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Hi all - new type 3c

Welcome @x13roger from another 3c with not much pancreas left after acute pancreatitis.
Are you taking pancreatic enzymes (usually Creon) to help with malnutrition due to pancreatic damage?
 
Hi Soupdragon,

No, nothing like that has been mentioned to me.
As the pancreas produces digestive enzymes as well as insulin (and other hormones) many type 3cs take digestive enzymes (generally Creon) with food. This is to prevent malnutrition due to lack of absorption of food. Often it is obvious that this is needed (diarrhoea, weight loss etc) but there is a test that can be carried out (faecal elastase test). It might be worth asking your medical team/GP about this, especially if you continue to have issues with malnutrition.
 
As the pancreas produces digestive enzymes as well as insulin (and other hormones) many type 3cs take digestive enzymes (generally Creon) with food. This is to prevent malnutrition due to lack of absorption of food. Often it is obvious that this is needed (diarrhoea, weight loss etc) but there is a test that can be carried out (faecal elastase test). It might be worth asking your medical team/GP about this, especially if you continue to have issues with malnutrition.
Thanks for that I will mention it.
 
I’ve merged your 2 threads together @x13roger - so you’ll only have one place to check for replies 🙂
 
Yes it's Humulin m3. Well the nurse rings me every 2 weeks at present and as of yesterday I'm on 16 instead of 10.
Just to confirm you are meaning that your nurse has increased your dose of mixed insulin from 10 units morning and night to 16 units morning and night?...

....Or did you mean your levels are on 16mmols/l instead of 10mmols which is perhaps your target? Diabetes can be very complicated and It is very easy to get the wrong end of the stick. An increase of 6 units (twice a day) is quite a big increase, so just wanted to clarify.

Do make sure to keep hypo treatments very close to hand at all times, including by the bed.
Have you been given any advice on hypos and treating them? What is your chosen hypo treatment? It is really important to be prepared especially if they are increasing your doses by significant amounts like that.
 
Just to confirm you are meaning that your nurse has increased your dose of mixed insulin from 10 units morning and night to 16 units morning and night?...

....Or did you mean your levels are on 16mmols/l instead of 10mmols which is perhaps your target? Diabetes can be very complicated and It is very easy to get the wrong end of the stick. An increase of 6 units (twice a day) is quite a big increase, so just wanted to clarify.

Do make sure to keep hypo treatments very close to hand at all times, including by the bed.
Have you been given any advice on hypos and treating them? What is your chosen hypo treatment? It is really important to be prepared especially if they are increasing your doses by significant amounts like that.
Yes from 10 units to 16 am and pm. I carry a small full sugar coke with me and have one on my bedside table for hypos. Luckily I've never had one.
 
Do you only carry one hypo treatment with you? Sometimes, if it is a bad hypo, you need a second treatment so I would recommend glucose/dextrose tablets or jelly babies.
Personally I would struggle to drink fizzy drinks when hypo and a can carried around in a bag or pocket with me for weeks could be well shaken up and overflow when opened by the time I needed it. I find jelly babies very easy to carry and effective and glucose tablets for the car as they are more stable in hot conditions. I have found some sticky messes with jelly babies in the car in summer! 😳
That is quite a significant rise in insulin dose so there is an increased risk of hypo, so be be extra cautious for a few days. Usually a 10% increase is suggested and wait 3 days to see how that works before increasing again. Obviously 6 units morning and evening is more than 50% increase.
 
Do you only carry one hypo treatment with you? Sometimes, if it is a bad hypo, you need a second treatment so I would recommend glucose/dextrose tablets or jelly babies.
Personally I would struggle to drink fizzy drinks when hypo and a can carried around in a bag or pocket with me for weeks could be well shaken up and overflow when opened by the time I needed it. I find jelly babies very easy to carry and effective and glucose tablets for the car as they are more stable in hot conditions. I have found some sticky messes with jelly babies in the car in summer! 😳
That is quite a significant rise in insulin dose so there is an increased risk of hypo, so be be extra cautious for a few days. Usually a 10% increase is suggested and wait 3 days to see how that works before increasing again. Obviously 6 units morning and evening is more than 50% increase.
Well still not working lol. This is my reading after weetabix and greek yoghurt.
 

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Personally I would struggle to drink fizzy drinks when hypo and a can carried around in a bag or pocket with me for weeks could be well shaken up and overflow when opened by the time I needed it.
Although I too prefer something to eat rather than drink and, even when my BG are in range, fizz can be harder to swallow, this is probably due to not drinking fizz very often.
For frequent soda (or champagne!) drinkers, the fizz is less like to be an issue and, as many of us know from the effects of fizz on alcohol, fizz is digested faster.

As has often been said, we are all different in many ways - what works with one, does not necessarily work with another.
Therefore, as long as hypo treatment is fast acting (e.g. not chocolate), I see no reason to comment on someone else's choice, especially someone who is newly diagnosed.

However, as @x13roger is taking insulin (including a basal component), it is important to carry slower acting carbs as well as the fast acting. E,g. a biscuit of about 15g carbs. This may be needed after hypo recovery to maintain a stable BG if the basal insulin is too much such as after exercise.
 
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