Pam*
Active Member
- Messages
- 43
- Location
- St Leonards on Sea, East Sussex. UK
- Type of diabetes
- Type 3c
- Treatment type
- Insulin
I'm so sorry Nick Ive only just seen your reply - a month late. Unfortunately the DAFNE course is not available where I live unless I travel a long way. I did an online course though that was similar.Dear Pam,
I have just read your message and response with much interest and I have a lot of empathy for you.
I also have a similar problem and take both insulin and Creon to help the rather defunct Pancreas I have now due to auto immune problems. I agree it’s so difficult to smooth out the peaks and troughs and sometimes it can be very demoralising. But there is always hope.
This year I went on what the specialists name a DAFNE course ( dose adjustment for normal eating ) it was excellent and gave me an insight as to how to use insulin more effectively, both the long acting and rapid acting. I was also fitted with a Libre 2 disc which enables monitoring the Sugar levels more effectively and timely.
It is difficult to assess what to inject and and monitor what you eat when out and about and that can only come with time. I purchased a pair of scales for the kitchen when at home which, by entering a food code and then weighing the food they calculate and inform me exactly how many grams of Carbs I am eating. So by using the Scales going on the DAFNE course and having the Libre 2 disc fitted has helped me produce better results than before. My Ha1bc was 88 mmol but now I have been able to reduce that down to 55 mmol a better but not perfect result
It will never be perfect but if we can improve our readings just a little, I would say every little thing we do helps.
Hope this helps you a little. Fingers crossed.
Thanks for your reply Steve.Hi Pam and Nick, I can equally recommend the DAFNE course - Pam, did you do the DAFNE online or was it another type - DAFNE is available via the OU to do online at your own pace, your local support should be able to send you the link & login details. Provided you’ve carb counted OK, do not worry about spikes - it’s normal. They key is to target you BG for the next meal/overnight. If you’re say 7 at breakfast time, if you’ve counted carbs and injected accordingly your target will be to be 7 by lunchtime. Likewise if you’re 11 at breakfast and you aim to be 7 by lunchtime, then you may have to add a unit of insulin to breakfast to accommodate carbs going in and aiming to get to 7 by lunch.
Thanks Steve. Interesting Dafne sugests to inject 15 mins before eating. I will try and remember to do that. I think it might help.There’s nothing wrong with eating carbs - According to Libre I have averaged 204 carbs a day over the past 2 weeks with an average of 24 QA units a day and 16 slow release, and that’s eating as normal as I can. DAFNE suggest (see attached) novorapid needs to be injected 15mins before a meal, hits its peak between 50 & 90mins but hangs around for between 2-5hrs. I hate the jab before 15mins idea, so I’ve been put on Fiasp which supposedly starts working straight away-only time will tell, but it should save me some grief!. May be worth discussing with your team. We were told, 1 unit of insulin lowers sugars by 2-3mml, so if I’m 12 at bed I’ll consider 1 or 2 units to get it to around 6-8, and while the concept is the same for most people, everybody is slightly different so chat to your team
Sounds like you’ve got similar frustrations to a lot of us but this forum is excellent for support and understanding. I struggle with eating out and carb counting with buffet style meals - especially abroad, and understanding alcohol and it’s impact just does my head in, but we’ll all get there with support.
Happy to chat. I also have Type 3C which was originally diagnosed as Type 2. After a severe bought of pancreatitis in 2020 they discovered I had a slow growing tumour (neuro endocrine tumour (NET)) which I had had probably the 10 years I had been diabetic. This tumour was killing off my pancreas hence the lack of insulin being produced. In 2021 they removed my pancreas and spleen so now I have to take Metformin, Empagliflozin, insulin and creon with meals and Tresiba as my basal insulin. I too wear a Libre 2 sensor.Heya
I have type 3c after developing severe acute pancreatitis in Aug 2021. I take Metformin, Empagliflozin, Creon with the stuff I eat and a Toujeo Insulin baseline. I'm also prescribed the Libre 2 sensor as I'm non-symptomatic. I would love to chat with anyone who is in a similar position to me.
Hi.Heya
I have type 3c after developing severe acute pancreatitis in Aug 2021. I take Metformin, Empagliflozin, Creon with the stuff I eat and a Toujeo Insulin baseline. I'm also prescribed the Libre 2 sensor as I'm non-symptomatic. I would love to chat with anyone who is in a similar position to me.
