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Greetings!

In trying to manage my pancreatitis I've severely limited my

fats/proteins since September. I've been taking my fasting blood

sugars, and they continue to increase (121) (I'm eating mostly

carbohydrates). I'm wanting to do anything I can possibly do to

prevent diabetes, and I am really wanting some ideas. I am seeking

to exercise more, honestly I haven't been feeling that well, so I do

the best I can in that area.. My understanding is that if I were

to get diabetes that could be fatal for me, I don't understand much

about this, I'm trying not to be fearful (but I am) I still don't

really know what's going on with my pancreas yet.. My wife wants

them to go in and cut the sphinkter for the duct that goes to the

pancreas. They did the common bile duct already - I don't know

anything about this stuff.. I see the GI on the 15th. Please

email me directly if you know of anything that I can do to help

myself.

Rick Nickles

on_the_move4ever@...

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Rick wrote:

>In trying to manage my pancreatitis I've severely limited my fats/proteins

since

September. I've been taking my fasting blood sugars, and they continue to

increase (121)

(I'm eating mostly carbohydrates). I'm wanting to do anything I can possibly do

to prevent

diabetes, and I am really wanting some ideas.

Rick,

The first thing you could do would be to stop eating so many carbohydrates.

Normal,

non-diabetic blood glucose levels are from 70-110. If you're trying to get your

blood

glucose down to a normal level, one thing that would help you would be to adjust

your

diet so you weren't eating so many carbs. Carbohydrates make your blood glucose

rise

and stay high for a longer duration than anything else. You get a very rapid

rise with

sugar, but a sugar high also drops pretty quickly. Protein causes a slow,

delayed rise for

most people. Limiting carbohydrate consumption, (and sugar is a carbohydrate,

too) is

one thing that will help to keep your blood glucose stable.

I realize this is hard, knowing that with the low-fat diet recommended for CP,

carbs end

up being an important part of your daily diet. I've got CP AND type 1 diabetes,

so I have to

walk the middle of the road. The best diet for diabetes is high fat, high

protein, low

carbs.....while the best diet for CP is the complete opposite; low fat, low

protein and high

carbs. When you're dealing with both diseases at the same time you really have

to try hard

to accommodate both, moderately.

Moderation seems to be the key here. I eat what is called a " moderate carb "

diet for my

diabetes, keeping my daily carb intake nor more than 110 grams, preferably much

less

whenever possible. At the same time, I try to limit my fat intake to no more

than 25-30

grams per day. It's hard to do this, but not impossible. I've actually been

doing this for a

year now, and managed to gain weight at the same time! I needed to gain the

weight,

believe me. I was one of those malnourished, malabsorbing nearly emaciated

CPer's. Now

I look normal again.

Sugar, of course, is also a no-no. It's not good for either disease, so it's

best if you can

learn to get by without it as much as possible. Because of my CP, I'm not able

to eat all

the fats that other diabetics are able to, but I have increased my protein

intake to nearly

double what I'd do before. I'm eating a lot of chicken, turkey and fish, and a

lot more nuts

than I used to. I take pancreatic enzymes, and they have done their job by

allowing me to

make these increases in protein without any discomfort after eating.

Exercise as much as your illness will let you. I've found that walking and bike

riding are

excellent sources of exercise, and I can also lower my BG's by 40 points by

running or fast

walking up the stairs 10 times....but of course I can only do that on days that

I'm really

feeling well, and it's not something that someone could do every day unless they

were

really fit.....which I'm NOT! Swimming brings down my BG's also, but I have to

be careful

with this because it can bring it too low too quickly, and it's hard to keep

testing when

you're in the water.

I don't know where you stand weight-wise. If you're overweight, you can improve

any

diabetic tendencies by getting your weight down to what's normal for your height

and

body type. I know that many type 2's are able to control their diabetes

strictly by diet and

exercise.

Talk to your doctor about this on the 15th and ask him what you can do. Your

fasting

blood glucose levels are already over the non-diabetic range, so I would seek

his advice on

what you can do to get them back to normal and keep them there. You might also

ask

him to order an HBA1c test for you to see what's been happening for the last

three

months. This is a blood test that will show you what your blood glucose level

has

averaged for the past three months. It's an accurate tool to chart your blood

history, and

the gold standard for determining diabetic levels.

I can't, and wouldn't, try to advise you on any type of surgical procedures,

that would be

up to your doctor. If he feels there's something that would help you, then of

course, that

would be a decision for you to consider carefully beforehand. Whatever it is, I

wish you

well. I hope this information helps. If you have any more questions, please

post again.

With love, hope and prayers,

Heidi

Heidi H. Griffeth

South Carolina

SC & SE Regional Rep.

PAI

Note: All comments or advice are personal opinion only, and should not be

substituted for

consultation with a medical professional.

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