I Have Chronic Pancreatitis From Pancreatic Divisium But I’m Having

Posted on Wed, 10 Apr 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 10 Apr 2019 Answered on

Last reviewed on

Question : I have chronic pancreatitis from pancreatic divisium but I’m having issues within my blood sugars I’m not a diabetic my insulin hormone is elevated at 28 cpeptids is 58 and my b12 is greater than 2000 I’m checking my blood sugars they are ranging from 30-200’s in matter of minutes and I’m extremely symptomatic with heart rate reaching 140-140 shortness of breath palpitations dizziness confusion I’m going to the doctor and they have these results also had a CT abdomen and ultrasound have right kidney hydroureternephrosis never had these issues before I’m not feeling week tired sever fatigue weakness poor appetite nausea severe abdominal pain I need some advice please

Answered by Dr. Mirjeta Guni (5 hours later)

Brief Answer:
About hypoglycemia;

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
From your symptoms and lab results ( low glucose levels, high Cpeptide and high insuline) insulinoma should be excluded.
You need a 72 hours fasting test ( in hospital) in order to confirm fasting hypoglycemia ( specific for insulinoma) and if it is confirmed, further radiological exams ( Petscan) are needed.
Hope the information will help.
Best wishes,
Dr.mirjeta

Above answer was peer-reviewed by : Dr. Vaishalee Punj