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Prediabetes
Chronic Pancreatitis with Prediabetes
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<blockquote data-quote="Antje77" data-source="post: 2701244" data-attributes="member: 372207"><p>Hi [USER=588620]@Rocket72[/USER] , welcome to the forum.</p><p></p><p>With an hba1c of 42, you're literally on the threshold between 'normal' and prediabetes, so with a bit of luck some small changes may do the trick.</p><p>This is written by one of our members with full blown T2's in mind, but it's very useful for prediabetics as well: <a href="https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html" target="_blank">https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html</a></p><p>I think the main points are that ALL carbs raise glucose, low GI or not, and how useful it can be to use a glucose meter before and two hours after meals to see how you deal with different foods.</p><p></p><p>Usually, GP's will assume T2 unless there is some very strong indication that something else is going on. Chronic pancreatitis doesn't always ring a bell with GP's.</p><p>Pancreatitis can cause (pre)diabetes with a completely different mechanism than T2. If the pancreatitis impairs the ability of the pancreas to produce enough insulin, this will result in (pre)diabetes of a type called 3C.</p><p>Doesn't happen in everyone with chronic pancreatitis, and at your age you could simply be developing some insulin resistance in a T2 way, unrelated to the pancreatitis, but it may be something to keep in mind for the future.</p><p></p><p>It doesn't matter at all for your treatment at the moment, with your current numbers some changes in diet are very likely to get into the green zone again.</p></blockquote><p></p>
[QUOTE="Antje77, post: 2701244, member: 372207"] Hi [USER=588620]@Rocket72[/USER] , welcome to the forum. With an hba1c of 42, you're literally on the threshold between 'normal' and prediabetes, so with a bit of luck some small changes may do the trick. This is written by one of our members with full blown T2's in mind, but it's very useful for prediabetics as well: [URL]https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html[/URL] I think the main points are that ALL carbs raise glucose, low GI or not, and how useful it can be to use a glucose meter before and two hours after meals to see how you deal with different foods. Usually, GP's will assume T2 unless there is some very strong indication that something else is going on. Chronic pancreatitis doesn't always ring a bell with GP's. Pancreatitis can cause (pre)diabetes with a completely different mechanism than T2. If the pancreatitis impairs the ability of the pancreas to produce enough insulin, this will result in (pre)diabetes of a type called 3C. Doesn't happen in everyone with chronic pancreatitis, and at your age you could simply be developing some insulin resistance in a T2 way, unrelated to the pancreatitis, but it may be something to keep in mind for the future. It doesn't matter at all for your treatment at the moment, with your current numbers some changes in diet are very likely to get into the green zone again. [/QUOTE]
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