Re: Please help me help my husband. Desperate

[Guest guest]

wrote:

>My husband has has chronic pancreatits for three years now and

>developed diabetes from it. We had it under great control for a

>while until lately. Despite being on metaglip twice a day and also

>on 60 units of Lantus as well as being on a STRICT diet he hasnt

>gotten his numbers under control. We are talking over 400 right

>now! Mind you he ate a sandwich about three hours ago but this is

>rediculous. I am sooooo scared! The doctor changed him to avandia

>two days ago but it doesnt seem to help. he takes 8mg twice a day.

>The doctor said it will take a couple days for it to kick in but I am

>not sure what to do. Should we go to ER? Help here!!!

>

I see Spyder has already encouraged you to call an emergency room.

By now, you've probably done that.

It might help if you would tell us a little more about your

husband's treatment. Is he just on Avandia only now, or is he still

taking the metaglip? Tell us about his diet. There are many

different " diabetic " diets. What kinds of foods does he usually eat?

What kind of diet is he on? Tell us about his readings. Fasting

readings. Does he usually test after meals? Those readings. when

does he tend to have high readings? Anything else you think is relevant.

Edd

[Guest guest]

,

Sorry you husband is having control problems on top of your pending surgery.

Others have already suggested contacting your Dr or hospital and that's good

advice.

For us on the list to perhaps have helpful suggestions, we do need more

information---

What kind of STRICT diet has he been on? His eating a sandwich suggests to me

that he may be on a diet that contains more carbs than his present condition

can handle. The two slices of bread alone in a sandwich can cause a rise of

150mg/dl or more, depending on the bread. If he had a glass of milk with the

sandwich, that could add another 50mg/dl or so.

For Type 2's, carbs are the only thing that makes bg's go up, but for T1's

(or LADA), a small portion of protein that is converted to glucose contributes

too. Each gram of carbs can raise bg's 3-5mg/dl.

From the meds you mention, it seems he is being treated as a Type 2 with

insulin-resistance.

Is there a possibility that his pancreas is going downhill and he is becoming

more like, or even a full-blown Type 1 where insulin is the only recourse,

and the other meds are ineffective. In adults, this is known as LADA (Latent

Autoimmune Diabetes in Adults). Here on the list, Vicki (whimsy2) is LADA, and

can speak on that very effectively. Ask your Dr.

Sorry for all the questions.

, T2, dx'ed 4/98, average bg 100mg/dl, last HbA1c 6.0%, controlling with

LC

In a message dated 2/27/04 8:24:36 PM Pacific Standard Time,

burrismelissa@... writes:

My husband has has chronic pancreatits for three years now and

developed diabetes from it. We had it under great control for a

while until lately. Despite being on metaglip twice a day and also

on 60 units of Lantus as well as being on a STRICT diet he hasnt

gotten his numbers under control. We are talking over 400 right

now! Mind you he ate a sandwich about three hours ago but this is

rediculous. I am sooooo scared! The doctor changed him to avandia

two days ago but it doesnt seem to help. he takes 8mg twice a day.

The doctor said it will take a couple days for it to kick in but I am

not sure what to do. Should we go to ER? Help here!!!

[Guest guest]

Call your doctor

[Guest guest]

, Avandia takes about two weeks to kick in. What is the STRICT

diet? How many grams of carbohydrate is he allowed per meal? Or is he

on a low fat diet for the pancreatitis?

CarolR

wrote:

> My husband has has chronic pancreatits for three years now and

> developed diabetes from it. We had it under great control for a

> while until lately.