A1C increasing meaning Pancreatic cancer

Posted by naiviv @naiviv, Mar 16 10:22am

My PCP told me that since my A1C has increased from 5.7 to 6.5 with an average of blood glucose of 90 that she would need to order tests to rule out Pancreatic cancer😳She really freaked me up. I asked her why? She said that it is a possibility that the increase could be cancer. Has anyone heard something like this? I tried to get an Endocrinology appointment but unfortunately here in VA these specialists don’t see Pre-Diabetic patients, they only see Diabetic patients. They recommended me to stay with the PCP for her to follow any tests needed. I can’t believe she told me that. I haven’t found any information regarding to what she told me. If you have heard about this let me know please. Thanks

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I've heard of that.
An increasing A1c *could* be due to decreased insulin production, which *could* mean an affected pancreas, which *could* mean pancreatic cancer, but if you look at a list of symptoms, increased A1c isn't high on the list.
My very unprofessional opinion is that you're probably okay.
There are a *lot* of other reasons why your A1c might increase. Stress, change in diet, change in the amount of activity, an illness like the flu, loss of sleep...
By all means, get checked out, but try not to panic.
You are safe, you are safe, you are always safe.

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Was there a list of things she was trying to rule out? I’m no expert, but I know multiple people who had to increase their treatments due higher a1c and not making enough insulin.

Some people have to go on insulin, to get their blood sugar in range. Some are type 2. I’m type 1 and I’m not sure how long my pancreas took to stop producing insulin, but it wasn’t due to cancer. Experts don’t really know why this happens. There are theories, but no one knows for certain. I hope you get good news and it’s some explanation you can work with.

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@naiviv I’m so sorry that your provider “freaked you out”. Your A1C and blood sugar sound really good to me. Still it is too bad that you can’t see an endocrinologist as that could give you some peace of mind. Perhaps you could get a second opinion from a different PCP?

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Yes. I changed my PCP and will have an appointment soon. I don’t understand why the Endocrinologists don’t see Pre-Diabetes patients. It is common sense that being Endocrinologists they would accept pre-diabetes patients to help them in not reaching the Diabetes level. I will wait to see what the new PCP tells me. Thank you.

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@naiviv

Yes. I changed my PCP and will have an appointment soon. I don’t understand why the Endocrinologists don’t see Pre-Diabetes patients. It is common sense that being Endocrinologists they would accept pre-diabetes patients to help them in not reaching the Diabetes level. I will wait to see what the new PCP tells me. Thank you.

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Did you change your eating habits in the last three months? As we age all organs slow down in functioning. Perhaps try to change your diet and repeat the A1C in three months.
You’re fine.. keep us posted..

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I have been following the Mediterranean diet for years and lost weight to where I wanted to I exercise, drink lots of water of water, don’t drink or smoke. Thanks

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@naiviv

I have been following the Mediterranean diet for years and lost weight to where I wanted to I exercise, drink lots of water of water, don’t drink or smoke. Thanks

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Hi @naiviv - it might be worth picking up a glucose meter with the test strips. I would check your glucose first thing in the AM, and after eating (about 2 hours) to see if there is an effect on food and in particular carbs. An A1C of 6.5 equals about 140 so not sure what's going on there. A finger test might help you narrow down fasting glucose and post eating response to carbs. - Matt

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My FBS runs around 90-100. I checked it with a glucometer. I had a lot of stress for the past 3 months during my husband’s health crisis and my PCP told me that the rise of A1C could have been contributed to that stress but that it could indicate Pancreatic cancer. I have been calling Endocrinologists where I live but it seems that these specialists don’t accept Pre-Diabetic patients. You would think that patients with this condition should be better monitored by an Endocrinologist rather than a PCP who probably doesn’t even know what he/she is talking about. Anyway I will keep doing what I have been doing and wait for my appointment with a new PCP next month to find out what the PCP thinks about all of this.
Thanks

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