I sent your question to Dr. Theodore C. Friedman at UCLA, who is the chairman of the Department of Internal Medicine and the chief of their division of endocrinology there. Here's his answer:
"The first thing I need to know is if you are a type 1 (no insulin) or type 2 (insulin resistance plus decreased insulin secretion). It sounds like are a type 2. But you get a c-peptide, if its 0, then you are a type 1, if its higher,then a type 2. Pancreatic transplants are only done on type 1.
"It sounds like you need more diabetic medicines. You can add a sulfonylurea such as glipizide, add a glitazone such as actos, or add regular or lispro insulin before meals. I would discuss with your diabetologist (I would recommend you being followed by a diabetes specialist). Also make sure your ldl cholesterol is less than 70 and you are taking an aspirin daily."
Here's an EmpowHER article that describes the Mayo Clinic's criteria for a pancreas transplant and what to expect:
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Hi, Anon,
I sent your question to Dr. Theodore C. Friedman at UCLA, who is the chairman of the Department of Internal Medicine and the chief of their division of endocrinology there. Here's his answer:
"The first thing I need to know is if you are a type 1 (no insulin) or type 2 (insulin resistance plus decreased insulin secretion). It sounds like are a type 2. But you get a c-peptide, if its 0, then you are a type 1, if its higher,then a type 2. Pancreatic transplants are only done on type 1.
"It sounds like you need more diabetic medicines. You can add a sulfonylurea such as glipizide, add a glitazone such as actos, or add regular or lispro insulin before meals. I would discuss with your diabetologist (I would recommend you being followed by a diabetes specialist). Also make sure your ldl cholesterol is less than 70 and you are taking an aspirin daily."
Here's an EmpowHER article that describes the Mayo Clinic's criteria for a pancreas transplant and what to expect:
https://www.empowher.com/news/herarticle/2009/12/03/pancreas-transplant-–-what-expect
And here is our EmpowHER Encyclopedia page on pancreatic islet cell transplantation:
https://www.empowher.com/media/reference/pancreatic-islet-cell-transplantation
Does this help, Anon? Is your doctor a diabetic specialist? Are you type 1?
February 3, 2010 - 9:30amThis Comment
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