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High blood sugars!! Pancreatic diabetes

Georgie491

Member
Relationship to Diabetes
Type 3c
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She/Her
Hi all, I'm actually waiting to see a specialist at some piont due to me possibly coming off insulin as I waa in October on a miniscule amount of insulin. Over a year I've lost 5 stone,took up running but I seem to be having extremely high blood sugars with low keytones!! This weekend for example one was 21.8,and my bloods in morning are between 13 and 15. Because I'm waiting to see a specialist the doc won't investigate just sayd to up my insulin by one or 2 ckicks but it isn't making a difference, only thing that brings it down is running!!
 
Hi all, I'm actually waiting to see a specialist at some piont due to me possibly coming off insulin as I waa in October on a miniscule amount of insulin. Over a year I've lost 5 stone,took up running but I seem to be having extremely high blood sugars with low keytones!! This weekend for example one was 21.8,and my bloods in morning are between 13 and 15. Because I'm waiting to see a specialist the doc won't investigate just sayd to up my insulin by one or 2 ckicks but it isn't making a difference, only thing that brings it down is running!!
It sounds as if you need more insulin rather than coming off insulin, what is the logic for that.
What insulin are you taking?
 
I know!! It was due to goimg too low but with last few months being high they've changed their minds. I'm on levemir, I've upped it to 8 in a morning and 8 at night. They did think my pancreas had started to work because the bloods were going so low but that's all changed. I just don't want to be causing damage while I wait to see a specialist, TIA xx
 
I know!! It was due to goimg too low but with last few months being high they've changed their minds. I'm on levemir, I've upped it to 8 in a morning and 8 at night. They did think my pancreas had started to work because the bloods were going so low but that's all changed. I just don't want to be causing damage while I wait to see a specialist, TIA xx
That sounds as if you are just on basal insulin rather than a basal /bolus regime where the bolus insulin will deal with the carbohydrates in your meals. The basal insulin is having to do the job of both which looks as if it is not now working for you.
 
Ah ok thank you!! So am I better to reduce carbs until I see specialist or just carry on as iam? I was told waiting list is 6 months and that 6 months is up end of Feb!! Although I'm told they've now extended the waiting list so who knows when it may be!!
 
Ah ok thank you!! So am I better to reduce carbs until I see specialist or just carry on as iam? I was told waiting list is 6 months and that 6 months is up end of Feb!! Although I'm told they've now extended the waiting list so who knows when it may be!!
Hopefully some of the other posters who are 3c will be along to help but I would certainly press for an earlier appointment even if it is only a telephone consultation.
 
Hi @Georgie491 and welcome to the forum - sorry to hear about your struggles but I'd definitely push for a consultation with your healthcare team - good luck - If you need any specific advice please reach out as we are all here to help
 
Hi all, I'm actually waiting to see a specialist at some piont due to me possibly coming off insulin as I waa in October on a miniscule amount of insulin. Over a year I've lost 5 stone,took up running but I seem to be having extremely high blood sugars with low keytones!! This weekend for example one was 21.8,and my bloods in morning are between 13 and 15. Because I'm waiting to see a specialist the doc won't investigate just sayd to up my insulin by one or 2 ckicks but it isn't making a difference, only thing that brings it down is running!!
Hello, what insulin are you using? If more than one type of insulin. Which were you advised to increase?
 
Hello @Georgie491,

Although I am T3c, my pancreatic damage was due to having a total pancreatectomy almost 5 years ago. So I got the express train here and know very little about the more gradual and slower route from pancreatitis. So I'm tagging @eggyg, @soupdragon, @Wendal, @cupcakequeen71 - some of many more who have been through your experience.

Because you only have a basal insulin of Levermir it's always going to be difficult to keep your BG down in the more reasonable zone of >5 and ideally <10, but for now even <12. Exercise and activity can be a great help, but that activity is much better for you if kept aerobic and not intense anaerobic exercise. High intensity exercise can cause your liver to release internally stored glucose, worsening your pre-existing inability to manage high BG. Running is possibly not helping where brisk walking might be better. This ultimately will depend on how fit you have kept yourself in the last 2 decades and thus how "sharp" or good your muscle memory is. If running at a steady rate is easy for you, then fine; if it makes the exercising hard and intensive, slow down.
Ah ok thank you!! So am I better to reduce carbs until I see specialist or just carry on as iam? I was told waiting list is 6 months and that 6 months is up end of Feb!! Although I'm told they've now extended the waiting list so who knows when it may be!!
I think if I was faced with your problem I would probably consider increasing my basal insulin further, say from 8 to 9 (2x daily); monitor carefully staying alert to your BG taking you too low. But with your current levels so high the hypo risks seem low; I wouldn't consider this if I were not already so high.

