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recent low glucose levels for type 2 because of pancreatic cancer surgery 4 years ago.

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Diabetes
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mirabella
Regular Member
Joined : Aug 2013
Posts : 37
Posted 9/16/2015 3:38 PM (GMT -6)
Good afternoon,
I come to the Forum again for advice and information. I was not diabetic until post pancreatic surgery. I am on no medication, I watch my diet and take either 2 cinnamon pills or cinnamon/biotin/ chromium pills daly, one after breakfast and supper. My fasting value is 100'110 and after meals 140-150...Recently,I felt sort of shaky so I checked my sugar. It was eighty five so I had some oj which made me feel ok. This has happened 4 or 5 times in the last 2 weeks. Could my pancreas be producing more insulin? My surgery was not whipple but on the tail. I am 4 years out, last CT scan in May which was good as were blood tests. I of course am worried always living with the thought of recurrence. Any ideas or similar experiences?
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Lanie G
Forum Moderator
Joined : Nov 2006
Posts : 6960
Posted 9/16/2015 4:35 PM (GMT -6)
Hello mirabella and welcome to the Diabetes Forum. First of all if your blood sugar has been around 100 to 150, your pancreas must be producing some insulin. There is actually a test that measures this, the insulin c-peptide test. (See this or other sites for more info: www.healthline.com/health/insulin-c-peptide#Overview1). If your blood sugar was extremely high, then I'm sure your doctor would want you on some medication or even insulin, but your levels seem to be controllable by diet.

In any case, the 85 is totally a normal reading and the reason you might have felt shaky is because your body was so used to higher blood sugar that it didn't recognize a normal reading. I don't know if the cinnamon or biotin or any of that combination actually helps - I've read lots of articles about them and have taken then with no good effects on blood sugar - but what certainly helps keep blood sugar nearer to normal levels is cutting out heavy carbs like bread, anything made with flour or sugar, rice and potatoes.

You are very lucky that after having pancreatic surgery your insulin-producing cells in the pancreas were not destroyed! This happens a lot from what I've read. That's great for you and that you have recovered from the pancreatic cancer! Congratulations!

So, if your blood sugar can average a little lower (lower fasting and lower post-prandial [after eating]), then you should get used to blood sugar in the low 100's, 90's and 80's which would all be normal readings!
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mirabella
Regular Member
Joined : Aug 2013
Posts : 37
Posted 9/17/2015 8:55 AM (GMT -6)
Thank you Lanie for your insight. the lower readings made me pyschologucally nervous along with feeling shaky and "not myself". I remember this feeling from 5 years ago but at that time I did nt have diabetes so I didn't monitor my glucose level at that time. It just makes me very nervous thinking that something may be going on again....Intellectually,I agree with all you say and I am blessed by God, emotionally I am distraught....I am thankful for this forum which allows me to bring to light my fears.

Can I assume the pancreas can recover to some degree and increase insulin production? I read about tumours on the pancreas that can result in overproduction of insulin....I sometimes feel that this day of access to all kinds of information is great and at other times that "ignorance is bliss'. Not being a doctor, it is difficult to interpret all the information out there and I jump to conclusions....thanks for the ear.
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Lanie G
Forum Moderator
Joined : Nov 2006
Posts : 6960
Posted 9/17/2015 10:19 AM (GMT -6)
Hello again. Yes, I think sometimes too much information isn't a good thing even though it doesn't seem to stop me from using Google looking for answers! I suppose we have to consider all this information wisely and not jump to too many hasty conclusions.

Most of what I've read says the pancreas itself doesn't rejuvenate as the liver does, but how surgery affects how the pancreas functions depends on how much of the pancreas was taken. Insulin production is made by the beta cells (although there are also delta cells involved and I really don't understand this...) and if the beta cells no longer exist or 'burn out', then we have to have insulin injections. Beta cells can burn out when our bodies have a lot of carbs in our system for a long time as the beta cells try to keep up insulin production in order to help bring down the blood sugar. This is the primary reason to eliminate heavy carbs in our diet so the pancreas is not having to work overtime producing insulin.

So, for your question about the pancreas recovering and increasing insulin production, 'maybe'. I really don't know. There is another aspect you may need to consider: insulin resistance. This is when the pancreas produces insulin but the body doesn't use it effectively, causing elevated or extremely high blood sugar. That's what I'm dealing with and this is why I eat low-carb.

The mind sometimes works against us, too. Years ago I went through anxiety and panic which lead to fears of heart problems and the symptoms of hypoglycemia. It was hard to deal with, fear of fear. Afraid of something being wrong made me more afraid although nothing was wrong at the time - only my fear. It was a cycle that was hard to break and this is why having a good physician is really important, someone who can figure out what's going on.

Here is a website that has a lot of information about blood sugar and does not make me fearful when I read through it! There is a search box which is also helpful:

www.phlaunt.com/diabetes/

I'm glad you are asking questions. Maybe we don't have answers but we always listen! yeah
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mirabella
Regular Member
Joined : Aug 2013
Posts : 37
Posted 1/19/2017 8:39 AM (GMT -6)
Good morning,
I have taken your advice and checked and digested the site you recommended. I have taken my sugar 1 hr after eating, then 2 hours after eating, plus before eating. I have noticed that I get the lowest readings when I have protein along with veggies. This combo is even lower than veggies alone. This morning, I had protein and 5 carbs and am waiting on results. I should buy stock in the company that makes test strips!
Thanks for the great info site, (http://www.phlaunt.com/diabetes/18217337.php)

I'm looking forward to new beginnings...God bless America.
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Lanie G
Forum Moderator
Joined : Nov 2006
Posts : 6960
Posted 1/19/2017 10:13 AM (GMT -6)
Hi and welcome back! Keeping some sort of log/journal of blood sugar and food is good to see how we react to the food we eat. I think the protein with the veggies keeps the carbs in them in check. The protein by itself probably doesn't have any carbs (that can change if there is sauce or breading, of course) but the veggies alone just have whatever carbs and our blood sugar reacts to them. And some veggies have more carbs than others. Brussels sprouts have more than green peppers, and so on.

Ten years ago when I first got a meter (and after I finally started to use it!) and I understood that I and I alone could have some degree of control of my blood sugar, I became a serial tester. So, I know what you mean about buying stock in the test strips company! I would use up a whole month's supply in just a few days because I tested all day long! I HAD to know what my blood sugar was one hour, two hours, three hours after eating. I kept very detailed records on forms that I created and printed here at home and I brought the bundle in to my doctor the next time I saw her. You should have seen her eyes. lol But I certainly learned a lot about me, my blood sugar and food.

So, just know that you're doing a good thing, keeping control of your blood sugar - it means you're keeping control of that part of your life! Good job! And I'm so glad you came back to keep us updated!

smile yeah
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