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The Question
01/28/09 05:11 PM

"My blood sugar levels suddenly took a sharp turn upwards four months ago without any change in diet or medicine. The Dr. nor I have an explanation."
Asked By: chipper3  

Background Info Hide
I was diagnosed with pancreatic cancer in May of 2007 and had distal pancreatectomy in June of '07, followed by chemo and radiation. After all the surgery and treatments were well over, my readings were pretty good. Then about one year later in October-November '08,it went completely out of control. My Dr. now has me on Metformin twice a day(I was already on Glipizide 2.5mg twice a day). I have only been on this for a few days but see no difference. My morning readings are between l60-200 and before dinner readings between 200-250. My A1C has gone from 7.0 to 8.6 in these last four months. Do you think I need insulin?

Expert Answers (1)

04/16/09 06:49 AM

Chipper All oral medications require that your pancreas be making insulin in order to work. It appears that your ablility to make sufficent amounts of insulin to allow you to use your medications. Based on your past problems it would be wise for you to seek an appointment with an endocrinologist who could order a test to determine your insulin levels, and give you the definitive answer.
Answered By: david joffe
Accreditations: BSPharm, CDE, CPT, FACA
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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