Daibell
Master
Hi. It does sound like you have a fairly complex set of issues but the pancreatitis may well have reduced your insulin production capability. Sitagliptin is another possible med. It extends the length of time insulin is produced after a meal by blocking an enzyme that switches off the pancreas. It did help me a bit until I finally had to go on to insulin. Don't worry if insulin is finally needed as it's made a big difference for me and not a hassle at one injection a day. If your HBa1C goes above 7.5, then NICE would suggest considering insulin although may be try Sitagliptin first.