PenguinMum
Expert
- Messages
- 7,131
- Type of diabetes
- Type 2
- Treatment type
- Diet only
When I was diagnosed last Dec with HBA1c of 53 I wondered if my having a distal pancretectomy in 2012 (due to a Mucinous Cystic Neoplasm) had any bearing on my insulin supply especially since I take Creon replacement digestive enzymes since. I posted a question on here but only got a sparse response from some T3c diabetics (one in US) who thought if I took Creon for those reasons I should be T3c like them. I asked my doctor and asked my DN who has never come across this. I carried on hitting the ground running with LCHF and getting my HBA1c down to 41 first review and currently 37.
It was only when I had what was to be my final review this summer after my 5 year pancreatic scan that I posed the question again. The Gastroentrologist referred me to Endocrynology and I was seen today.
It was a 45 minute consultation and was very interesting. It seems because of my surgery my pancreas functionality is at 50%. Although I was commended for such a good BG level currently I can expect that as I age I will lose more beta cells despite my careful regime and if my HBA1c goes up to diabetic level (48) I will go straight on insulin (tablets not appropriate). I asked him if I was T3c and he said not with an HBA1c of 37 I’m not but I will become T3c if/when my levels require insulin. I said I wasnt planning on letting that happen but he said its inevitible I might be up to 10 years but if I get another illness it may happen sooner. He was very approving of my diet and remarked the only useful carb was green leafy veg! He thought I should take a good multi vitamin with Vit A for eyes, Vit D, Vit K. Etc. Will be tested for Vit D next bloods.
So glad I did my research and asked the right question especially since the HCPs I see regularly dont seem to be in rhe know. I dont like the idea of relying on insulin but my new personal target is to be non diabetic for the next 10 years.
Hope someone finds this informative or relevant.
It was only when I had what was to be my final review this summer after my 5 year pancreatic scan that I posed the question again. The Gastroentrologist referred me to Endocrynology and I was seen today.
It was a 45 minute consultation and was very interesting. It seems because of my surgery my pancreas functionality is at 50%. Although I was commended for such a good BG level currently I can expect that as I age I will lose more beta cells despite my careful regime and if my HBA1c goes up to diabetic level (48) I will go straight on insulin (tablets not appropriate). I asked him if I was T3c and he said not with an HBA1c of 37 I’m not but I will become T3c if/when my levels require insulin. I said I wasnt planning on letting that happen but he said its inevitible I might be up to 10 years but if I get another illness it may happen sooner. He was very approving of my diet and remarked the only useful carb was green leafy veg! He thought I should take a good multi vitamin with Vit A for eyes, Vit D, Vit K. Etc. Will be tested for Vit D next bloods.
So glad I did my research and asked the right question especially since the HCPs I see regularly dont seem to be in rhe know. I dont like the idea of relying on insulin but my new personal target is to be non diabetic for the next 10 years.
Hope someone finds this informative or relevant.