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The Question
Thu Jan 03 00:30:38 UTC 2013

My A1C is 5.6 but my doctor is concerned about the amount of insulin I am producing. What gives?
Asked By: forrestmmiller  
Category: Type 2

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I am type 2 and by weight loss and diet, I am not off meds and have lowered my AIC. A recent blood test shows I have way more insulin in my blood than a normal person. Why is this a problem?
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Expert Answers (1)
2013-01-06 15:02:09.0

Hello forrestmmiller
Thank you for bringing your question to dLife. You doctor is concerned because you are producing more insulin then "normal" people. You ask why this is a problem. Well, The pancreas is overworking. It seems that when a person first has Diabetes and is trying to manage high glucose levels, the pancreas goes into overdrive doing what it can to keep the glucose levels in normal range. At first it can keep the system in normal levels by producing more insulin. But before long, the pancreas wears out and the beta cells, which produce the insulin, stop working. This is part of the progression of this disease.

I commend you on your great self-management shown by losing weight and reaching a very good A1c level. You may need to make adjustments in your treatment plan as the disease progresses and this is what your doctor is monitoring. Good luck and keep up the good work.

Answered By: Rita Juray
Accreditations: RN, MLT-ASCP, CCM, CDE
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Community Answers (1)
2013-02-23 22:34:54.0

I did an Internet search on you question and here's an article I found on Medline plus. Here's the link: http://www.nlm.nih.gov/medlineplus/ency/article/000387.htm For your convenience here's the full article below: The pancreas is an organ in the abdomen that makes several enzymes and hormones, including the hormone insulin. Insulin's job is to reduce the level of sugar (glucose) in the blood by helping it move into cells. Most of the time when your blood sugar level drops too low, the pancreas stops making insulin until your blood sugar returns to normal. Tumors of the pancreas that produce too much insulin are called insulinomas. Insulinomas keep making insulin, even when your blood sugar drops too low. High blood insulin levels cause low blood sugar levels (hypoglycemia). Hypoglycemia may be mild, leading to symptoms such as anxiety and hunger. Or it can be severe, leading to seizures, coma, and even death. Insulinomas are rare tumors. They usually occur as single, small tumors in adults. These tumors are very rare in children. Most children with high blood insulin levels have many areas of overactive insulin-releasing cells in the pancreas, instead of a single tumor. Taking medications that cause too much insulin in the blood, either accidentally or on purpose, is about as common as insulinoma. More than 90% of insulinomas are non-cancerous (benign) tumors. People with the genetic syndrome called multiple endocrine neoplasia type I are at risk for insulinomas and other endocrine tumors.
Answered By: ddebonline

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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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