I haven't noticed if you are checking your ketone levels?

But do consider becoming more robust in pressing for someone to move you up the waiting list. If you know the name of the Specialist you are going to see, research their name to get their Secretary's phone number or email address and phone or write explaining you are in deep trouble and feel badly overlooked. I'm afraid sometimes one has to be robust and pushy to get noticed and helped.

The problem with T3c is that many Health Care Professionals (HCPs) really don't know what this is, never mind how serious it can be and how important it is to get the right treatment. I note you've already had one close call in Jan '24. Mention that in any phone call or email, along with your significant weight loss in the last 12 months. I think it's time to rattle some cages!

Good luck.
 
Hi @Georgie491 and welcome to the forum - sorry to hear about your struggles but I'd definitely push for a consultation with your healthcare team - good luck - If you need any specific advice please reach out as we are all here to help
Thank you xx
Hello @Georgie491,

Although I am T3c, my pancreatic damage was due to having a total pancreatectomy almost 5 years ago. So I got the express train here and know very little about the more gradual and slower route from pancreatitis. So I'm tagging @eggyg, @soupdragon, @Wendal, @cupcakequeen71 - some of many more who have been through your experience.

Because you only have a basal insulin of Levermir it's always going to be difficult to keep your BG down in the more reasonable zone of >5 and ideally <10, but for now even <12. Exercise and activity can be a great help, but that activity is much better for you if kept aerobic and not intense anaerobic exercise. High intensity exercise can cause your liver to release internally stored glucose, worsening your pre-existing inability to manage high BG. Running is possibly not helping where brisk walking might be better. This ultimately will depend on how fit you have kept yourself in the last 2 decades and thus how "sharp" or good your muscle memory is. If running at a steady rate is easy for you, then fine; if it makes the exercising hard and intensive, slow down.

I think if I was faced with your problem I would probably consider increasing my basal insulin further, say from 8 to 9 (2x daily); monitor carefully staying alert to your BG taking you too low. But with your current levels so high the hypo risks seem low; I wouldn't consider this if I were not already so high.

I haven't noticed if you are checking your ketone levels?

But do consider becoming more robust in pressing for someone to move you up the waiting list. If you know the name of the Specialist you are going to see, research their name to get their Secretary's phone number or email address and phone or write explaining you are in deep trouble and feel badly overlooked. I'm afraid sometimes one has to be robust and pushy to get noticed and helped.

The problem with T3c is that many Health Care Professionals (HCPs) really don't know what this is, never mind how serious it can be and how important it is to get the right treatment. I note you've already had one close call in Jan '24. Mention that in any phone call or email, along with your significant weight loss in the last 12 months. I think it's time to rattle some cages!

Good luck.
Thank you,I do check keytones they are low
 
I'm on levemir
levemir To the best of my knowledge is a “basal” long acting background insulin. Even if the dosage is correct whilst fasting (no food to digest.) it’s not realy designed to cover the carbohydrate in the food meals. That’s what something like Novorapid or Fiasp is for. How often do you inject your levemir. Once a day? Or is it split in 2 doses? I’d suggest you see someone as soon as possible regarding a specialist or diabetes nurse.
 
levemir To the best of my knowledge is a “basal” long acting background insulin. Even if the dosage is correct whilst fasting (no food to digest.) it’s not realy designed to cover the carbohydrate in the food meals. That’s what something like Novorapid or Fiasp is for. How often do you inject your levemir. Once a day? Or is it split in 2 doses? I’d suggest you see someone as soon as possible regarding a specialist or diabetes nurse.
Twice a day 8 am 8 before tea it's like banging my head against a brick wall tbh. I may ring diabetes clinic at hospital, they did discharge me initially when I was first diagnosed but they may speak to me if they know I'm awaiting an appt xx
 
Twice a day 8 am 8 before tea it's like banging my head against a brick wall tbh. I may ring diabetes clinic at hospital, they did discharge me initially when I was first diagnosed but they may speak to me if they know I'm awaiting an appt xx
From what I can see. Your BGs are scooching up so high (& staying there?) because you have nothing to cover your meals? Mine would personally do the same if I adopted this approach. The basal’s job is primarily to deal with glycogen in the bloodstream from any liver dumps.
 
