I also have insulinomas. . . Diagnosed originally in 2015 with 2 tumors in the pancreas, 2017 found 9 more in the pancreas @ Mayo, 2023 the tumors metastasized to the liver - undetermined #. I have had a modified Whipple and a distal pancreatectomy/splenectomy. Currently, I am on Sandostatin (octreotide) 30 mg every 28 days and 50 mcg short acting as needed to control the blood sugars. No conversation on life expectancy but I feel good (other than when hypoglycemic) and really no other issues other at this point. I have a great endocrinologist at Mayo that keeps close tabs on my progress and a great oncologist here in NC. My motto - you have 3 choices - give up, give in or give it all you’ve got! I am giving it all I’ve got. Best wishes to all of you in your journey - as all NET journeys are unique!