I wonder if anyone can help. I have had chronic pancreatitis for 30 painful years. I take creon with food, and have been diagnosed as having endocrine and exocrine insufficiency. Earlier this year my hba1c was 42. HOWEVER… my bs readings are regularly over 10. But that isn’t what actually causes me problems, I can’t feel the highs. But I get low bs regularly ( I am no on any diabetic medication at all). On Monday, I was going on holiday, 2 hours from where I live, when I got there, felt awful, sweaty, confused but worse than usual, my heart was racing I had black spots in my vision felt like I was going to pass out. Took my bs it was 1.8. Finally got straight after eating more then I usually do in a week and have been v careful since. But I can’t help but feel the hba1c doesn’t represent the exhausting swings between high and low I am getting and my GP just thinks I should “eat more”! Any ideas/help v gratefully received
I assume you have a specialist to go and see, or get in touch if needed.
This rollercoaster ride of BG levels, is down to your pancreas overproduction of insulin but this has a delayed effect. So until the insulin kicks in your BG levels will spike. This is very similar to me. But for me it's the carbs.
I have no idea why pancreatitis does this. Wether reducing your carb intake will make a difference.
I'm sure because of your other conditions will likely impact this. But for me keeping steady stable BG levels is the best way to control symptoms.
A cgm is a good way to track your bg levels.
If you do go low, having too much food, may produce something called the rebound effect. This is what happens, when your BG goes low, you have too much, you spike high, too high, lots of high and low symptoms, then your pancreas kicks out insulin, then sugar crash. You take too much again, and so on.
With most people, the liver would protect the low with glucogenisis, but like me, the amount of insulin is still too much. And you get the low.
You need to find out why you are going high and low!
Keep safe.