Twice a day 8 am 8 before tea it's like banging my head against a brick wall tbh. I may ring diabetes clinic at hospital, they did discharge me initially when I was first diagnosed but they may speak to me if they know I'm awaiting an appt xx
I can only most gently but most strongly encourage you to do just that. Reach out! Your clinic can't hear you or think about you if you don't reach out.

Regarding Levemir: insulin is insulin; your body doesn't know that it has been "engineered" by clever pharmaceutical companies to be slow releasing (or ultra fast). It's just insulin and if a molecule of it is available in your blood, your body will use it. Which is why I would increase my basal if my BG was silly high and no-one had provided me with any alternative such as fast-acting bolus. Slow acting insulin is not ideal, but it's still insulin and you have it available.

The only contradiction with this concept (if it is even a contradiction) is when someone has higher than normal natural insulin resistance. This can and does occur and is a big feature of people with a normal T2 diagnosis. With high insulin resistance that oral meds (normal for T2) aren't sufficient on their own, those T2s get given basal to be what is effectively an insulin supplement. Many of those T2s start on basal only, sometimes in ever increasing amounts, until their basal eventually can be supplemented by a faster bolus insulin.

So when your GP could only suggest further increasing your Levermir he/she was effectively following a tried, tested and trusted treatment process for normal T2s. Of course he/she was apparently not appreciating that you are in effect T3c and thus a complicated case, needing further treatment options. Take the GP advice but monitor well.
 
From what I can see. Your BGs are scooching up so high (& staying there?) because you have nothing to cover your meals? Mine would personally do the same if I adopted this approach. The basal’s job is primarily to deal with glycogen in the bloodstream from any liver dumps.
I really have no idea what I'm doing,I'm not allowed on any type of course because it's type 3,just been told diabetes nurse at docs isn't up to speed on insulin so everyone is reffered to doctor( who told me they weren't 100%so just to up it and wait for hosp appt!) I've just rung diabetes clinic at hospital and left a message although they won't usually respond if ur care it at ur own doctor,I have explained situation tho. Thanks xx
 
I really have no idea what I'm doing,I'm not allowed on any type of course because it's type 3,just been told diabetes nurse at docs isn't up to speed on insulin so everyone is reffered to doctor( who told me they weren't 100%so just to up it and wait for hosp appt!) I've just rung diabetes clinic at hospital and left a message although they won't usually respond if ur care it at ur own doctor,I have explained situation tho. Thanks xx
Fully appreciated. It’s not your fault that your put in this position.
 
I really have no idea what I'm doing,I'm not allowed on any type of course because it's type 3,just been told diabetes nurse at docs isn't up to speed on insulin so everyone is reffered to doctor( who told me they weren't 100%so just to up it and wait for hosp appt!) I've just rung diabetes clinic at hospital and left a message although they won't usually respond if ur care it at ur own doctor,I have explained situation tho. Thanks xx
Well done for ringing and leaving a message. It's a start. Ideally you need to get a message to the Specialist; sometimes the DSNs work in their own bubble dealing with day by day stuff and you seem to need a review of your diagnosis and treatment plan. Does your clinic have anything about the clinic findable on line, on for example the Hospital's website. Can your Surgery help you get a Specialist name or contact number?

Meanwhile, when did you start on any insulin, ie how many weeks or months have you been injecting? From looking back I infer you've been injecting since May '24. It would be pretty terrific if you can get back to the sort of levels you had in May '24 between 4.6 and 9.8! What was your BG this morning?
 
Fully appreciated. It’s not your fault that your put in this position.
Cheers,I'm getting really frustrated with it all tbh. I'm awaiting an op and I bet they won't do it until this is sorted. Also got a huge cyst on my pancreas that's too dangerous to do anything with,pretty much fed up with it all. I was scared initially as the cyst is 15.5 cm long and can cause a lot of pain but I'm learning to live with it. Just don't need anything else going wrong xx
 
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