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Type 2 Following Distal Pancreatectomy
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<blockquote data-quote="SimonCrox" data-source="post: 1422644" data-attributes="member: 388174"><p>I would totally agree with above. Things are not always clear cut, and I have been surprised by folk who have had a lot of thier pancreas removed and do not have diabetes, and diabetes is a risk factor for pancreatitis.</p><p></p><p>How do you feel in yourself? What is your weight doing? Any diarrhoea?</p><p></p><p>As above, one can look at your insulin secretion with a urine test, although it is difficult to get the urine test through the system (you will probably get an ACR measured, and then told you need a blood test and then get the test that you want done): urine c-peptide to creatinine ratio <a href="http://www.diabetesgenes.org/content/urine-c-peptide-creatinine-ratio" target="_blank">http://www.diabetesgenes.org/content/urine-c-peptide-creatinine-ratio</a>.</p><p></p><p>It sounds like you are very symptomatic despite glucose levels being OK to a bit high - odd. I would be very surprised if you were making mistakes with the blood glucose testing My patients on Dapagliflozin would sometimes note that they peeed more overnight than usual, but not to this extent. There is an association between high calcium levels in blood and cysts on pancreas (MEN 1). </p><p></p><p>I am not sure how much your nurse will do, but might have an open mind and do the tests, or it might be too much for her and need to go via GP. </p><p></p><p>But I would check your blood glucose testing technique with the nurse to show OK, get some blood tests done to show DM control and other causes of peeing gallons (Random glucose, HbA1c, calcium, U&Es, LFTs,) and see GP about your headaches. If the above does not show what is up, then you might want to see a diabetes specialist about your type of diabetes and why you are drinking / peeing gallons.</p><p></p><p>Best wishes.</p></blockquote><p></p>
[QUOTE="SimonCrox, post: 1422644, member: 388174"] I would totally agree with above. Things are not always clear cut, and I have been surprised by folk who have had a lot of thier pancreas removed and do not have diabetes, and diabetes is a risk factor for pancreatitis. How do you feel in yourself? What is your weight doing? Any diarrhoea? As above, one can look at your insulin secretion with a urine test, although it is difficult to get the urine test through the system (you will probably get an ACR measured, and then told you need a blood test and then get the test that you want done): urine c-peptide to creatinine ratio [URL]http://www.diabetesgenes.org/content/urine-c-peptide-creatinine-ratio[/URL]. It sounds like you are very symptomatic despite glucose levels being OK to a bit high - odd. I would be very surprised if you were making mistakes with the blood glucose testing My patients on Dapagliflozin would sometimes note that they peeed more overnight than usual, but not to this extent. There is an association between high calcium levels in blood and cysts on pancreas (MEN 1). I am not sure how much your nurse will do, but might have an open mind and do the tests, or it might be too much for her and need to go via GP. But I would check your blood glucose testing technique with the nurse to show OK, get some blood tests done to show DM control and other causes of peeing gallons (Random glucose, HbA1c, calcium, U&Es, LFTs,) and see GP about your headaches. If the above does not show what is up, then you might want to see a diabetes specialist about your type of diabetes and why you are drinking / peeing gallons. Best wishes. [/QUOTE]
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