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Question: my name is XXXXXXX I've been a diabetic since 1991 trying very hard to take care of myself it's not easy especially when it comes to eating it runs in my whole family recently I was hospitalized my diabetes went kind of crazy and they discovered that I have something wrong with my pancreas could you please let me know what the situation is when it comes to my pancreas let me know what I could do to help myself for it not to get really crazy thank you...
Brief Answer:
Diabetes
Detailed Answer:
Sorry to learn about your bothersome problems.
When a healthcare provider informs you that 'something is wrong with your pancreas' you need to ask for specific details because that could mean one or more of many possibilities.
The most commonly encountered pancreas related problem in people with long-standing diabetes such as yours is the reduction in the insulin-making capacity of the pancreas.
Another example is pancreas related damage called Pancreatitis.
So you need to enquire which pancreatic problem it is that they found in you.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid) 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Diabetes
Detailed Answer:
Sorry to learn about your bothersome problems.
When a healthcare provider informs you that 'something is wrong with your pancreas' you need to ask for specific details because that could mean one or more of many possibilities.
The most commonly encountered pancreas related problem in people with long-standing diabetes such as yours is the reduction in the insulin-making capacity of the pancreas.
Another example is pancreas related damage called Pancreatitis.
So you need to enquire which pancreatic problem it is that they found in you.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid) 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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