@stolson1,
Here is some information that I have located in this Transplant Blog > Immunosuppression: Watching For and Managing Side Effects
I read that - Some of the side effects with tacrolimus (Prograf) are a result of elevated blood levels. I also noticed that among the possible side effects were listed includes high blood sugar levels and also kidney problems.
https://connect.mayoclinic.org/blog/transplant/newsfeed-post/immunosuppression-watching-for-and-managing-side-effects/

I do not know the answer to the duration of the insulin. I did have to take insulin for a short time, immediately after my liver and kidney transplant. I have been taking tacrolimus and cellecpt for 13 years, and my transplant team has me get labs and a prograf lab test every 3 months. I guess I'm lucky that readings have been stable. I have seen that some transplant recipients have had to change to a different immunosuppressant medication, as listed in the blog article that I have shared.
Is your prograf level monitored for the best dosage for you? Do you take your immunosuppressant meds as prescribed? Has your doctor suggested any dietary changes/modifications?

Hi
I am in the being of my 6th month, Yes I have had abdominal distention and bloating, burping, nausea , difficult eating, finally starting to get better, but I drink a protein drink now which has help instead of eating slow process