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Diabetes Discussion
Type 3c (Pancreatic) Diabetes
Pre Diabetic Before Whipple Operation And After
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<blockquote data-quote="PenguinMum" data-source="post: 1877647" data-attributes="member: 461597"><p>In 2012 had a distal pancretectomy and had similar amount of tail of my pancreas removed. This wasnt due to pancreatitis but because of a large mucinus cystic neoplasm. In Dec 2017 I was diagnosed with T2 diabetes HBa1c 53 BMI 29. I adopted LCHF way of life and my current Hba1c is 37 BMI 26. I have been asking my DN and GP how I can be sure my problem is insulin resistance (T2) rather than depleted insulin without any answers. It was only a couple of months ago when I asked my gastro consultant this that he agreed to refer me to endocrinologist. Got seen quickly and was told I only had 50% pancreas functionality because of my surgery and despite my careful control I will end up on insulin as soon as my HBa1c goes back to diabetic levels, ie 48 or more.</p><p>I asked if that made me T3c now and he said not with a current 37 it doesnt. I am going to do all that I can foodwise to remain under 48 for as long as I can but dont know how long that might be. I assume they will do a c-peptide test then.</p><p>Thats my story but I would recommend you get a referral to an endocrinologist. Getting that referral might be easier consultant to consultant if you still see your pancreas specialist.</p></blockquote><p></p>
[QUOTE="PenguinMum, post: 1877647, member: 461597"] In 2012 had a distal pancretectomy and had similar amount of tail of my pancreas removed. This wasnt due to pancreatitis but because of a large mucinus cystic neoplasm. In Dec 2017 I was diagnosed with T2 diabetes HBa1c 53 BMI 29. I adopted LCHF way of life and my current Hba1c is 37 BMI 26. I have been asking my DN and GP how I can be sure my problem is insulin resistance (T2) rather than depleted insulin without any answers. It was only a couple of months ago when I asked my gastro consultant this that he agreed to refer me to endocrinologist. Got seen quickly and was told I only had 50% pancreas functionality because of my surgery and despite my careful control I will end up on insulin as soon as my HBa1c goes back to diabetic levels, ie 48 or more. I asked if that made me T3c now and he said not with a current 37 it doesnt. I am going to do all that I can foodwise to remain under 48 for as long as I can but dont know how long that might be. I assume they will do a c-peptide test then. Thats my story but I would recommend you get a referral to an endocrinologist. Getting that referral might be easier consultant to consultant if you still see your pancreas specialist. [/QUOTE]
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