Heya
I have type 3c after developing severe acute pancreatitis in Aug 2021. I take Metformin, Empagliflozin, Creon with the stuff I eat and a Toujeo Insulin baseline. I'm also prescribed the Libre 2 sensor as I'm non-symptomatic. I would love to chat with anyone who is in a similar position to me.
Morning I hope you are well I wanted to reach out to you as my husband is in the same position as you and wanted to know how your draling with things,?Hi, due to type3c not being well known it seems to be common that you get diagnosed with type2 when you have type3c. Type3c is related to levels of damage to the pancreas, so in my case i have no pancreas function, therefore i am insulin dependant and take Creon with meals, i have unpredictable large swings in my blood glucose levels, hyperglycaemia and hypoglycaemia, my digestions is still a work in progress. Have the doctors told you how much pancreas function you currently have? Are you monitoring your blood glucose levels? Are you taking metformin or injecting insulin?
Good morning I hope you are ok, just reading your previous post and I wanted to contact you as my husband has a NET in his pancreas with mets in his liver,he’s currently in hospital after a severe hypo at the weekend,no one seems to know what to do as he now needs to be on a glucose drip constantly, did you experience anything like this? I’m desperate to find any answers! ThanksHappy to chat. I also have Type 3C which was originally diagnosed as Type 2. After a severe bought of pancreatitis in 2020 they discovered I had a slow growing tumour (neuro endocrine tumour (NET)) which I had had probably the 10 years I had been diabetic. This tumour was killing off my pancreas hence the lack of insulin being produced. In 2021 they removed my pancreas and spleen so now I have to take Metformin, Empagliflozin, insulin and creon with meals and Tresiba as my basal insulin. I too wear a Libre 2 sensor.
Good morning I hope you are ok, just reading your previous post and I wanted to contact you as my husband has a NET in his pancreas with mets in his liver,he’s currently in hospital after a severe hypo at the weekend,no one seems to know what to do as he now needs to be on a glucose drip constantly, did you experience anything like this? I’m desperate to find any answers! Thanks
Hi @christmasfairy1HI everyone , I was diagnosed type 3c march 2023, it's been a nightmare ever since.
Gastro specialist, liver specialist 2 different diabetic teams I was 80kg last March and now fluctuating between 92kg and 97kg
After seeing the diabetic team linked to the liver team they've told me I need to loose weight but won't prescribe injectables like victoza as they aren't licensed for "type 1's"
I am struggling with mobility as I had an accident 3 years ago and broke all my ribs- 5 of them have fused with nerves between them plus ascites and odema from pancreas issues.
I feel like I'm going round in circles, trying to loose weight - just had a phone call from diabetic nurses who I asked if I could try a high protein low carb diet was told no because I need insulin with meals containing carbs, yet they've repeatedly told me if I don't eat carbs in a meal I shouldn't take any insulin.
Has anyone tried a vlcd or Aitkens type diet whilst having 3c?
The additional weight is adding to my issues and causing everything combined to really effect my mental health.
Tia to anyone who can offer any insight, advice or even just reads my post
Hi, I have been type 3c for appprox 14-/15 years take insulin and metformiin. I lost the head. Of my pancreas after a whipple procedur.. in feb 2007Hi everyone, i am Type 3c due to acute pancreatitis and then cysts on my pancreas which wiped out my pancreas in 2019. Now i am insulin dependent and also take creon with all meals. Just wondered if there is anyone else on this forum with similar condition.
Hi Jane 1973 I also had a NET in my pancreas. Two hospitals couldn't treat me and said it was not possible to have surgery. I asked to be refered to 'Kings' a Centre of Excellence in London where they have specialists in NETs. Two years ago I had surgery there and am doing pretty well. I am diabetic type 3c now and take Creon. How is your husband doing now?Good morning I hope you are ok, just reading your previous post and I wanted to contact you as my husband has a NET in his pancreas with mets in his liver,he’s currently in hospital after a severe hypo at the weekend,no one seems to know what to do as he now needs to be on a glucose drip constantly, did you experience anything like this? I’m desperate to find any answers! Thanks
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?