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HbA1C worse after starting bas was posted 03/24/2018 11:16 am by Diabetic after Whipple
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I developed diabetes after having Whipple surgery. For years I was able to control with diet and exercise. I have always had morning syndrome, not severe but a ranage like 100 - 130, but my A1C range was 5.8 to 6.5. About 18 months ago, my A1C was 7.0, which considering my age of 66 was OK with both me and my doctor. However my fasting numbers were slipping to the 150 range. I tried Invokana which worked OK but with absolutely awful side affects. The doctor decided I should try a low dose of basal insulin, given nightly before bedtime. Results and this makes no sense to me.... my blood sugar control is worse since starting basal insulin. I still exercise regularly as always, follow a sensible diet - relatively low fat, limited carbs (the same diet that worked for me for years before starting insulin). I am on two meds that I know for sure affect blood sugar - Creon and telmisartan. I need both of those drugs to remain healthy. I learned from another forum, that Creon plus insulin is problematic for blood sugar control. My last A1C from this past week has jumped to 8.1. The only thing that has changed in the last six months is I changed from Lantus insulin to Levemir. Levemir has fewer negative side affects for me than Lantus.

I was not diabetic or had blood sugar control problems before Whipple surgery. Does anyone have any experience or advice on blood sugar control while using Creon and insulin? I was aware that Creon caused spikes in blood sugar after a meal, but they were never as high or severe as they are now that I am on basal insulin. I know of one person from years ago who had better luck using corrective insulin injections to handle spikes and did not use basal insulin. Like I said, this defies logic to me, but Whipple surgery seems to leave us with other strange things to deal with. I guess I should not be surprised at yet another thing that causes my doctors to tell me they have never run into anything like this before. Any help will be greatly appreciated

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