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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Type 1 Diabetes Effect The Pancreas?

I started showing signs of Diabetes on Monday, 6 days ago(excessive thirst and excessive urination). I went to see the nurse practitioner at my school. (I'm 17 and in high school). She tested my blood sugar then (it was a 88 after having had very little to eat 3 hours earlier). She sent me to have a HgA1c test done as well as a basic metabolic panel. She collected a urine sample in the office. My urine had little/no glucose dump and my sodium levels were good. (I was told those are a part of the diabetes diagnoses process). My HbA1c was a 6.2. The nurse practitioner didn't want to diagnose as diabetes/pre-diabetes on the spot and wanted to wait until May when she will have me do another HgA1c. My grandpa has diabetes and my mom has chronic hypo-glycemia, so we wanted to start checking my blood sugar throughout the day. (She thought I might be hypo-glycemic like her). My average blood sugar after getting out of bed over the past three days has been a 100. My notable highs have been a 170, 178, and 209. My average 30-minutes after eating is a 160 and 2-hours after eating is a 140. I have only dropped below 100 twice in the past 3 days and only to the upper 90's. (One after sleeping, and one 3-hours after a rushed and small breakfast). Should I be worried about type 1 diabetes. My nurse practitioner did say that there is a chance that it is diabetes we caught a few days after my pancreas stopped working. Is that true and is it still possible to have some pattern to my levels if my pancreatic function has been impaired?
Fri, 7 Mar 2014
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General & Family Physician 's  Response
Hello and thank you for asking HCM,

I have to inform you that with diabetes your pancreas doesn't stop to work fully, but some part of it doesn't work enough.
Diabetes mellitus type 1 is a form of diabetes mellitus that results from the autoimmune destruction of the insulin-producing beta cells in the pancreas. These beta cells are placed in little islands in your pancreas. This destruction leads to insulin defficiency. The deficiency of insulin is proportional to the destruction of these cells.

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Does Type 1 Diabetes Effect The Pancreas?

Hello and thank you for asking HCM, I have to inform you that with diabetes your pancreas doesn t stop to work fully, but some part of it doesn t work enough. Diabetes mellitus type 1 is a form of diabetes mellitus that results from the autoimmune destruction of the insulin-producing beta cells in the pancreas. These beta cells are placed in little islands in your pancreas. This destruction leads to insulin defficiency. The deficiency of insulin is proportional to the destruction of these cells. I hope this answer was helpful to you.