened after in that night, end result most of my pancreas destroyed.

    Short term I started producing insulin again and I was discharged, the consultant told me it was pretty much a miracle that I wasn't in intensive care on a ventilator.

    By 2011 I developed what was diagnosed as T1, I was very sick again, went to hospital with MMOL >44 but relieved to be diagnosed and understood what was up with me.

    Forward a few years I'm up to speed with self administering insulin, ok being I'm treated like a T1, but the medical care is sh*t in general.

    Now, started the cycling again, and just signed up for some races, discovering the joys of managing BG for multi hour cardio.

    New start, hoping to get up to speed with active pursuits for half marathon and longer cycling.
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