I was wondering if anyone could help. I have had chronic pancreatitis for over 30 years. I take Creon with meals. I have been “prediabetic” for at least 10 years. I have always struggled somewhat with low blood sugar, usually a few hours after eating something particularly sugary, but recently this has been worse. I have been checking my blood sugar and it is sometimes quite high (highest just over 20) and when I feel it’s low it’s about 3.5. I asked for an Hba1c which came back at 43. I suppose one question I have is, if my blood sugar is swinging from high to low would that be reflected on a hba1c? Also, I’ve been sent a letter from my GP asking me to go on a course for reducing type 2 by Reed Healthcare, but if I did get diabetes would it be type2 or 3c? And why has no one heard about 3c? My GP has never mentioned it, it’s only my own research. Sorry this is so long!
-
Guest - w'd love to know what you think about the forum! Take the 2025 Survey »
Type 3c?
- Thread starter Jomar
- Start Date
catinahat
Well-Known Member
- Messages
- 3,446
- Location
- Halesowen
- Type of diabetes
- Type 2
- Treatment type
- Diet only
- Dislikes
- Reality tv
Welcome @Jomar
We're not medically trained and can't really say what your diagnosis would be if your HbA1c were to move from 42 to over 47.
It would depend on what your dr thought about the reasons for your higher HbA1c.
If he thinks it's because of damage to your pancreas due to your long history of pancreatic problems then he might consider T3.
Or he could just think it is caused by insulin resistance and go for T2.
The body's insulin response gets sort of out of sync with the food you eat, producing insulin at the wrong time. After a carby meal it can be slow to kick in causing high sugar levels and then over shoots causing the levels to fall too low.
I would mention it to your Dr to see what they think, It might be useful to record your levels along with a food diary.
Here's a few links that might help
https://www.webmd.com/a-to-z-guides/reactive-hypoglycemia
https://www.diabetes.co.uk/forum/category/reactive-hypoglycemia.70/
https://www.diabetes.co.uk/forum/category/type-3c-pancreatic-diabetes.73/
We're not medically trained and can't really say what your diagnosis would be if your HbA1c were to move from 42 to over 47.
It would depend on what your dr thought about the reasons for your higher HbA1c.
If he thinks it's because of damage to your pancreas due to your long history of pancreatic problems then he might consider T3.
Or he could just think it is caused by insulin resistance and go for T2.
The HbA1c sort of measures how much glucose has stuck to your blood cells over their lifetime of around 12 weeks. Its considered to be a kind of 12 week average, it gives no indication of how high or low its been, and its possible that the time you have been low has sort of cancelled out to some extent your highs.
There is a condition that is closely related to, but not actually diabetes called Reactive Hypoglycaemia.
The body's insulin response gets sort of out of sync with the food you eat, producing insulin at the wrong time. After a carby meal it can be slow to kick in causing high sugar levels and then over shoots causing the levels to fall too low.
I would mention it to your Dr to see what they think, It might be useful to record your levels along with a food diary.
Here's a few links that might help
https://www.webmd.com/a-to-z-guides/reactive-hypoglycemia
https://www.diabetes.co.uk/forum/category/reactive-hypoglycemia.70/
https://www.diabetes.co.uk/forum/category/type-3c-pancreatic-diabetes.73/
