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Type 3c (Pancreatic) Diabetes
Type 3, catch 22
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<blockquote data-quote="EllieM" data-source="post: 2262431" data-attributes="member: 372717"><p>...Unless you can take the insulin to balance those carbs. This would be my strong recommendation, as the carbs plus insulin combination should help you gain weight. </p><p></p><p>Do you have any way of measuring ketones? (You can buy urine testing strips from most chemists but a blood testing meter is better.) Keep monitoring them and if they go high, together with high blood sugars, you need to ring 111, as diabetic ketoacidosis is a real risk for a T1/ insulin underproducer.</p><p></p><p>But it is true that new T1s get to lower their levels gradually, over days/weeks, as sudden drops can damage certain organs and they also don't want to over medicate you and risk a bad hypo (low blood sugar). Time will tell how much insulin you actually need. As your pancreas is still producing some insulin I believe the hope is that the extra lantus will give it the support it needs to cope with the carbs in your diet. Going low gi will hopefully spread the load so that your pancreas does not have to pump out too much insulin at once.</p><p></p><p>Short term highs are not that significant (as long as you don't go into DKA), it's the long term control that matters. And, in the short term, you need to gain weight. Many of the folk on here will advocate low carb because it is the best treatment for T2 insulin overproducers and allows T1s to minimise their insulin intake, which allows some to achieve better control. But plenty of T1s just inject for their carbs and while I'm not advcating a diet of pavlova and candyfloss, the nurse's suggestion of low gi isn't stupid. </p><p></p><p>[USER=52527]@Dark Horse[/USER] 's link is very informative (just repeating it here)</p><p></p><p><a href="https://www.pancreaticcancer.org.uk/media/1886886/type-3c-and-reduced-appetite.pdf" target="_blank">https://www.pancreaticcancer.org.uk/media/1886886/type-3c-and-reduced-appetite.pdf</a></p><p></p><p>Have they put you on any enzymes to help out your pancreas?</p></blockquote><p></p>
[QUOTE="EllieM, post: 2262431, member: 372717"] ...Unless you can take the insulin to balance those carbs. This would be my strong recommendation, as the carbs plus insulin combination should help you gain weight. Do you have any way of measuring ketones? (You can buy urine testing strips from most chemists but a blood testing meter is better.) Keep monitoring them and if they go high, together with high blood sugars, you need to ring 111, as diabetic ketoacidosis is a real risk for a T1/ insulin underproducer. But it is true that new T1s get to lower their levels gradually, over days/weeks, as sudden drops can damage certain organs and they also don't want to over medicate you and risk a bad hypo (low blood sugar). Time will tell how much insulin you actually need. As your pancreas is still producing some insulin I believe the hope is that the extra lantus will give it the support it needs to cope with the carbs in your diet. Going low gi will hopefully spread the load so that your pancreas does not have to pump out too much insulin at once. Short term highs are not that significant (as long as you don't go into DKA), it's the long term control that matters. And, in the short term, you need to gain weight. Many of the folk on here will advocate low carb because it is the best treatment for T2 insulin overproducers and allows T1s to minimise their insulin intake, which allows some to achieve better control. But plenty of T1s just inject for their carbs and while I'm not advcating a diet of pavlova and candyfloss, the nurse's suggestion of low gi isn't stupid. [USER=52527]@Dark Horse[/USER] 's link is very informative (just repeating it here) [URL]https://www.pancreaticcancer.org.uk/media/1886886/type-3c-and-reduced-appetite.pdf[/URL] Have they put you on any enzymes to help out your pancreas? [/QUOTE]
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