Hi, I am new to the forum but not new to diabetes. I have been type 2 diabetic 2011 and I have been diagnosed in the last 3 years with chronic pancreatitis (I’m not an alcoholic). Currently still trying get my head around it all. Medication is Gliclazide, CREON, statins, omeprazole.
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Hello
- Thread starter Jaec
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Welcome to the forum @Jaec
I wonder if as someone with chronic pancreatitis who takes creon you might fit the description of Type 3c Diabetes?
It’s not often on non-specialists radar, but we have a few folks on the forum with pancreatitis, some of whom are type 3c @eggyg @mikeyB @Hepato-pancreato
Are there any things about your diabetes management that you are finding particularly tricky at the moment? How have you beed finding lockdown? Has it helped? Or made things harder?
I wonder if as someone with chronic pancreatitis who takes creon you might fit the description of Type 3c Diabetes?
It’s not often on non-specialists radar, but we have a few folks on the forum with pancreatitis, some of whom are type 3c @eggyg @mikeyB @Hepato-pancreato
Are there any things about your diabetes management that you are finding particularly tricky at the moment? How have you beed finding lockdown? Has it helped? Or made things harder?
Hi, yes you are right type 3c but neither GP or consultant has mentioned this. My blood sugars are rising and abdominal pain is the same. I had a telephone consult in March it was recommended that I have a check CT scan and then ‘take it from there’. But of course with the lockdown it has not happened. I have contacted the secretary 3 times with no joy, I don’t know what to do.
rebrascora
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Hi and welcome from me too.
When you say your BG levels are rising and you have abdominal pain, can you give us an idea of how high your readings are going? And do you have a means of testing for ketones? Urine strips or Blood ketone strips?
Also what are you eating? Not sure if you are aware but all carbs cause our BG levels to rise not just sugars and sweet stuff as is often mentioned in the press and even by medical professionals, so foods like bread, pasta, rice, breakfast cereals, potatoes, even otherwise healthy foods like fruit in all it's forms ie fresh, dried or juiced and porridge need to be rationed to help keep BG levels in range. I don't know if your pancreatitis limits your diet but I would doubt that following a low carb way of eating would cause a problem providing you reduce them slowly and perhaps in conjunction with reducing your Gliclazide if you get to the stage that your levels go too low, but it sounds like that may be less of a concern at the moment if you are running too high!
When you say your BG levels are rising and you have abdominal pain, can you give us an idea of how high your readings are going? And do you have a means of testing for ketones? Urine strips or Blood ketone strips?
Also what are you eating? Not sure if you are aware but all carbs cause our BG levels to rise not just sugars and sweet stuff as is often mentioned in the press and even by medical professionals, so foods like bread, pasta, rice, breakfast cereals, potatoes, even otherwise healthy foods like fruit in all it's forms ie fresh, dried or juiced and porridge need to be rationed to help keep BG levels in range. I don't know if your pancreatitis limits your diet but I would doubt that following a low carb way of eating would cause a problem providing you reduce them slowly and perhaps in conjunction with reducing your Gliclazide if you get to the stage that your levels go too low, but it sounds like that may be less of a concern at the moment if you are running too high!
Hi Barbara, I test with a BS monitoring machine, more often at the moment. My bs was 14.8 this morning and later at lunch was 17. I am usually around 7 - 8 in the mornings. My abdo pain is when I eat which is due to the chronic pancreatitis, it is acute but I am noticing it more. I eat healthily, I have been cutting down on carbs and eating more fruit and which I am a fan anyway. I take 40g of gliclazide at breakfast and teatime and CREON at every meal. With CREON it is advised not to follow a low fat diet. Not wanting to eat bread as much, don’t like porridge or cereals and everything else in moderation. I am more concerned with what my pancreas is doing.
rebrascora
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Fruit is high carb and may be pushing your levels beyond what your body can cope with. Most of us who follow a low carb diet to help manage our diabetes actually eat more fat rather than low fat, It is referred to as Low Carb High Fat (LCHF) way of eating.
I appreciate that you say you follow a healthy diet but what is healthy for someone without diabetes may not be for someone with it and the thinking is very much changing around this in recent years. Most of us who follow a LCHF way of eating mostly limit our fruit to just a small portion of berries (5 or 6 rasps or strawberries) once a day and probably not every day or if we are going to have a more carb rich fruit like a banana, cut it in half and save half for another day and have it with creamy natural yoghurt or cream as the fat slows down the glucose from hitting the blood stream in too much of a rush. This may alleviate some of the strain on your pancreas to produce insulin but unfortunately there is not much we can do on the forum to help with the pancreas problem. I would enquire about a means of testing for ketones since your BG levels are going up into the mid teens. They should at least prescribe you some Ketostix to test your urine when your levels are running that high and particularly when you already have abdominal pain, as that is often one of the symptoms of Diabetic KetoAcidosis so ignoring it and assuming it was pancreatitis and not being able to test for ketones would be dangerous
I appreciate that you say you follow a healthy diet but what is healthy for someone without diabetes may not be for someone with it and the thinking is very much changing around this in recent years. Most of us who follow a LCHF way of eating mostly limit our fruit to just a small portion of berries (5 or 6 rasps or strawberries) once a day and probably not every day or if we are going to have a more carb rich fruit like a banana, cut it in half and save half for another day and have it with creamy natural yoghurt or cream as the fat slows down the glucose from hitting the blood stream in too much of a rush. This may alleviate some of the strain on your pancreas to produce insulin but unfortunately there is not much we can do on the forum to help with the pancreas problem. I would enquire about a means of testing for ketones since your BG levels are going up into the mid teens. They should at least prescribe you some Ketostix to test your urine when your levels are running that high and particularly when you already have abdominal pain, as that is often one of the symptoms of Diabetic KetoAcidosis so ignoring it and assuming it was pancreatitis and not being able to test for ketones would be dangerous
trophywench
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The Gliclazide makes your pancreas shoot out more insulin - which quite clearly is still not enough to control your BG currently. Not medically trained so no idea whatsoever whether that makes pancreatitis worse or doesn't affect it.
Nobody here is suggesting you go low fat - but lower carbohydrate oh yes! Plus I also think you'd be well advised to invest £5 in a pot of Ketostix as Barbara has suggested.
Nobody here is suggesting you go low fat - but lower carbohydrate oh yes! Plus I also think you'd be well advised to invest £5 in a pot of Ketostix as Barbara has suggested.
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Hope you manage to get more of a response from your GP surgery this time - and that you get some advice, and can arrange the CT scan.
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