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Pancreas Cancer

What is your insulin to carbs was posted 05/01/2010 06:44 pm by Jackie
E-mail Address: AriesJB4@aol.com

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My husband became a type 1 diabetic as a result of a second surgery to eliminate IPMNs in the pancreas. He was pre-diabetic after the first Whipple surgery (still producing enough insulin to avoid diabetes at the time) but after the second surgery (a year and a half after the first), he is totally insulin dependent. At the hospital his ratio was 1 unit to every 10 grams of carbs, but the glucose readings were still too elevated. An adjustment was made and the new ratio is 1 unit to every 8 grams of carbs eaten. This works very well and his A1C level is 6.0.

You have to eat enough carbs to cover the amount of insulin you are taking otherwise your number will go too low and you also have to eat very closely to the time you take the insulin. When we started to eat out or at a catered event, there were times that my husband had to split the dosage so as not to take too much and not eat enough at the time.

Definitely speak to your endocrinologist or certified diabetes educator to have this all important ratio corrected. My husband's endocrinologist as well as the CDE (certified diabetes educator) said that it better to have a higher reading (hyperglycemic) than a lower (hypoglycemic) reading. Although a high reading is not good and has effects of its own, a lower reading is definitely the more problematic.

Good luck in correcting this situation as soon as possible.

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