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High CA-19 4,500

Pancreatic Cancer | Last Active: May 29 8:46am | Replies (25)

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@crickard70

You did not offend me, I pray everyday for a cure. Sounds like you are doing great, I am afraid to take chemo again, going Friday to discuss options. No cancer shows up on tests, just c-19. I had my pancreas and spleen removed in November and I don’t think I have healed from that yet and haven’t got the diabetes under control. Have had days with 3 50’s and kicks my butt! How do you adjust the insulin? I am on a sliding scale and lantus 2 xmdaily. Thank you for sharing and prayers are being sent to you.

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Replies to "You did not offend me, I pray everyday for a cure. Sounds like you are doing..."

As a retired endocrinologist, I highly recommend continuous glucose monitoring to help with appropriately dosing insulin. When CGM came along, I had all sorts of insights in how insulin is most effectively taken. Adjustments in the timing of insulin before a meal and making appropriate modifications for both the carbohydrates to be eaten as well as premeal glucose levels generally results in more effective insulin dosing. Alarms for low blood sugar are also a great feature of the CGM systems. I won't bore you with long explanations but will give additional information if you are interested.