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<blockquote data-quote="StephenMM" data-source="post: 2032207" data-attributes="member: 501127"><p>Hello everyone,</p><p>My name is Stephen. I am 66 and live in Scarborough. In December 2018 I was diagnosed with a pre-cancerous condition of my pancreas. In February, my pancreas, spleen and gall bladder were all removed and I therefore instantly became diabetic. My consultant says that technically this is called ‘secondary diabetes’ but is mostly similar to Type 1 although now I believe it may be considered to be Type 3c - who knows?. The key difference I think is that without a pancreas I don’t have the ability to produce the digestive enzymes (amylase, protease and lipase) and so have to take these orally with each meal or snack. Also, there is no feedback to the liver to regulate its release of glucose. Without a spleen, I have an impaired immune system and so must take a daily low dose of antibiotics.</p><p></p><p>I was in the Cottingham Cottage Hospital (Hull) for only 17 days during which time I received the most amazing nursing care one can imagine. The staff there performed wonderfully despite the strictures of the NHS and I am so grateful for their kindness and expertise.</p><p></p><p>For 2 days in intensive care and the next 7 days on the ward, I was fed through tubes and insulin was administered by a regulated drip feed into my blood stream and blood glucose (BG) levels were measured every 2 hours. Thereafter I was put onto Humalog Mix25 with BG levels measured every 4 hours. By the time I was fit enough to be discharged my blood glucose levels seemed to be consistently between 4 and 14 with only the occasional spike and only one dip down to 1.6 which, at least, was good to experience in a hospital environment. Everyone said it would take time for my body to get used to the new regime and not to expect to achieve ideal target BG levels for some time.</p><p></p><p>At home, the Humalog Mix25 required me to be a little too regimented about when I ate and so I agreed with my DSN to change to a Basal/Bolus regime using Lantus (Glargine) Basal doses and Humalog (Lispro) Bolus doses. After three weeks on the Basal/Bolus regime I was achieving reasonably consistent BG levels between 4 and 10 mmol/l. My DSN suggested another change to Levemir (Detemir) and I am now striving to regain the control I had achieved with Lantus. Hopefully it wont take too long as I have read good reports about Levemir. I am also considering swapping to Novo Rapid instead of the Humalog as it is made by the same company as the Levemir and, hopefully, they will probably work better together??</p><p></p><p>Generally, my biggest issue is calculating the time between eating and injecting insulin. It is clearly affected by the consumption of fats, time of day, amount of exercise before and after eating and, probably, stress level. Sometimes when I have injected 15 minutes before eating, my BG levels sink alarmingly yet on other occasions the insulin appears to have no effect and BG levels rise, equally alarmingly. I also seem to have a different requirement for insulin to carbohydrate ratio depending on the time of day.</p><p></p><p>I still have a long way to go in my education in Diabetes but there seems to be lots of support for which I am most grateful, especially on this forum.</p><p></p><p>So, as a newbie, I will dutifully try to answer the questions posed at the start of this thread:</p><p></p><p>- Include a photo here if you wish to - See my Avatar.</p><p>- What is your name? Stephen.</p><p>- How old are you? 66.</p><p>- Are you male or female? Male.</p><p>- Which country are you from? United Kingdom.</p><p>- Which city/area do you live in? Scarborough, North Yorkshire.</p><p>- Are you religious? I like singing at Weddings, Christenings and Funerals and respect <strong>all </strong>religions and those people that choose to follow them.</p><p>- Pick three words to describe your personality. Loyal, Trustworthy, Compassionate.</p><p>- Do you have any pets? Yes - 2 inexhaustible Springer Spaniels.</p><p>- Microsoft or Apple? Both.</p><p>- Which sport(s) (if any) do you like/play? Fishing, Shooting (Clay pigeons), Rugby, Cricket, Snooker.</p><p>- Do you get angry easily? Define easily. Some people (mainly politicians) only need to open their mouths to get me going.</p><p>- Do you have any tattoos or piercings? If so, where? No.</p><p>- List your five favourite musicians/bands. Pink Floyd, Queen, Fleetwood Mac, Abba, The Eagles.</p><p>- What would you say your favourite music genre is? Anything as long as it has a good tune and intelligible lyrics.</p><p>- What is your favourite flag? The Union Flag.</p><p>- Ever gone camping? Yes.</p><p>- Ever been in love? Constantly.</p><p>- Ever used fake tan? Who hasn't?</p><p>- Which countries have you visited? Too many to list.</p><p>- Favourite city? London.</p><p>- List your five favourite TV programmes. Pie in the Sky, Line of Duty, Blue Planet, Pointless, The Bodyguard</p><p>- List your five favourite films. Couldn't possibly.</p><p>- Are you wealthy? I try to make sure that expenditure never quite rises to exceed available income!</p><p>- Do you work? If so, as what? I'm retired but had a bit to do with Information Technology. Since retiring, my wife and I run a modest smallholding with a few sheep, two pigs (every other year) and chickens and a vegetable patch.</p><p>- List the subjects you study/have studied. Mathematics, Physics, Chemistry, Information Technology, Electronics ...</p><p>- What do you like most about yourself? My wife.</p><p>- What do you like least about yourself? Arthritis in my big toe. Keeps me awake at night and limits exercise - bad for diabetics.</p></blockquote><p></p>
