Hi!!

Status
Not open for further replies.
No worries Maz.
Obviously it is up to the medics to classify the diabetes but many folk on here have been historically wrongly classified especially if they are unaware of Type 3c.
Entirely dependent on how much insulin your friends pancreas may or may not be producing then the 2 medicinal alternatives are Metaformin or insulin.
If they do require exogenous insulin which seems to be the case then with a Tyoe 3c diagnosis they should be entitled to a GCM.
Also the 3c diabetes tend to be more brittle as it is often not only the Beta cells but the Alpha cells ( which regulate Glucagon) which are also affected.
Presume your friend will be on Creon or something similar to help provide the digestive enzymes if there is exocrine damage as well.This normally precedes the DM diagnosis
Thanks for the info Wendal. Very interesting. I didn't realise until I came here that there anything other than Type 1 and 2.
 
Thanks for the info Wendal. Very interesting. I didn't realise until I came here that there anything other than Type 1 and 2.
Hi @Maz2, this is a very common problem, both specifically the low awareness or recognition of T3 variants, but also the blatant "one size fits all" that if you are not a youngster and have high BG you must be T2. For this latter diagnosis, T2, the more I read within this forum it is clear there are many reasons why someone is genuinely T2 (setting aside those misdiagnosed) and some of those diagnosed T2 need distinctly different treatment plans.

In the case of T3 (a-k) quite often the patient has arrived at being diabetic because of another and possibly far more demanding ailment. For example serious alcohol damage to a pancreas, or constant steroids causing damage - steroids which invariably greatly elevate BG. In your friend's case it us perfectly possible that the pancreatitis, creating the basis for a T3c diagnosis, may well have digestive issues that could have a significant influence on how your friend manages their diabetes.

As @Wendal says it is important to get the right diagnosis and T3c, even if not (yet) insulin dependent, is best helped by the right Consultant able to find a path between managing pancreatitis and managing D.

In broad terms c.90% of diagnoses are T2, c.10% are T1 and a tiny proportion are the rest! All of these, except Gestational diabetes, are described in an unrecognisable mix of letters and numbers!
 
No worries Maz.
Obviously it is up to the medics to classify the diabetes but many folk on here have been historically wrongly classified especially if they are unaware of Type 3c.
Entirely dependent on how much insulin your friends pancreas may or may not be producing then the 2 medicinal alternatives are Metaformin or insulin.
If they do require exogenous insulin which seems to be the case then with a Tyoe 3c diagnosis they should be entitled to a GCM.
Also the 3c diabetes tend to be more brittle as it is often not only the Beta cells but the Alpha cells ( which regulate Glucagon) which are also affected.
Presume your friend will be on Creon or something similar to help provide the digestive enzymes if there is exocrine damage as well.This normally precedes the DM diagnosis
That is very interesting as I am sure she said she has digestive issues too. They never knew what caused the chronic pancreatitis. They kept asking her about drinking but she does not drink excessively. They put it down to "idiopathic". Mind you she may be like me. I cannot drink at all as even a quarter of a class of wine makes me light headed and I would not dare drive. I was once told by a nurse that it may be I just don't metabolise alcohol as well as other people. I asked for liver function tests and there was nothing wrong.

I just keep away from it most of the time as it just seems easier.
 
Sorry Wendel. I have attached this post to the wrong message. It was meant for your last one where you were explaining about Type 3c and mentioned digestive issues.
 
That is very interesting as I am sure she said she has digestive issues too. They never knew what caused the chronic pancreatitis. They kept asking her about drinking but she does not drink excessively. They put it down to "idiopathic". Mind you she may be like me. I cannot drink at all as even a quarter of a class of wine makes me light headed and I would not dare drive. I was once told by a nurse that it may be I just don't metabolise alcohol as well as other people. I asked for liver function tests and there was nothing wrong.

I just keep away from it most of the time as it just seems easier.
Pancreatitis can be linked to gall bladder issues. My mother had 3 acute bouts of it involving spending weeks in hospital and apart from an advocaat at Christmas, she didn't drink.
If your friend is having digestive/bowel issues then she may need Creon (digestive enzymes which the pancreas usually makes) Looking back and knowing what I know now, my mother should have been on Creon. She got to the stage that she didn't want to leave the house after a couple of embarrassing and painful incidents whilst out shopping. .
 
Status
Not open for further replies.
Back
Top