[QUOTE="StephenMM, post: 2032207, member: 501127"] Hello everyone, My name is Stephen. I am 66 and live in Scarborough. In December 2018 I was diagnosed with a pre-cancerous condition of my pancreas. In February, my pancreas, spleen and gall bladder were all removed and I therefore instantly became diabetic. My consultant says that technically this is called ‘secondary diabetes’ but is mostly similar to Type 1 although now I believe it may be considered to be Type 3c - who knows?. The key difference I think is that without a pancreas I don’t have the ability to produce the digestive enzymes (amylase, protease and lipase) and so have to take these orally with each meal or snack. Also, there is no feedback to the liver to regulate its release of glucose. Without a spleen, I have an impaired immune system and so must take a daily low dose of antibiotics. I was in the Cottingham Cottage Hospital (Hull) for only 17 days during which time I received the most amazing nursing care one can imagine. The staff there performed wonderfully despite the strictures of the NHS and I am so grateful for their kindness and expertise. For 2 days in intensive care and the next 7 days on the ward, I was fed through tubes and insulin was administered by a regulated drip feed into my blood stream and blood glucose (BG) levels were measured every 2 hours. Thereafter I was put onto Humalog Mix25 with BG levels measured every 4 hours. By the time I was fit enough to be discharged my blood glucose levels seemed to be consistently between 4 and 14 with only the occasional spike and only one dip down to 1.6 which, at least, was good to experience in a hospital environment. Everyone said it would take time for my body to get used to the new regime and not to expect to achieve ideal target BG levels for some time. At home, the Humalog Mix25 required me to be a little too regimented about when I ate and so I agreed with my DSN to change to a Basal/Bolus regime using Lantus (Glargine) Basal doses and Humalog (Lispro) Bolus doses. After three weeks on the Basal/Bolus regime I was achieving reasonably consistent BG levels between 4 and 10 mmol/l. My DSN suggested another change to Levemir (Detemir) and I am now striving to regain the control I had achieved with Lantus. Hopefully it wont take too long as I have read good reports about Levemir. I am also considering swapping to Novo Rapid instead of the Humalog as it is made by the same company as the Levemir and, hopefully, they will probably work better together?? Generally, my biggest issue is calculating the time between eating and injecting insulin. It is clearly affected by the consumption of fats, time of day, amount of exercise before and after eating and, probably, stress level. Sometimes when I have injected 15 minutes before eating, my BG levels sink alarmingly yet on other occasions the insulin appears to have no effect and BG levels rise, equally alarmingly. I also seem to have a different requirement for insulin to carbohydrate ratio depending on the time of day. I still have a long way to go in my education in Diabetes but there seems to be lots of support for which I am most grateful, especially on this forum. So, as a newbie, I will dutifully try to answer the questions posed at the start of this thread: - Include a photo here if you wish to - See my Avatar. - What is your name? Stephen. - How old are you? 66. - Are you male or female? Male. - Which country are you from? United Kingdom. - Which city/area do you live in? Scarborough, North Yorkshire. - Are you religious? I like singing at Weddings, Christenings and Funerals and respect [B]all [/B]religions and those people that choose to follow them. - Pick three words to describe your personality. Loyal, Trustworthy, Compassionate. - Do you have any pets? Yes - 2 inexhaustible Springer Spaniels. - Microsoft or Apple? Both. - Which sport(s) (if any) do you like/play? Fishing, Shooting (Clay pigeons), Rugby, Cricket, Snooker. - Do you get angry easily? Define easily. Some people (mainly politicians) only need to open their mouths to get me going. - Do you have any tattoos or piercings? If so, where? No. - List your five favourite musicians/bands. Pink Floyd, Queen, Fleetwood Mac, Abba, The Eagles. - What would you say your favourite music genre is? Anything as long as it has a good tune and intelligible lyrics. - What is your favourite flag? The Union Flag. - Ever gone camping? Yes. - Ever been in love? Constantly. - Ever used fake tan? Who hasn't? - Which countries have you visited? Too many to list. - Favourite city? London. - List your five favourite TV programmes. Pie in the Sky, Line of Duty, Blue Planet, Pointless, The Bodyguard - List your five favourite films. Couldn't possibly. - Are you wealthy? I try to make sure that expenditure never quite rises to exceed available income! - Do you work? If so, as what? I'm retired but had a bit to do with Information Technology. Since retiring, my wife and I run a modest smallholding with a few sheep, two pigs (every other year) and chickens and a vegetable patch. - List the subjects you study/have studied. Mathematics, Physics, Chemistry, Information Technology, Electronics ... - What do you like most about yourself? My wife. - What do you like least about yourself? Arthritis in my big toe. Keeps me awake at night and limits exercise - bad for diabetics. [/QUOTE]
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